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, 2024 07:12 AM Monday; Rod Welch

Exercise, diet, vitals and medication case study Jan 1, 2024.

1...Summary/Objective
....1...240101 0715............................................. summary vitals, ref SDS 16 3C4N
....2...240102 0715............................................. summary vitals, ref SDS 16 3C4N
....3...240103 0650............................................. summary vitals, ref SDS 16 3C4N
....4...240104 0640............................................. summary vitals, ref SDS 16 MB4M
....5...240105 0615............................................. summary vitals, ref SDS 16 MB4M
....6...240106 0815............................................. summary vitals, ref SDS 16 MB4M
....7...240107 0815............................................. summary vitals, ref SDS 16 MB4M
....8...240108 0710............................................. summary vitals, ref SDS 16 MB4M
....9...240109 0710............................................. summary vitals, ref SDS 16 MB4M
...10...240110 0710............................................. summary vitals, ref SDS 16 MB4M
...11...240111 0640............................................. summary vitals, ref SDS 16 MB4M
...12...240112 0740............................................. summary vitals, ref SDS 16 MB4M
...13...240113 0740............................................. summary vitals, ref SDS 16 MB4M
...14...240114 0710............................................. summary vitals, ref SDS 16 MB4M
...15...240115 0710............................................. summary vitals, ref SDS 16 MB4M
...16...240116 0700............................................. summary vitals, ref SDS 16 MB4M
...17...240117 0645............................................. summary vitals, ref SDS 16 MB4M
...18...240118 0110............................................. summary vitals, ref SDS 16 MB4M
...19...240119 0720............................................. summary vitals, ref SDS 16 MB4M
...20...240120 0650............................................. summary vitals, ref SDS 16 MB4M
...21...240121 0630............................................. summary vitals, ref SDS 16 MB4M
...22...240122 0720............................................. summary vitals, ref SDS 16 MB4M
...23...240123 0645............................................. summary vitals, ref SDS 16 MB4M
...24...240124 0700............................................. summary vitals, ref SDS 16 MB4M
...25...240125 0640............................................. summary vitals, ref SDS 16 MB4M
...26...240126 0650............................................. summary vitals, ref SDS 16 MB4M
...27...240127 0720............................................. summary vitals, ref SDS 16 MB4M
...28...240128 0720............................................. summary vitals, ref SDS 16 MB4M
...29...240129 0720............................................. summary vitals, ref SDS 16 MB4M
...30...240130 0740............................................. summary vitals, ref SDS 16 MB4M
...31...240131 0710............................................. summary vitals, ref SDS 16 MB4M
...32...240201 0720............................................. summary vitals, ref SDS 16 MB4M
...33...240202 0640............................................. summary vitals, ref SDS 16 MB4M
...34...240203 0615............................................. summary vitals, ref SDS 16 MB4M
...35...240204 0615............................................. summary vitals, ref SDS 16 MB4M
...36...240205 0620............................................. summary vitals, ref SDS 16 MB4M
...37...240206 0720............................................. summary vitals, ref SDS 16 MB4M
...38...240207 0700............................................. summary vitals, ref SDS 16 MB4M
...39...240208 0710............................................. summary vitals, ref SDS 16 MB4M
...40...240209 0720............................................. summary vitals, ref SDS 16 MB4M
...41...240210 0710............................................. summary vitals, ref SDS 16 MB4M
...42...240211 0720............................................. summary vitals, ref SDS 16 MB4M
...43...240212 0505............................................. summary vitals, ref SDS 16 MB4M
...44...240213 0705............................................. summary vitals, ref SDS 16 MB4M
...45...240214 0655............................................. summary vitals, ref SDS 16 MB4M
...46...240215 0705............................................. summary vitals, ref SDS 16 MB4M
...47...240216 0640............................................. summary vitals, ref SDS 16 MB4M
...48...240217 0720............................................. summary vitals, ref SDS 16 MB4M
...49...240218 0700............................................. summary vitals, ref SDS 16 MB4M
...50...240219 0700............................................. summary vitals, ref SDS 16 MB4M
...51...240220 0705............................................. summary vitals, ref SDS 16 MB4M
...52...240221 0250............................................. summary vitals, ref SDS 16 MB4M
...53...240222 0710............................................. summary vitals, ref SDS 16 MB4M
...54...240223 0710............................................. summary vitals, ref SDS 16 MB4M
...55...240224 0710............................................. summary vitals, ref SDS 16 MB4M
...56...240225 0730............................................. summary vitals, ref SDS 16 MB4M
...57...240226 0720............................................. summary vitals, ref SDS 16 MB4M
...58...240227 0740............................................. summary vitals, ref SDS 16 MB4M
...59...240228 0505............................................. summary vitals, ref SDS 16 MB4M
...60...240229 0705............................................. summary vitals, ref SDS 16 MB4M
...61...240301 0705............................................. summary vitals, ref SDS 16 MB4M
...62...240302 0715............................................. summary vitals, ref SDS 16 MB4M
...63...240303 0715............................................. summary vitals, ref SDS 16 MB4M
...64...240304 0310............................................. summary vitals, ref SDS 16 MB4M
...65...240305 0720............................................. summary vitals, ref SDS 16 MB4M
...66...240306 0300............................................. summary vitals, ref SDS 16 MB4M
...67...240307 0715............................................. summary vitals, ref SDS 16 MB4M
...68...240308 0715............................................. summary vitals, ref SDS 16 MB4M
...69...240309 0715............................................. summary vitals, ref SDS 16 MB4M
...70...240310 0650............................................. summary vitals, ref SDS 16 MB4M
...71...240311 0730............................................. summary vitals, ref SDS 16 MB4M
...72...240312 0715............................................. summary vitals, ref SDS 16 MB4M
...73...240313 0655............................................. summary vitals, ref SDS 16 MB4M
...74...240314 0725............................................. summary vitals, ref SDS 16 MB4M
...75...240315 0730............................................. summary vitals, ref SDS 16 MB4M
...76...240316 0730............................................. summary vitals, ref SDS 16 MB4M
...77...240317 0730............................................. summary vitals, ref SDS 16 MB4M
...78...240318 0710............................................. summary vitals, ref SDS 16 MB4M
...79...240319 0640............................................. summary vitals, ref SDS 16 MB4M
...80...240320 0710............................................. summary vitals, ref SDS 16 MB4M
...81...240321 0720............................................. summary vitals, ref SDS 16 MB4M
...82...240322 0715............................................. summary vitals, ref SDS 16 MB4M
...83...240323 0710............................................. summary vitals, ref SDS 16 MB4M
...84...240324 0705............................................. summary vitals, ref SDS 16 MB4M
...85...240325 0710............................................. summary vitals, ref SDS 16 MB4M
...86...240326 0710............................................. summary vitals, ref SDS 16 MB4M
...87...240327 0700............................................. summary vitals, ref SDS 16 MB4M
...88...240328 0720............................................. summary vitals, ref SDS 16 MB4M
...89...240329 0715............................................. summary vitals, ref SDS 16 MB4M
...90...240330 0725............................................. summary vitals, ref SDS 16 MB4M
...91...240331 0650............................................. summary vitals, ref SDS 16 MB4M
...92...240401 0720............................................. summary vitals, ref SDS 16 MB4M
...93...240402 0715............................................. summary vitals, ref SDS 16 MB4M
...94...240403 0705............................................. summary vitals, ref SDS 16 MB4M
...95...240404 0710............................................. summary vitals, ref SDS 16 MB4M
...96...240405 0520............................................. summary vitals, ref SDS 16 MB4M
...97...240406 0710............................................. summary vitals, ref SDS 16 MB4M
...98...240407 0710............................................. summary vitals, ref SDS 16 MB4M
...99...240408 0720............................................. summary vitals, ref SDS 16 MB4M
..100. 240409 0710............................................. summary vitals, ref SDS 16 MB4M
..101. 240410 0710............................................. summary vitals, ref SDS 16 MB4M
..102. 240411 0720............................................. summary vitals, ref SDS 16 MB4M
..103. 240412 0705............................................. summary vitals, ref SDS 16 MB4M
..104. 240413 0720............................................. summary vitals, ref SDS 16 MB4M
..105. 240414 0710............................................. summary vitals, ref SDS 16 MB4M
..106. 240415 0710............................................. summary vitals, ref SDS 16 MB4M
..107. 240416 0715............................................. summary vitals, ref SDS 16 MB4M
..108. 240417 0720............................................. summary vitals, ref SDS 16 MB4M
..109. 240418 0700............................................. summary vitals, ref SDS 16 MB4M
..110. 240419 0205............................................. summary vitals, ref SDS 16 MB4M
..111. 240420 0650............................................. summary vitals, ref SDS 16 MB4M
..112. 240421 0702............................................. summary vitals, ref SDS 16 MB4M
..113. 240422 0700............................................. summary vitals, ref SDS 16 MB4M
..114. 240423 0510............................................. summary vitals, ref SDS 16 MB4M
..115. 240424 0710............................................. summary vitals, ref SDS 16 MB4M
..116. 240425 0650............................................. summary vitals, ref SDS 16 MB4M
..117. 240426 0510............................................. summary vitals, ref SDS 16 MB4M
..118. 240427 0650............................................. summary vitals, ref SDS 16 MB4M
..119. 240428 0725............................................. summary vitals, ref SDS 16 MB4M
..120. 240429 0710............................................. summary vitals, ref SDS 16 MB4M
..121. 240430 0700............................................. summary vitals, ref SDS 16 MB4M
..122. 240501 0700............................................. summary vitals, ref SDS 16 MB4M
..123. 240502 0710............................................. summary vitals, ref SDS 16 MB4M
..124. 240503 0700............................................. summary vitals, ref SDS 16 MB4M
..125. 240504 0800............................................. summary vitals, ref SDS 16 MB4M
..126. 240505 0710............................................. summary vitals, ref SDS 16 MB4M
..127. 240506 0705............................................. summary vitals, ref SDS 16 MB4M
..128. 240507 0640............................................. summary vitals, ref SDS 16 MB4M
..129. 240508 0700............................................. summary vitals, ref SDS 16 MB4M
..130. 240509 0715............................................. summary vitals, ref SDS 16 MB4M
..131. 240510 0410............................................. summary vitals, ref SDS 16 MB4M
..132. 240511 0720............................................. summary vitals, ref SDS 16 MB4M
..133. 240512 0715............................................. summary vitals, ref SDS 16 MB4M
..134. 240513 0710............................................. summary vitals, ref SDS 16 MB4M
..135. 240514 0715............................................. summary vitals, ref SDS 16 MB4M
..136. 240515 0720............................................. summary vitals, ref SDS 16 MB4M
..137. 240516 0720............................................. summary vitals, ref SDS 16 MB4M
..138. 240517 0230............................................. summary vitals, ref SDS 16 MB4M
..139. 240518 0710............................................. summary vitals, ref SDS 16 MB4M
..140. 240519 0710............................................. summary vitals, ref SDS 16 MB4M
..141. 240520 0720............................................. summary vitals, ref SDS 16 MB4M
..142. 240521 0705............................................. summary vitals, ref SDS 16 MB4M
..143. 240522 0725............................................. summary vitals, ref SDS 16 MB4M
..144. 240523 0710............................................. summary vitals, ref SDS 16 MB4M
..145. 240524 0540............................................. summary vitals, ref SDS 16 MB4M
..146. 240525 0720............................................. summary vitals, ref SDS 16 MB4M
..147. 240526 0715............................................. summary vitals, ref SDS 16 MB4M
..148. 240527 0715............................................. summary vitals, ref SDS 16 MB4M
..149. 240528 0720............................................. summary vitals, ref SDS 16 MB4M
..150. 240529 0715............................................. summary vitals, ref SDS 16 MB4M
..151. 240530 0720............................................. summary vitals, ref SDS 16 MB4M
..152. 240531 0710............................................. summary vitals, ref SDS 16 MB4M
..153. 240601 0640............................................. summary vitals, ref SDS 16 MB4M
..154. 240602 0710............................................. summary vitals, ref SDS 16 MB4M
..155. 240603 0715............................................. summary vitals, ref SDS 16 MB4M
..156. 240604 0720............................................. summary vitals, ref SDS 16 MB4M
..157. 240605 0740............................................. summary vitals, ref SDS 16 MB4M
..158. 240606 0720............................................. summary vitals, ref SDS 16 MB4M
..159. 240607 0705............................................. summary vitals, ref SDS 16 MB4M
..160. 240608 0545............................................. summary vitals, ref SDS 16 MB4M
..161. 240609 0710............................................. summary vitals, ref SDS 16 MB4M
..162. 240610 0710............................................. summary vitals, ref SDS 16 MB4M
..163. 240611 0230............................................. summary vitals, ref SDS 16 MB4M
..164. 240612 0650............................................. summary vitals, ref SDS 16 MB4M
..165. 240613 0435............................................. summary vitals, ref SDS 16 MB4M
..166. 240614 0640............................................. summary vitals, ref SDS 16 MB4M
..167. 240615 0620............................................. summary vitals, ref SDS 16 MB4M
..168. 240616 0630............................................. summary vitals, ref SDS 16 MB4M
..169. 240617 0620............................................. summary vitals, ref SDS 16 MB4M
..170. 240618 0710............................................. summary vitals, ref SDS 16 MB4M
..171. 240619 0700............................................. summary vitals, ref SDS 16 MB4M
..172. 240620 0710............................................. summary vitals, ref SDS 16 MB4M
..173. 240621 0615............................................. summary vitals, ref SDS 16 MB4M
..174. 240622 0700............................................. summary vitals, ref SDS 16 MB4M
..175. 240623 0710............................................. summary vitals, ref SDS 16 MB4M
..176. 240624 0610............................................. summary vitals, ref SDS 16 MB4M
..177. 240625 0640............................................. summary vitals, ref SDS 16 MB4M
..178. 240626 0710............................................. summary vitals, ref SDS 16 MB4M
..179. 240627 0620............................................. summary vitals, ref SDS 16 MB4M
..180. 240628 0530............................................. summary vitals, ref SDS 16 MB4M
..181. 240629 0710............................................. summary vitals, ref SDS 16 MB4M
..182. 240630 0700............................................. summary vitals, ref SDS 16 MB4M
..183. 240701 0625............................................. summary vitals, ref SDS 16 MB4M
..184. 240702 0910............................................. summary vitals, ref SDS 16 MB4M
..185. 240703 0645............................................. summary vitals, ref SDS 16 MB4M
..186. 240704 0720............................................. summary vitals, ref SDS 16 MB4M
..187. 240705 0940............................................. summary vitals, ref SDS 16 MB4M
..188. 240706 0720............................................. summary vitals, ref SDS 16 MB4M
..189. 240707 0700............................................. summary vitals, ref SDS 16 MB4M
..190. 240708 0720............................................. summary vitals, ref SDS 16 MB4M
..191. 240709 0640............................................. summary vitals, ref SDS 16 MB4M
..192. 240710 0700............................................. summary vitals, ref SDS 16 MB4M
..193. 240711 0700............................................. summary vitals, ref SDS 16 MB4M
..194. 240712 0720............................................. summary vitals, ref SDS 16 MB4M
..195. 240713 0430............................................. summary vitals, ref SDS 16 MB4M
..196. 240714 0715............................................. summary vitals, ref SDS 16 MB4M
..197. 240715 0710............................................. summary vitals, ref SDS 16 MB4M
..198. 240716 0710............................................. summary vitals, ref SDS 16 MB4M
..199. 240717 0720............................................. summary vitals, ref SDS 16 MB4M
..200. 240718 0700............................................. summary vitals, ref SDS 16 MB4M
..201. 240719 0705............................................. summary vitals, ref SDS 16 MB4M
..202. 240720 0720............................................. summary vitals, ref SDS 16 MB4M
..203. 240721 0710............................................. summary vitals, ref SDS 16 MB4M
..204. 240722 0710............................................. summary vitals, ref SDS 16 MB4M
..205. 240723 0710............................................. summary vitals, ref SDS 16 MB4M
..206. 240724 0220............................................. summary vitals, ref SDS 16 MB4M
..207. 240725 0700............................................. summary vitals, ref SDS 16 MB4M
..208. 240726 0305............................................. summary vitals, ref SDS 16 MB4M
..209. 240727 0705............................................. summary vitals, ref SDS 16 MB4M
..210. 240728 0740............................................. summary vitals, ref SDS 16 MB4M
..211. 240729 0640............................................. summary vitals, ref SDS 16 MB4M
..212. 240730 0640............................................. summary vitals, ref SDS 16 MB4M
..213. 240731 0610............................................. summary vitals, ref SDS 16 MB4M
..214. 240801 0620............................................. summary vitals, ref SDS 16 MB4M
..215. 240802 0650............................................. summary vitals, ref SDS 16 MB4M
..216. 240803 0650............................................. summary vitals, ref SDS 16 MB4M
..217. 240804 0720............................................. summary vitals, ref SDS 16 MB4M
..218. 240805 0720............................................. summary vitals, ref SDS 16 MB4M
..219. 240806 0715............................................. summary vitals, ref SDS 16 MB4M
..220. 240807 0715............................................. summary vitals, ref SDS 16 MB4M
..221. 240808 0715............................................. summary vitals, ref SDS 16 MB4M
..222. 240809 0720............................................. summary vitals, ref SDS 16 MB4M
..223. 240810 0650............................................. summary vitals, ref SDS 16 MB4M
..224. 240811 0635............................................. summary vitals, ref SDS 16 MB4M
..225. 240812 0630............................................. summary vitals, ref SDS 16 MB4M
..226. 240813 0645............................................. summary vitals, ref SDS 16 MB4M
..227. 240814 0710............................................. summary vitals, ref SDS 16 MB4M
..228. 240815 0700............................................. summary vitals, ref SDS 16 MB4M
..229. 240816 0700............................................. summary vitals, ref SDS 16 MB4M
..230. 240817 0620............................................. summary vitals, ref SDS 16 MB4M
..231. 240818 0620............................................. summary vitals, ref SDS 16 MB4M
..232. 240819 0650............................................. summary vitals, ref SDS 16 MB4M
..233. 240820 0650............................................. summary vitals, ref SDS 16 MB4M
..234. 240821 0615............................................. summary vitals, ref SDS 16 MB4M
..235. 240822 0620............................................. summary vitals, ref SDS 16 MB4M
..236. 240823 0700............................................. summary vitals, ref SDS 16 MB4M
..237. 240824 0645............................................. summary vitals, ref SDS 16 MB4M
..238. 240825 0645............................................. summary vitals, ref SDS 16 MB4M
..239. 240826 0650............................................. summary vitals, ref SDS 16 MB4M
..240. 240827 0350............................................. summary vitals, ref SDS 16 MB4M
..241. 240828 0650............................................. summary vitals, ref SDS 16 MB4M
..242. 240829 0200............................................. summary vitals, ref SDS 16 MB4M
..243. 240830 0420............................................. summary vitals, ref SDS 16 MB4M
..244. 240831 0640............................................. summary vitals, ref SDS 16 MB4M
..245. 240901 0616............................................. summary vitals, ref SDS 16 MB4M
..246. 240902 0540............................................. summary vitals, ref SDS 16 MB4M
..247. 240903 0440............................................. summary vitals, ref SDS 16 MB4M
..248. 240904 0420............................................. summary vitals, ref SDS 16 MB4M
..249. 240905 0110............................................. summary vitals, ref SDS 16 MB4M
..250. 240906 0550............................................. summary vitals, ref SDS 16 MB4M
..251. 240907 0550............................................. summary vitals, ref SDS 16 MB4M
..252. 240908 0620............................................. summary vitals, ref SDS 16 MB4M
..253. 240909 0410............................................. summary vitals, ref SDS 16 MB4M
..254. 240910 0625............................................. summary vitals, ref SDS 16 MB4M
..255. 240911 0715............................................. summary vitals, ref SDS 16 MB4M
..256. 240912 0725............................................. summary vitals, ref SDS 16 MB4M
..257. 240913 0720............................................. summary vitals, ref SDS 16 MB4M
..258. 240914 0720............................................. summary vitals, ref SDS 16 MB4M
..259. 240915 0710............................................. summary vitals, ref SDS 16 MB4M
..260. 240916 0720............................................. summary vitals, ref SDS 16 MB4M
..261. 240917 0400............................................. summary vitals, ref SDS 16 MB4M
..262. 240918 0645............................................. summary vitals, ref SDS 16 MB4M
..263. 240919 0545............................................. summary vitals, ref SDS 16 MB4M
..264. 240920 0710............................................. summary vitals, ref SDS 16 MB4M
..265. 240921 0710............................................. summary vitals, ref SDS 16 MB4M
..266. 240922 0710............................................. summary vitals, ref SDS 16 MB4M
..267. 240923 0710............................................. summary vitals, ref SDS 16 MB4M
..268. 240924 0110............................................. summary vitals, ref SDS 16 MB4M
..269. 240925 0730............................................. summary vitals, ref SDS 16 MB4M
..270. 240926 0315............................................. summary vitals, ref SDS 16 MB4M
..271. 240927 0735............................................. summary vitals, ref SDS 16 MB4M
..272. 240928 0735............................................. summary vitals, ref SDS 16 MB4M
..273. 240929 0720............................................. summary vitals, ref SDS 16 MB4M
..274. 240930 0720............................................. summary vitals, ref SDS 16 MB4M
..275. 241001 0720............................................. summary vitals, ref SDS 16 MB4M
..276. 241002 0720............................................. summary vitals, ref SDS 16 MB4M
..277. 241003 0730............................................. summary vitals, ref SDS 16 MB4M
..278. 241004 0710............................................. summary vitals, ref SDS 16 MB4M
..279. 241005 0700............................................. summary vitals, ref SDS 16 MB4M
..280. 241006 0725............................................. summary vitals, ref SDS 16 MB4M
..281. 241007 0710............................................. summary vitals, ref SDS 16 MB4M
..282. 241008 0710............................................. summary vitals, ref SDS 16 MB4M
..283. 241009 0715............................................. summary vitals, ref SDS 16 MB4M
..284. 241010 0710............................................. summary vitals, ref SDS 16 MB4M
..285. 241011 0630............................................. summary vitals, ref SDS 16 MB4M
..286. 241012 0730............................................. summary vitals, ref SDS 16 MB4M
..287. 241013 0700............................................. summary vitals, ref SDS 16 MB4M
..288. 241014 0700............................................. summary vitals, ref SDS 16 MB4M
..289. 241015 0730............................................. summary vitals, ref SDS 16 MB4M
..290. 241016 0720............................................. summary vitals, ref SDS 16 MB4M
..291. 241017 0700............................................. summary vitals, ref SDS 16 MB4M
..292. 241018 0720............................................. summary vitals, ref SDS 16 MB4M
..293. 241019 0730............................................. summary vitals, ref SDS 16 MB4M
..294. 241020 0710............................................. summary vitals, ref SDS 16 MB4M
..295. 241021 0720............................................. summary vitals, ref SDS 16 MB4M
..296. 241022 0650............................................. summary vitals, ref SDS 16 MB4M
..297. 241023 0650............................................. summary vitals, ref SDS 16 MB4M
..298. 241024 0750............................................. summary vitals, ref SDS 16 MB4M
..299. 241025 0700............................................. summary vitals, ref SDS 16 MB4M
..300. 241026 0720............................................. summary vitals, ref SDS 16 MB4M
..301. 241027 0700............................................. summary vitals, ref SDS 16 MB4M
..302. 241028 0720............................................. summary vitals, ref SDS 16 MB4M
..303. 241029 0720............................................. summary vitals, ref SDS 16 MB4M
..304. 241030 0735............................................. summary vitals, ref SDS 16 MB4M
..305. 241031 0200............................................. summary vitals, ref SDS 16 MB4M
..306. 241101 0620............................................. summary vitals, ref SDS 16 MB4M
..307. 241102 0720............................................. summary vitals, ref SDS 16 MB4M
..308. 241103 0705............................................. summary vitals, ref SDS 16 MB4M
..309. 241104 0715............................................. summary vitals, ref SDS 16 MB4M
..310. 241105 0735............................................. summary vitals, ref SDS 16 MB4M
..311. 241106 0720............................................. summary vitals, ref SDS 16 MB4M
..312. 241107 0725............................................. summary vitals, ref SDS 16 MB4M
..313. 241108 0705............................................. summary vitals, ref SDS 16 MB4M
..314. 241109 0710............................................. summary vitals, ref SDS 16 MB4M
..315. 241110 0655............................................. summary vitals, ref SDS 16 MB4M
..316. 241111 0640............................................. summary vitals, ref SDS 16 MB4M
..317. 241112 0720............................................. summary vitals, ref SDS 16 MB4M
..318. 241113 0720............................................. summary vitals, ref SDS 16 MB4M
..319. 241114 0630............................................. summary vitals, ref SDS 16 MB4M
..320. 241115 0720............................................. summary vitals, ref SDS 16 MB4M
..321. 241116 0720............................................. summary vitals, ref SDS 16 MB4M
..322. 241117 0720............................................. summary vitals, ref SDS 16 MB4M
..323. 241118 0650............................................. summary vitals, ref SDS 16 MB4M
..324. 241119 0720............................................. summary vitals, ref SDS 16 MB4M
..325. 241120 0720............................................. summary vitals, ref SDS 16 MB4M
..326. 241121 0710............................................. summary vitals, ref SDS 16 MB4M
..327. 241122 0715............................................. summary vitals, ref SDS 16 MB4M
..328. 241123 0605............................................. summary vitals, ref SDS 16 MB4M
..329. 241124 0722............................................. summary vitals, ref SDS 16 MB4M
..330. 241125 0707............................................. summary vitals, ref SDS 16 MB4M
..331. 241126 0527............................................. summary vitals, ref SDS 16 MB4M
..332. 241127 0800............................................. summary vitals, ref SDS 16 MB4M
..333. 241128 0720............................................. summary vitals, ref SDS 16 MB4M
..334. 241129 0700............................................. summary vitals, ref SDS 16 MB4M
..335. 241130 0710............................................. summary vitals, ref SDS 16 MB4M
..336. 241201 0740............................................. summary vitals, ref SDS 16 MB4M
..337. 241202 0400............................................. summary vitals, ref SDS 16 MB4M
..338. 241203 0900............................................. summary vitals, ref SDS 16 MB4M
..339. 241204 0720............................................. summary vitals, ref SDS 16 MB4M
..340. 241205 0710............................................. summary vitals, ref SDS 16 MB4M
..341. 241206 0720............................................. summary vitals, ref SDS 16 MB4M
..342. 241207 0715............................................. summary vitals, ref SDS 16 MB4M
..343. 241208 0715............................................. summary vitals, ref SDS 16 MB4M
..344. 241209 0640............................................. summary vitals, ref SDS 16 MB4M
..345. 241210 0715............................................. summary vitals, ref SDS 16 MB4M
..346. 241211 0700............................................. summary vitals, ref SDS 16 MB4M
..347. 241212 0710............................................. summary vitals, ref SDS 16 MB4M
..348. 241213 0710............................................. summary vitals, ref SDS 16 MB4M
..349. 241214 0725............................................. summary vitals, ref SDS 16 MB4M
..350. 241215 0715............................................. summary vitals, ref SDS 16 MB4M
..351. 241216 0705............................................. summary vitals, ref SDS 16 MB4M
..352. 241217 0645............................................. summary vitals, ref SDS 16 MB4M
..353. 241218 0730............................................. summary vitals, ref SDS 16 MB4M
..354. 241219 0730............................................. summary vitals, ref SDS 16 MB4M
..355. 241220 0650............................................. summary vitals, ref SDS 16 MB4M
..356. 241221 0535............................................. summary vitals, ref SDS 16 MB4M
..357. 241222 0705............................................. summary vitals, ref SDS 16 MB4M
..358. 241223 0715............................................. summary vitals, ref SDS 16 MB4M
..359. 241224 0700............................................. summary vitals, ref SDS 16 MB4M
..360. 241225 0700............................................. summary vitals, ref SDS 16 MB4M
..361. 241226 0720............................................. summary vitals, ref SDS 16 MB4M
..362. 241227 0715............................................. summary vitals, ref SDS 16 MB4M
..363. 241228 0625............................................. summary vitals, ref SDS 16 MB4M
..364. 241229 0715............................................. summary vitals, ref SDS 16 MB4M
..365. 241230 0705............................................. summary vitals, ref SDS 16 MB4M
..366. 241231 0720............................................. summary vitals, ref SDS 16 MB4M

 ACTION ITEMS.................. Click here to comment!

1...Qachycardia... looks uniform with no artifact - medical history case
2...Tachycardia... looks uniform with no artifact (...similar to AFL,
3...Tachycardia... looks uniform with no artifact (...similar to AFL,
4...Tachycardia... looks uniform and variable with severe artifact -
5...Polar hiking GPS graphic report shows unusally erratic HR despite

CONTACTS 

SUBJECTS
Exercise Hiking Vitals Blood Pressure Pulse Heart Rate Medication Me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0703 -    ..
0704 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070501 - Follow up ref SDS 23 0000. ref SDS 21 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
070502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070511 -  ..
0706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0708 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070901 - Prior history hiking, vitals, medication, injuries, BPPV, PRP,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
070902 - labs-HDL - see case study on 200101 0701. ref SDS 16 QJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070904 -  ..
070905 - Mileage spreadsheet correlating HDL cholesterol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070907 -              F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
070908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070930 -         ..
070931 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
070932 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
070933 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
070934 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070935 -    1.  240101 0715............................................. summary vitals, ref SDS 16 3C4N                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070936 -               0715....BP HR..................................................... 143  78  52  Kardia ECG reports HR status, see below. ref SDS 23 6PRT                                                                                                                                                                                                                                                                                                                                                                                                                                                      
070937 -               0720....BP HR..................................................... 136  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
070938 -               0725....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070939 -               0725....80 375900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070940 -               0725... 05  145 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070941 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070942 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070943 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070944 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070945 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
070946 -               0000... Oxycodone HCL Plain  5  510 mg RX90533728 took for pain management after PRP treatment left knee and left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070947 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070948 -               1700... 40 105020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
070949 -               0000... Metoprolol to slow HR toward resolve AFL - Polar reports sinus about 2330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070950 -             1 0000............ 10 19110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
070951 -             1 0000............ 10 19480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
070952 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070953 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070954 -               2130... 40 80920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070955 -               2150... 1000 1996000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070956 -               0000... 10   40 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
070957 -               2300... 80 375980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070958 -               2300... 05  150 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070959 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070960 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070961 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
070962 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070965 -  ..
070966 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070967 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070969 -  ..
070970 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070971 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070976 -  ..
070977 - Kardia recorded HR 59 at 0928 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070978 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070979 - yesterday, and not taking Tramadol nor Gabapentin, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070980 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070981 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070982 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070985 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
070986 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240101-ecg-092919_mile_00_059_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
070987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070990 -  ..
070991 - Post hike HR profile beginning 2009 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070992 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070993 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
070994 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070995 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070998 -        ..
070999 -       Date      240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027  231026  231025  231024  231023  231022  231021    
071000 -       Time       2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943    2021    2338    0105    2129    2323    2153     
071001 -       Hours        12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11       7       9       7      12       9      10     
071002 -       HR AVG       68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54      58      60      51      59      55      63     
071003 -       HR MAX      114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     154     115     108     116     130     141     
071004 -       HR Min       45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41      42      42      37      41      37      42     
071005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071008 -              https://flow.polar.com/training/analysis/7790812977                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071010 -               ..
071012 -   
071013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071016 -  ..
071017 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071018 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071019 - Dinner - tuna broccoli tomato onion cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071021 -  ..
071022 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071043 -         ..
071044 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071045 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071046 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071047 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071048 -    2.  240102 0715............................................. summary vitals, ref SDS 16 3C4N                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071049 -               0715....BP HR..................................................... 119  76  83  Kardia ECG reports HR status, see below. ref SDS 0 PWQS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071050 -               0720....BP HR..................................................... 118  74  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071051 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071052 -               0725....80 376060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071053 -               0725... 05  155 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071054 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071055 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071056 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071057 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071058 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
071059 -               0000... Oxycodone HCL Plain  5  510 mg RX90533728 took for pain management after PRP treatment left knee and left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071060 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071061 -               1700... 40 105060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
071062 -               0000... Metoprolol to slow HR toward resolve AFL - Polar reports sinus about 2330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071063 -               1830............ 10 19120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
071064 -               1830............ 10 19490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
071065 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071066 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071067 -               2130... 40 80960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071068 -               2150... 1000 1997000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071069 -               0000... 10   40 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071070 -               2300... 80 376140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071071 -               2300... 05  160 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071072 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071073 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071074 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071075 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071077 -  ..
071078 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071079 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071081 -  ..
071082 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071083 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071088 -  ..
071089 - Kardia recorded HR 59 at 0945 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071090 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071091 - yesterday, and not taking Tramadol nor Gabapentin, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071092 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071093 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071094 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071097 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071098 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240102-ecg-094555_mile_00_084_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071104 -  ..
071105 - Post hike HR profile beginning 0254 (next day) aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071106 - activity overnight after hiking 00 miles and no extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071107 - elevated HR > 130, indicates no AFL, and after 5th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071108 - 231214 0630. ref SDS 28 JG7N  See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071109 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071112 -        ..
071113 -       Date      240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027  231026  231025  231024  231023  231022    
071114 -       Time       0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943    2021    2338    0105    2129    2323     
071115 -       Hours         4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11       7       9       7      12       9     
071116 -       HR AVG       74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54      58      60      51      59      55     
071117 -       HR MAX      104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     154     115     108     116     130     
071118 -       HR Min       47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41      42      42      37      41      37     
071119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071122 -              https://flow.polar.com/training/analysis/7791348262                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071125 -               ..
071127 -   
071128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071131 -  ..
071132 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071133 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071134 - Dinner - macaroni cheese broccoli onion hot dog potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071136 -  ..
071137 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071161 -         ..
071162 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071163 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071164 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071165 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071166 -    3.  240103 0650............................................. summary vitals, ref SDS 16 3C4N                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071167 -               0650....BP HR..................................................... 107  72  56  Kardia ECG reports HR status, see below. ref SDS 0 6XSP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071168 -               0655....BP HR..................................................... 135  82  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071169 -               0700....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071170 -               0700....80 376220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071171 -               0700... 05  165 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071172 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071173 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071174 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071175 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071176 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
071177 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071178 -               1700... 40 105100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
071179 -             1 0000............ 10 19120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
071180 -             1 0000............ 10 19490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
071181 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071182 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071183 -               2130... 40 81000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071184 -               2150... 1000 1998000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071185 -               0000... 10   40 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071186 -               2300... 80 376300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071187 -               2300... 05  170 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071188 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071189 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071190 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071192 -  ..
071193 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071194 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071196 -  ..
071197 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071198 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071202 -  ..
071203 - Kardia recorded HR 62 at 0724 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071204 - heart beat lengths with p-wave and no artifact; no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071205 - miles yesterday, and not taking Tramadol nor Gabapentin, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071206 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071207 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071208 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071211 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071212 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240103-ecg-072416_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071216 -  ..
071217 - Post hike HR profile beginning 0046 (next day) aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071218 - activity overnight after hiking 00 miles and no extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071219 - elevated HR > 130, indicates no AFL, and after 5th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071220 - 231214 0630. ref SDS 28 JG7N  See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071221 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071224 -        ..
071225 -       Date      240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027  231026  231025  231024  231023    
071226 -       Time       0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943    2021    2338    0105    2129     
071227 -       Hours         7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11       7       9       7      12     
071228 -       HR AVG       64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54      58      60      51      59     
071229 -       HR MAX      104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     154     115     108     116     
071230 -       HR Min       46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41      42      42      37      41     
071231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071234 -              https://flow.polar.com/training/analysis/7792030445                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071237 -               ..
071239 -   
071240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071243 -  ..
071244 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071245 - Lunch - grilled cheese sandwich tuna eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071246 - Dinner - macaroni cheese broccoli onion hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071248 -  ..
071249 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071273 -         ..
071274 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071275 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071276 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071277 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071278 -    4.  240104 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071279 -               0640....BP HR..................................................... 140  76  50  Kardia ECG reports HR status, see below. ref SDS 0 PYT8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071280 -               0645....BP HR..................................................... 137  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071281 -               0650....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071282 -               0650....80 376380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071283 -               0650... 05  175 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071284 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071285 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071286 -               0950....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071287 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071288 -               0900... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
071289 -  ..
071290 -               1030....miles...........  22.0  22.0  376   376 minutes  temp  62 wind  6  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071291 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071292 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
071293 -               1218....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071294 -               1441....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071295 -               1441....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071296 -               1441... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071297 -               1441... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
071298 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071299 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071300 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071301 -               0000....mile 14 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071302 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
071303 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071304 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071305 -               1736... Hike ends mile 20... ref SDS 23 RJE7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071306 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071307 -               1745....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071308 -               1745....BP HR..................................................... 106  67 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071309 -               1755....BP HR..................................................... 106  65 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071310 -               1800....BP HR..................................................... 101  66 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071311 -               1805....BP HR.....................................................  95  63  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071312 -               1810....BP HR.....................................................  89  58  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071313 -               1825....BP HR.....................................................  82  45  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071314 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071315 -               1700... 40 105140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
071316 -               1830............ 10 19130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
071317 -               1830............ 10 19500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
071318 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071319 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071320 -               2130... 40 81040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071321 -               2150... 1000 1999000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071322 -               0000... 10   40 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071323 -               2300... 80 376460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071324 -               2300... 05  180 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071325 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071326 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071327 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071329 -  ..
071330 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071331 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071333 -  ..
071334 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071335 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071337 -  ..
071338 - Today, hiked 22 miles with temp 62 (mostly in 50s) and wind 6 mph; - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071339 - mile semi-loop from Cuneo through Treat, Turtle Creek Road, Ayers,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071340 - Clayton, and Ygnacio Valley Road, stopped at U76 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071341 - nutrition and EKG.  Then 6-miles hiking to end of Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071342 - back, Campus Drive to college; 2 mile loops in parking lots.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071343 - 13 stopped for EKG, hydration, nutriation, took chia seeds and CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071344 - .6 ml.  Hiked 2 miles on Campus Drive to Ygnacio Valley Road over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071345 - summit and 2 miles downhill to Oak Grove, did 2 1-mile loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071346 - Safeway shopping complex. then continue took Oak Grove 1 mile to Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071347 - then 2 miles on Treat to home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071350 -         ..
071351 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071352 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071353 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating so took Simethicone about mile 3                                                                                                                                                                                                                                                                                                                                                                                                              
071354 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071355 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071356 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071357 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071358 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071359 -        Spine below neck lift left or right arm......   1          3  after mile 15 occasionally looking up and over right shoulder - much less severe                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071360 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071361 -        Shoulder left myopathy statins...............   2         70  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                            
071362 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071363 -        Elbow left arm...............................   5         10  mostly persistent doing anything with left arm - at times feels improved, then worse, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                     
071364 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071365 -        Hip left.....................................   0        100  no pain today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071366 -        Back.........................................   0        100  lower right side hurting after sprinting to miss collision with 2 cars at stoplight at Cowell and Treat about .5 mile from end of hike                                                                                                                                                                                                                                                                                                                                                                                                       
071367 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071368 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071369 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071370 -        Knee left meniscus...PRP 231121..............   1        100  took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071371 -        Knee left patalla...PRP 210705...............   1        100  have been feeling this past few hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071372 -        Knee buckling left..PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071373 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071374 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071375 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071376 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071377 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071378 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071379 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071380 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071381 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071382 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071383 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071384 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 14                                                                                                                                                                                                                                                                                                                                              
071385 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 14                                                                                                                                                                                                                                                                                                                                              
071386 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071387 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071388 -        Ankle left achilles heel on 220416...........   2         50  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
071389 -        Ankle right pain on 200407 and 231203........   2         50  think this is getting better but was worse today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071390 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
071391 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071392 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 231030 - received new shaving tool from Doctor Tang on 231030 - did not take Tramadol and Gabapentin today at mile 07                                                                                                                                                                                                                                                                                                                                                                                            
071393 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071394 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071395 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071396 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071397 -        Callus little toe right foot..top of toe.....   1        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
071398 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
071399 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
071400 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071401 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - last few miles felling pressure - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                  
071402 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071403 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071404 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071405 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
071406 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071407 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071408 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071409 -        Peripheral neruopathy both feet..............   2        100  similar today - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071410 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071411 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071412 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071413 -        Veering right ...............................   3          5  noticed doing loop at end of hike around the block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071414 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071415 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071416 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071417 -        Wobbly disoriented staggering dizzy..........   3          8  took 1 Tramadol and 1 Gabapentin noticed wobbly/loopy mile 22 at emd of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071418 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071420 -  ..
071421 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071423 -  ..
071424 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071426 -  ..
071427 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071429 -  ..
071430 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071431 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071433 -  ..
071434 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071435 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071436 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071437 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071438 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071440 -  ..
071441 - Concord 22 mile route - took CoQ10 Ubiquinol brand name Qunol 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071442 - teaspoons (shook bottle) continuing after resuming on 230805, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071443 - pausing on 201217, - this increases energy from deficit caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071444 - statins, and so increases HDL; took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071445 - protection, mainly left knee.  Had chia seeds with small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071446 - butter and margarine for energy, and avocado for HDL; did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071447 - Diclofenac gel to feet before starting hike today, in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071448 - colitis NSAID side effects, per above. ref SDS 0 YV5O  Skipping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071449 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071450 - caused by statins, and using Naproxen (NSAID) to control inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071451 - reported on 220503 0900, ref SDS 22 TL6I, and specifically reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071452 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071453 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071454 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, and further from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071455 - vasodilation during hiking diagnosed on 200612 0700, ref SDS 19 2U4O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071456 - and reviewed in meeting with VA medical team on 220503 0900.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071457 - last ablation was 231214, shown in case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071458 - ref SDS 16 118K, there could be continuing compounding effects that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071459 - combine with vasodilation and statins to cause colitis symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071460 - (primarily bloating).  Took backpack to carry stuff.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071461 - miles and turned left onto Treat.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071462 - without dyspnea.  Temp started at 67, and reached 84.  West wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071463 - mph at times, but mostly 10.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071464 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071465 - miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071466 - traffic.  Hiked across Newhall Community Park and back.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071467 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071468 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071469 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071470 - of shopping complex.  Crossed traffic light at Alberto Way and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071471 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071472 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071473 - Crossed Park Highlands Road at Stop Light and continued West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071474 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071475 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071476 - Boulevard.  Stopped at Union 76 Texaco gas station store - mile 5 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071477 - 1218, temp 56 and wind 03, EKG uniform and raggedy with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071478 - Kardia reported HR 112 Tachycardia - see below. ref SDS 0 PY2X  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071479 - metatarsalgia PL 1, left knee PL 1 with evident swelling; left hip PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071480 - 0, left shoulder PL 2, left elbow PL 4, back/neck PL 0.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071481 - softdrink carried from home for hydration and to swallow nutriation -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071482 - peanut butter with margarine for energy, and avocado for HDL, and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071483 - seeds for energy and HDL, per above. ref SDS 0 PW2U  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071484 - .25 miles on Ygnacio Valley Road.  Turned left onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071485 - hiked 2.5 miles East.  At end of Pine Hollow, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071486 - back.  Turned left onto Campus Drive heading West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071487 - 4% grade against wind 07 mph.  At mile 11, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071488 - California State University East Bay Concord Campus.  Continued 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071489 - 2-mile loop through Faculty and Student parking; hiked loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071490 - main buildings.  Stopped at Administration Building mile 13 time 1441,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071491 - temp 61 wind 07; EKG looks variable with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071492 - HR 122 Possible Atrial Fibrillation - see below. ref SDS 0 A58I  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071493 - PL 2, left knee PL 2, right knee PL 2, left shoulder PL 1, l shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071494 - PL 5 intermittant, neck and back right shoulder PL 3 - intermittent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071495 - Took Tramadol and Gabapentin for pain management.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071496 - CoQ10 .6 ml for energy complete hike.  Few sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071497 - home for hydration and swallowing nutrition - few bites peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071498 - and margarine for energy, and avocado for HDL, and chia seeds; took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071499 - CoQ10 for energy and HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071500 - above. ref SDS 0 PW2U  Did loop around main buildings, then exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071501 - campus at Visitor Parking hiking North on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071502 - onto Ygnacio Valley Road and hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071503 - mile 14, continued past Crystal Ranch Road uphill 3% grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071504 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071505 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071506 - uphill 3% grade and against wind 05 mph to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071507 - traffic barriar crossed back to South side Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071508 - wider, flatter shoulder.  At mile 15, hiked West 2 miles downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071509 - grade; crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071510 - Grove at traffic light to Safeway shopping complex.  Hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071511 - loops around the block on asphalt path.  At mile 19, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071512 - Oak Grove.  Noticed Polar Vantage V fell out of hiking mode, had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071513 - reset, so only wound up with 2.4 miles of data.  Hiked 1 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071514 - asphalt shoulder.  Crossed Treat at stop light.  At mile 20. turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071515 - right hiking 1 mile on flat grade concrete sidewalk.  At San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071516 - continuing on Treat heading uphill 5% grade temp 80, .75 miles - felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071517 - wobbly from Tramadol at mile 13.  At summit, continued another mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071518 - Cuneo.  Ended hike mile 22 time 1737 temp 56, wind 04, feet PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071519 - left knee PL 2, right knee PL 2, neck and left shoulder PL 0 steady,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071520 - EKG looks variable with no artifact, Kardia reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071521 - Tachycardia - see below. ref SDS 0 Q1PV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071531 -  ..
071532 - Kardia recorded HR 50 at 0854 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071533 - heart beat lengths with p-wave and artifact; no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071534 - miles yesterday, and not taking Tramadol nor Gabapentin, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071535 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071536 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071537 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071540 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071541 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240104-ecg-085448_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071546 -  ..
071547 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071548 - hike 22 miles, however, device fell out of mode at mile 19.6, so only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071549 - have 2.4 miles of data - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071550 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071552 -  ..
071553 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071555 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071556 -       Date       240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 231102 231101 231031 231030 231029 231028 231027 231026 231025 231024 231023 231022 231021 231020 231019 231018 231017 231016 231015 2  
071557 -       Miles         22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     30     19     17     14     18     21     18     15     30     24     13     24     20     20      0      0     14     19      0     
071558 -       HR AVG       121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100    112    116    110    112    110    111    103    103    110     no    108     no    111    118     no     no    117    122     no     
071559 -         MAX        142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129    134    137    132    133    128    132    132    142    140  report   123  report   134    148  report report   134    139  report r  
071560 -         Min         78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     49     57     64     46     64     72     41     68     38            81            64     74                   74     57            
071561 -       El Climb Ft  490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352    715    352    352    340    352    352    715    516    715           352           516    715                  516    516            
071562 -       Temp Max      63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     77     75     73     61     73     71     52     68     68            78            70     78                   83     79            
071563 -       Wind Max      08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     12      9      9      3     13     11      7     12     19             8            15     12                   12     13            
071564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071566 -              https://flow.polar.com/training/analysis/7792290285                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071569 -               ..
071571 -   
071572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071576 -  ..
071577 - EKG at mile 05 time 1218 HR 112 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071578 - Qachycardia... looks uniform and raggedy with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071579 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071582 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071583 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240104-ecg-121845_mile_05_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071588 -  ..
071589 - EKG at mile 13 time 1441 HR 122 temp 61, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071590 - Atrial Fibrillation... looks variable and raggedy with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071591 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071594 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071595 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240104-ecg-144111_mile_13_122_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071600 -  ..
071601 - End hike EKG at mile 22 time 1737 HR 116 temp 56 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071602 - Qachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071603 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071606 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071607 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240104-ecg-173706_mile_22_116_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071613 -  ..
071614 - Post hike HR profile beginning 2141 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071615 - overnight after hiking 22 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071616 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071617 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071618 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071621 -        ..
071622 -       Date      240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027  231026  231025  231024    
071623 -       Time       2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943    2021    2338    0105     
071624 -       Hours         8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11       7       9       7     
071625 -       HR AVG       58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54      58      60      51     
071626 -       HR MAX      103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     154     115     108     
071627 -       HR Min       35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41      42      42      37     
071628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071631 -              https://flow.polar.com/training/analysis/7792547874                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071634 -               ..
071636 -   
071637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071640 -  ..
071641 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071642 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071643 - Dinner - hamburger tomato cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071645 -  ..
071646 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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071652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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071657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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071662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071672 -         ..
071673 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071674 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071675 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071676 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071677 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071678 -    5.  240105 0615............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071679 -               0615....BP HR..................................................... 145  74  51  Kardia ECG reports HR status, see below. ref SDS 0 QPYU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071680 -               0620....BP HR..................................................... 133  73  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071681 -               0625....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071682 -               0625....80 376540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071683 -               0625... 05  185 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071684 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071685 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071686 -               0950....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071687 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071688 -               0900... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
071689 -  ..
071690 -         * cr  1018....miles...........  25.0  47.0  435   811 minutes  temp  63 wind  6  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071691 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071692 -               1110... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
071693 -               1140....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071694 -               1240....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071695 -               1240....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071696 -               1240... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071697 -               1240... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
071698 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071699 -               1359....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071700 -               1552....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071701 -               1552... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
071702 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071703 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071704 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071705 -               1736... Hike ends mile 20... ref SDS 23 RJE7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071706 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071707 -               1840....weight.................................... 171  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071708 -               1845....BP HR..................................................... 109  74  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071709 -               1900....BP HR..................................................... 112  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071710 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071711 -               1830... 40 105180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
071712 -             1 0000............ 10 19130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
071713 -             1 0000............ 10 19500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
071714 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071715 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071716 -               2130... 40 81080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071717 -               2150... 1000 2000000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071718 -               0000... 10   40 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071719 -               2300... 80 376620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071720 -               2300... 05  190 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071721 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071722 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071723 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071725 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071726 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071727 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071728 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071729 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071730 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071731 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071732 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071734 -  ..
071735 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071736 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071738 -  ..
071739 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071740 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071742 -  ..
071743 - Today, hiked 25 miles with temp 63 (mostly in 50s) and wind 2 mph; - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071744 - mile semi-loop from Cuneo through Treat, Turtle Creek Road, Ayers,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071745 - Clayton, and Ygnacio Valley Road, stopped at U76 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071746 - nutrition and EKG.  Hiked on Campus Drive to college; 2 mile loop in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071747 - parking lots.  At mile 08 stopped for EKG, hydration, nutriation, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071748 - chia seeds and CoQ10.  Also took Tramadol and Gabapentin.  Hiked 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071749 - mile loop through Crystal Ranch development and back to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071750 - Hiked 4 miles over summt and downhill on Ygnacio Valley Road to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071751 - Grove; did 1-mile loop around Safeway shopping complex.  Hiked Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071752 - Grove 1 mile to Treat then 2 miles on Treat to home. Less wobbly than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071753 - yesterday, but hurting more last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071756 -         ..
071757 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071758 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071759 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating so took Simethicone about mile 3.5                                                                                                                                                                                                                                                                                                                                                                                                            
071760 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071761 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071762 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071763 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071764 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071765 -        Spine below neck lift left or right arm......   6          3  after mile 15 occasionally looking up and over right shoulder - more severe than recently, but less than past years                                                                                                                                                                                                                                                                                                                                                                                                                          
071766 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071767 -        Shoulder left myopathy statins...............   2         70  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                            
071768 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071769 -        Elbow left arm...............................   4         10  mostly persistent doing anything with left arm - at times feels improved, then worse, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                     
071770 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071771 -        Hip left.....................................   0        100  no pain today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071772 -        Back.........................................   0        100  lower right side hurting after sprinting to miss collision with 2 cars at stoplight at Cowell and Treat about .5 mile from end of hike                                                                                                                                                                                                                                                                                                                                                                                                       
071773 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071774 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071775 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071776 -        Knee left meniscus...PRP 231121..............   1        100  took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
071777 -        Knee left patalla...PRP 210705...............   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071778 -        Knee buckling left..PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071779 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071780 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071781 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071782 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071783 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071784 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071785 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071786 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071787 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071788 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071789 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071790 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 08                                                                                                                                                                                                                                                                                                                                              
071791 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 08                                                                                                                                                                                                                                                                                                                                              
071792 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071793 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071794 -        Ankle left achilles heel on 220416...........   2         50  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
071795 -        Ankle right pain on 200407 and 231203........   2         50  think this is getting better but was worse today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071796 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
071797 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071798 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 231030 - received new shaving tool from Doctor Tang on 231030 - did not take Tramadol and Gabapentin today at mile 07                                                                                                                                                                                                                                                                                                                                                                                            
071799 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071800 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071801 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071802 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071803 -        Callus little toe right foot..top of toe.....   1        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
071804 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
071805 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
071806 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071807 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - last few miles felling pressure - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                  
071808 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071809 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071810 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071811 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
071812 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071813 -        Burning sensation both feet..................   3         20  have not had this lately, but today flared after mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071814 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071815 -        Peripheral neruopathy both feet..............   2        100  similar today - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071816 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071817 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071818 -        Veering left.................................   3         20  last 4 miles worse last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071819 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071820 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071821 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071822 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071823 -        Wobbly disoriented staggering dizzy..........   3         10  took 1 Tramadol and 1 Gabapentin noticed wobbly/loopy mile 20 to emd of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071824 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071826 -  ..
071827 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071829 -  ..
071830 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071832 -  ..
071833 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071835 -  ..
071836 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071837 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071839 -  ..
071840 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071841 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071842 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071843 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071844 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071846 -  ..
071847 - Concord 25 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071848 - protection, mainly left knee, despite left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071849 - articular injection on 231121 0700. ref SDS 27 I48N, and because left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071850 - knee hurting yesterday at end of hiking 22 miles.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071851 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071852 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071853 - avocado for HDL; per above. ref SDS 0 K75N  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071854 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071855 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071856 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071857 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071858 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071859 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071860 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071861 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071862 - left, onto Treat.  Feet starting hike feeling like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071863 - difficulty feeling ground - less severe after hiking yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071864 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071865 - 58, and reached 64.  West wind 13 mph and mostly 05 mph.  Mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071866 - overcast, with break in clouds about 1200.  No rain.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071867 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071868 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071869 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071870 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071871 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071872 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071873 - asphalt pavement in parking lots of shopping complex.  Feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071874 - - took Simethicone time 1110, per above. ref SDS 0 PXT3  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071875 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071876 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071877 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071878 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071879 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071880 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071881 - Stopped at Union 76 Texaco Gas Station store mile 5. time 1140, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071882 - 56 and wind 05 mph; EKG uniform with no artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071883 - 106 Tachycardia - see below. ref SDS 0 6QTP  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071884 - peripheral neuropathy PL 3 - after treatment by Doctor Tang at VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071885 - on 231128 - both Tailor's bunions PL 0, left knee PL 2, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071886 - PL 1, left elbow PL 5.  Sips softdrink carried from home for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071887 - and swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071888 - energy, and avocado for HDL, per above. ref SDS 0 PXT3  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071889 - hiking on Ygnacio Valley Road; turned left hiked 0.05 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071890 - Pine Hollow.  At Discovery Way turned around and hiked back to YV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071891 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071892 - with wind 03 mph.  Mile 07 - reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071893 - State University East Bay Concord Campus.  Hiked twice around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071894 - campus buildings.  On 2nd loop.  Since left elbow still recoverying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071895 - from PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071896 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071897 - using training equipment.  Did not hike 1-mile loops through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071898 - and Student Parking.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071899 - Administration Building mile 08 time 1240 temp 56 and wind 05 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071900 - uniform with no artifact, Kardia reported HR 107 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071901 - below. ref SDS 0 TQ2R  Both feet PL 3, right foot burning - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071902 - treatment by Doctor Tang at VAMCSF on 231128 - both Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071903 - PL 0, left knee PL 2, left shoulder PL 2, left elbow PL 4.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071904 - Tramadol and Gabapentin for pain management.  Still bloated; cannot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071905 - take another Simethicone, because side effects occur when taken close                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071906 - to Tramadol, reported on 230524 in case study on 230101 0654.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071907 - ref SDS 23 SPSY  (see also letter to Doctor Stewart at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071908 - 230524 0823. ref SDS 25 F760).  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071909 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071910 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071911 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071912 - pill, per above. ref SDS 0 PXT3  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071913 - buildings.  At mile 08, exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071914 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071915 - grade .5 miles.  At mile 09, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071916 - Hiked South 1 mile uphill 5% grade against 03 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071917 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071918 - continued flat grade .5 miles.  Continued downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071919 - At Rolling Woods Way continued uphill on Crystal Ranch Road .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071920 - 6% grade against wind 03 mph.  Road ends at top of hill.  Stopped mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071921 - 12 time 1359, temp 59, wind 04 mph; EKG mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071922 - artifact, Kardia reported HR 113 (HR slowed while waiting to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071923 - cellphone connection) Tachycardia - see below. ref SDS 0 B8EA  Feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071924 - 2, Tailir's bunions PL 0, calves PL 0 left knee PL 1, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071925 - 1, left elbow PL 3, nothing to eat nor drink (NPO), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071926 - ref SDS 0 PXT3  Continued downhill on Crystal Ranch Road 6% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071927 - miles.  At bottom of hill, hiked uphill .25 miles to Rosehedge Court.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071928 - Turned around hiking back.  Turned left onto Rolling Woods Way hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071929 - East .5 miles uphill 6% grade with 3 mph wind.  At summit was stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071930 - by woman hiker, Monica, heading west.  She commented on seeing me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071931 - hiking "everywhere," and asked about miles and hours hiked per day?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071932 - Monica said she tries to hike about 30 minutes everyday.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071933 - indicated having difficulty sleeping at night, and believes exposure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071934 - to sunlight while hiking helps her sleep.  Further commented that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071935 - sunshine increases Vitamin D.  She knows and lives near Nipoma, who I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071936 - last saw on 231102, reported in case study on 230101 0654. ref SDS 23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071937 - P8X3  Monica said Nipoma was wslking with her husband - she will say                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071938 - hello for me.  Continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071939 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071940 - mile uphill 3% - 4% grade against wind 02 mph.  At mile 15, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071941 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071942 - Campus.  Hiked loop around campus buildings, and then 1 loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071943 - parking lots.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071944 - Building mile 17, time 1552 temp 63 and wind 02 mph; EKG uniforme with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071945 - no artifact, Kardia reported HR 113 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
071946 - ref SDS 0 4JWE  Both feet PL 3, both Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071947 - PL 1, left shoulder PL 1, neck to right shoulder PL 5 imtermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071948 - left elbow PL 5 intermittantly.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071949 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071950 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071951 - pill, took more CoQ10, per above. ref SDS 0 PXT3  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071952 - around main buildings.  At mile 17, exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071953 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
071954 - Hiked West on flat grade .5 miles.  At mile 18, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071955 - Ranch Road uphill 3% grade .5 miles against wind 02 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071956 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071957 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071958 - grade to summit.  At end of concrete barriar mile 19, hiked West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071959 - miles downhill 3% grade; crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071960 - Road.  Crossed Oak Grove at traffic light.  Hiked 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071961 - block at Safeway shopping complex.  Did not stop at Mod Pizza mile 21,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071962 - time ____, today.  Totally dark, noticably wobbly, loopy, staggering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071963 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071964 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071965 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071966 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071967 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071968 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
071969 - summit, mile 24, hiked another mile to Cuneo and then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071970 - hike mile 25 time 1819 temp 53, wind 00, feet PL 4, left knee PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071971 - (swollen), right knee PL 1, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
071972 - shoulder PL 4 intermittantly, left elbow PL 5, when lifting.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
071973 - looks variable, with no artifact, Kardia reported HR 110 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
071974 - see below. ref SDS 0 CQVD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071981 -  ..
071982 - Kardia recorded HR 49 at 0744 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071983 - with p-wave and no artifact; no AFL after hiking 22 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
071984 - and taking Tramadol nor Gabapentin, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
071985 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
071986 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
071987 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071990 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
071991 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240105-ecg-074414_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
071992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
071996 -  ..
071997 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
071998 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
071999 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072001 -  ..
072002 - 2 errors occurred in this GPS/HR report - (1) it was started 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072003 - minutes after the hike began, and (2) about mile 3.25, for unknown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072004 - reasons the GPS route shows a 2 mile diversion, which does not show up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072005 - in the diagnostics.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072007 -  ..
072008 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072010 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072011 -       Date       240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 231102 231101 231031 231030 231029 231028 231027 231026 231025 231024 231023 231022 231021 231020 231019 231018 231017 231016 2  
072012 -       Miles         25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     30     19     17     14     18     21     18     15     30     24     13     24     20     20      0      0     14     19     
072013 -       HR AVG       115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100    112    116    110    112    110    111    103    103    110     no    108     no    111    118     no     no    117    122     
072014 -         MAX        138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129    134    137    132    133    128    132    132    142    140  report   123  report   134    148  report report   134    139  r  
072015 -         Min         41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     49     57     64     46     64     72     41     68     38            81            64     74                   74     57     
072016 -       El Climb Ft  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352    715    352    352    340    352    352    715    516    715           352           516    715                  516    516     
072017 -       Temp Max      63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     77     75     73     61     73     71     52     68     68            78            70     78                   83     79     
072018 -       Wind Max      05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     12      9      9      3     13     11      7     12     19             8            15     12                   12     13     
072019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072021 -              https://flow.polar.com/training/analysis/7792842420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072024 -               ..
072026 -   
072027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072031 -  ..
072032 - EKG at mile 05 time 1140 HR 106 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072033 - Qachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072034 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072037 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072038 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240105-ecg-114020_mile_05_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072043 -  ..
072044 - EKG at mile 08 time 1240 HR 107 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072045 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072046 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072049 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072050 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240105-ecg-124011_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072054 -  ..
072055 - EKG at mile 12 time 1359 HR 113 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072056 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072057 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072060 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072061 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240105-ecg-135925_mile_12_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072065 -  ..
072066 - EKG at mile 17 time 1552 HR 113 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072067 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072068 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072071 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072072 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240105-ecg-155226_mile_17_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072077 -  ..
072078 - End hike EKG at mile 25 time 1819 HR 110 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072079 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072080 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072083 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072084 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240105-ecg-181933_mile_25_110_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072089 -  ..
072090 - Post hike HR profile beginning 2323 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072091 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072092 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072093 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072094 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072097 -        ..
072098 -       Date      240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027  231026  231025    
072099 -       Time       2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943    2021    2338     
072100 -       Hours         9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11       7       9     
072101 -       HR AVG       63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54      58      60     
072102 -       HR MAX      113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     154     115     
072103 -       HR Min       45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41      42      42     
072104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072107 -              https://flow.polar.com/training/analysis/7793219553                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072110 -               ..
072112 -   
072113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072116 -  ..
072117 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072118 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072119 - Dinner - hamburger tomato cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072121 -  ..
072122 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072143 -         ..
072144 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072145 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072146 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072147 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072148 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072149 -    6.  240106 0815............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072150 -               0815....BP HR..................................................... 139  73  48  Kardia ECG reports HR status, see below. ref SDS 0 Q8YU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072151 -               0820....BP HR..................................................... 136  74  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072152 -               0825....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072153 -               0825....80 376700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072154 -               0825... 05  195 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072155 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072156 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072157 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072158 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072159 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
072160 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072161 -               1700... 40 105220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
072162 -               1830............ 10 19140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
072163 -               1830............ 10 19510  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
072164 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072165 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072166 -               2130... 40 81120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072167 -               2150... 1000 2001000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072168 -               2250... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072169 -               2300... 80 376780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072170 -               2300... 05  200 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072171 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072172 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072173 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072175 -  ..
072176 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072177 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072179 -  ..
072180 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072181 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072186 -  ..
072187 - Kardia EKG not reported...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072192 -  ..
072193 - Post hike HR profile beginning 2001 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072194 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072195 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072196 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072197 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072200 -        ..
072201 -       Date      240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027  231026    
072202 -       Time       2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943    2021     
072203 -       Hours        13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11       7     
072204 -       HR AVG       67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54      58     
072205 -       HR MAX      110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     154     
072206 -       HR Min       44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41      42     
072207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072210 -              https://flow.polar.com/training/analysis/7793883592                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072213 -               ..
072215 -   
072216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072219 -  ..
072220 - Breakfast - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072221 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072222 - Dinner - eggs potatos onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072224 -  ..
072225 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072248 -         ..
072249 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072250 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072251 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072252 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072253 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072254 -    7.  240107 0815............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072255 -               0815....BP HR..................................................... 141  78  54  Kardia ECG reports HR status, see below. ref SDS 0 Q8YU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072256 -               0820....BP HR..................................................... 147  80  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072257 -               0825....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072258 -               0825....80 376860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072259 -               0825... 05  205 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072260 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072261 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072262 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072263 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072264 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
072265 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072266 -               1700... 40 105260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
072267 -             1 1830............ 10 19140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
072268 -             1 1830............ 10 19510  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
072269 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072270 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072271 -               2130... 40 81160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072272 -               2150... 1000 2002000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072273 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072274 -               2300... 80 376940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072275 -               2300... 05  210 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072276 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072277 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072278 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072280 -  ..
072281 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072282 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072284 -  ..
072285 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072286 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072291 -  ..
072292 - Kardia EKG not reported...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072297 -  ..
072298 - Post hike HR profile beginning 2009 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072299 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072300 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072301 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072302 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072305 -        ..
072306 -       Date      240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028  231027    
072307 -       Time       2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911    1943     
072308 -       Hours        12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13      11     
072309 -       HR AVG       61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60      54     
072310 -       HR MAX      127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     111     
072311 -       HR Min       36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40      41     
072312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072315 -              https://flow.polar.com/training/analysis/7794405134                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072318 -               ..
072320 -   
072321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072324 -  ..
072325 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072326 - Lunch - tuna sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072327 - Dinner - rice potatoes hot dog egg onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072329 -  ..
072330 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072355 -         ..
072356 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072357 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072358 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072359 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072360 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072361 -    8.  240108 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072362 -               0715....BP HR..................................................... 156  88  50  Kardia ECG reports HR status, see below. ref SDS 0 R3S6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072363 -               0720....BP HR..................................................... 141  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072364 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072365 -               0725....80 377020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072366 -               0725... 05  215 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072367 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072368 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072369 -               1020....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072370 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072371 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
072372 -  ..
072373 -         * cr  1050....miles...........  21.0  21.0  352   352 minutes  temp  57 wind  7  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072374 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072375 -               1140... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
072376 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072377 -               1351....mile 10 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072378 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072379 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072380 -               1351... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
072381 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072382 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072383 -               1603....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072384 -               1603... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
072385 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072386 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072387 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072388 -               1725... Hike ends mile 21... ref SDS 23 RJE7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072389 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072390 -               1730....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072391 -               1740....BP HR..................................................... 102  59 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072392 -               1745....BP HR..................................................... 112  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072393 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072394 -               1730... 40 105300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
072395 -               1830............ 10 19150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
072396 -               1830............ 10 19520  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
072397 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072398 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072399 -               2130... 40 81200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072400 -               2150... 1000 2003000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072401 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072402 -               2300... 80 377100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072403 -               2300... 05  220 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072404 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072405 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072406 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072408 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072409 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072410 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072411 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072412 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072413 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072414 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072415 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072417 -  ..
072418 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072419 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072421 -  ..
072422 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072423 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072425 -  ..
072426 - Today, hiked 21 miles - 48 days after PRP left knee and elbow - 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072427 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072428 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072429 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072430 - then Ygnacio Valley Road.  Continuing get bloated about mile 3, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072431 - need Simethicone for relief ischemic colitis, possibly related to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072432 - statins and/or recent ablation.  Hiked on Pine Hollow 1.00 miles East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072433 - and back.  Continued 1 mile on Campus Drive to college.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072434 - 1-mile loops through parking lots.  Mile 10 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072435 - nutrition, but did not take pain meds.  Left college hiking 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072436 - over summit Ignacio Valley Road.  At Oak Grove hiked 4 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072437 - around Safeway shopping complex, then 1 mile North on Oak Grove, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072438 - miles on Treat to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072441 -         ..
072442 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072443 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072444 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating so took Simethicone about mile 3.5                                                                                                                                                                                                                                                                                                                                                                                                            
072445 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072446 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072447 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072448 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072449 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072450 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072451 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072452 -        Shoulder left myopathy statins...............   2         70  persistent pain beginning about mile 3 to end hike - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
072453 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072454 -        Elbow left arm...............................   4         10  mostly persistent doing anything with left arm - at times feels improved, then worse, did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                             
072455 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072456 -        Hip left.....................................   0        100  no pain today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072457 -        Back.........................................   0        100  lower right side hurting after sprinting to miss collision with 2 cars at stoplight at Cowell and Treat about .5 mile from end of hike                                                                                                                                                                                                                                                                                                                                                                                                       
072458 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072459 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072460 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072461 -        Knee left meniscus...PRP 231121..............   3         20  did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072462 -        Knee left patalla...PRP 210705...............   1         30  seemed to flare doing parking lots at college, then at times rest of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072463 -        Knee buckling left..PRP 191209.240108........   2         50  occurred yesterday and today - not sure circumstance - have not fallen, catch myself when knee buckles - Doctor Tucker treated with PRP on 191009 1500, ref SDS 4 X19J                                                                                                                                                                                                                                                                                                                                                                 
072464 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072465 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072466 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072467 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072468 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072469 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072470 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072471 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072472 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072473 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072474 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072475 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 08                                                                                                                                                                                                                                                                                                                                              
072476 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 08                                                                                                                                                                                                                                                                                                                                              
072477 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072478 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072479 -        Ankle left achilles heel on 220416...........   2         50  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
072480 -        Ankle right pain on 200407 and 231203........   2         50  think this is getting better but was worse today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072481 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
072482 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072483 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 231030 - received new shaving tool from Doctor Tang on 231030 - did not take Tramadol and Gabapentin today at mile 07                                                                                                                                                                                                                                                                                                                                                                                            
072484 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072485 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072486 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072487 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072488 -        Callus little toe right foot..top of toe.....   1        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
072489 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
072490 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
072491 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072492 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - last few miles felling pressure - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                  
072493 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072494 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072495 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072496 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
072497 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072498 -        Burning sensation both feet..................   3         20  have not had this lately, but today flared after mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072499 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072500 -        Peripheral neruopathy both feet..............   2        100  similar today - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072501 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072502 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072503 -        Veering left.................................   3         20  last 4 miles worse last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072504 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072505 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072506 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072507 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072508 -        Wobbly disoriented staggering dizzy..........   3         10  took 1 Tramadol and 1 Gabapentin noticed wobbly/loopy mile 20 to emd of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072509 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072511 -  ..
072512 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072514 -  ..
072515 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072517 -  ..
072518 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072520 -  ..
072521 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072522 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072524 -  ..
072525 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072526 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072527 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072528 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072529 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072531 -  ..
072532 - Concord 25 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072533 - protection, mainly left knee, despite left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072534 - articular injection on 231121 0700. ref SDS 27 I48N, and because left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072535 - knee hurting yesterday at end of hiking 22 miles.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072536 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072537 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072538 - avocado for HDL; per above. ref SDS 0 K75N  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072539 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072540 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072541 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072542 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072543 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072544 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072545 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072546 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072547 - left, onto Treat.  Feet starting hike feeling like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072548 - difficulty feeling ground - less severe after hiking yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072549 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072550 - 58, and reached 64.  West wind 13 mph and mostly 05 mph.  Mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072551 - overcast, with break in clouds about 1200.  No rain.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072552 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072553 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072554 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072555 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072556 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072557 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072558 - asphalt pavement in parking lots of shopping complex.  Feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072559 - - took Simethicone time 1140, per above. ref SDS 0 RRTS  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072560 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072561 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072562 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072563 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072564 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072565 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072566 - Nearing Union 76 gas station, left knee buckled, last treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072567 - Doctor Tucker with PRP on 191009 1500, ref SDS 14 X19J; similar to last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072568 - report of left knee buckling on 191209, shown in case study 190101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072569 - 0730. ref SDS 11 YRSU  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072570 - store mile 5. time ____, Continued hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072571 - turned left hiked 0.75 miles East on Pine Hollow.  At Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072572 - Way turned around and hiked back to YV.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072573 - hiking West 1 mile uphill 3% - 4% grade with wind 03 mph.  Mile 07 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072574 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072575 - Concord Campus.  Hiked once around main campus buildings.  Since left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072576 - elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072577 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072578 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072579 - Hiked 2 1-mile loops through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072580 - Visitor Parking stopped at Administration Building mile 10 time 1351                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072581 - temp 57 and wind 01 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072582 - HR 113 Tachycardia - see below. ref SDS 0 RUXQ  Both feet PL 2, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072583 - Tailor's bunions PL 0, left knee PL 1, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072584 - PL 3.  Did not take Tramadol and Gabapentin for pain management.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072585 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072586 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072587 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072588 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 RRTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072589 - Did not hiked another loop around main buildings.  At mile 10, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072590 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072591 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072592 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072593 - wind 01 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072594 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072595 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072596 - mile 12, hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072597 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072598 - 3 1-mile loops around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072599 - Mod Pizza mile 17, time 1603, temp 56 and wind 07 mph; EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072600 - with no artifact, Kardia reported HR 121 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072601 - ref SDS 0 RVQU  Both feet PL 2, both Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072602 - PL 2, left shoulder PL 1, left elbow PL 3.  Did not take Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072603 - Gabapentin for pain management.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072604 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072605 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072606 - pill.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072607 - hike. per above. ref SDS 0 RRTS  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072608 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072609 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072610 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072611 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072612 - sidewalk.  At San Miguel continued .75 miles on Treat uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072613 - temp 59.  Handled this well.  At summit, mile 20, hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072614 - to Cuneo and then home.  Ended hike mile 21 time 1725 temp 53, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072615 - 04, feet PL 4, left knee PL 1 (swollen), right knee PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072616 - shoulder PL 1, neck and right shoulder PL 4 intermittantly, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072617 - PL 5, when lifting.  EKG looks uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072618 - reported HR 117 Tachycardia - see below. ref SDS 0 RV9W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072625 -  ..
072626 - Kardia recorded HR 49 at 0927 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072627 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072628 - taking Apixaban, and not taking Tramadol nor Gabapentin, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072629 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072630 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072631 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072634 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072635 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240108-ecg-092731_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072640 -  ..
072641 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072642 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072643 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072645 -  ..
072646 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
072647 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072648 -       Date       240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 231102 231101 231031 231030 231029 231028 231027 231026 231025 231024 231023 231022 231021 231020 231019 2  
072649 -       Miles         21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     30     19     17     14     18     21     18     15     30     24     13     24     20     20      0     
072650 -       HR AVG       120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100    112    116    110    112    110    111    103    103    110     no    108     no    111    118     no     
072651 -         MAX        141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129    134    137    132    133    128    132    132    142    140  report   123  report   134    148  report r  
072652 -         Min         56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     49     57     64     46     64     72     41     68     38            81            64     74            
072653 -       El Climb Ft  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352    715    352    352    340    352    352    715    516    715           352           516    715            
072654 -       Temp Max      57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     77     75     73     61     73     71     52     68     68            78            70     78            
072655 -       Wind Max      07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     12      9      9      3     13     11      7     12     19             8            15     12            
072656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072658 -              https://flow.polar.com/training/analysis/7794738564                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072661 -               ..
072663 -   
072664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072668 -  ..
072669 - EKG at mile 10 time 1351 HR 113 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072670 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072671 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072674 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072675 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240108-ecg-135148_mile_10_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072679 -  ..
072680 - EKG at mile 17 time 1603 HR 121 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072681 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072682 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072685 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072686 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240108-ecg-160315_mile_17_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072691 -  ..
072692 - End hike EKG at mile 21 time 1725 HR 117 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072693 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072694 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072697 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072698 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240108-ecg-172545_mile_21_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072703 -  ..
072704 - Post hike HR profile beginning 2232 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072705 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072706 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072707 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072708 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072711 -        ..
072712 -       Date      240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029  231028    
072713 -       Time       2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859    1911     
072714 -       Hours         9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7      13     
072715 -       HR AVG       66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66      60     
072716 -       HR MAX      125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     116     
072717 -       HR Min       42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40      40     
072718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072721 -              https://flow.polar.com/training/analysis/7795065598                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072724 -               ..
072726 -   
072727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072730 -  ..
072731 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072732 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072733 - Dinner - rice potatoes hot dog egg onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072735 -  ..
072736 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072760 -         ..
072761 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072762 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072763 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072764 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072765 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072766 -    9.  240109 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072767 -               0715....BP HR..................................................... 140  82  55  Kardia ECG reports HR status, see below. ref SDS 0 RQWY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072768 -               0720....BP HR..................................................... 142  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072769 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072770 -               0725....80 377180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072771 -               0725... 05  225 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072772 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072773 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072774 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072775 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072776 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
072777 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072778 -               1730... 40 105340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
072779 -             1 0000............ 10 19150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
072780 -             1 0000............ 10 19520  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
072781 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072782 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072783 -               2130... 40 81240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072784 -               2150... 1000 2004000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072785 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072786 -               2300... 80 377260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072787 -               2300... 05  230 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072788 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072789 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072790 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072792 -  ..
072793 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072794 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072795 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072796 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072798 -  ..
072799 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072800 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072802 -  ..
072803 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072804 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072808 -  ..
072809 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072813 -  ..
072814 - Post hike HR profile beginning 2056 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072815 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072816 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072817 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072818 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072821 -        ..
072822 -       Date      240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030  231029    
072823 -       Time       2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906    1859     
072824 -       Hours        10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14       7     
072825 -       HR AVG       72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56      66     
072826 -       HR MAX      114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     129     
072827 -       HR Min       47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41      40     
072828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072831 -              https://flow.polar.com/training/analysis/7795740119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072834 -               ..
072836 -   
072837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072840 -  ..
072841 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072842 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072843 - Dinner - rice potatoes hot dog onion macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072845 -  ..
072846 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072869 -         ..
072870 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072871 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072872 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072873 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072874 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072875 -   10.  240110 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072876 -               0715....BP HR..................................................... 156  92  73  Kardia ECG reports HR status, see below. ref SDS 0 RUYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072877 -               0720....BP HR..................................................... 150  93  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072878 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072879 -               0725....80 377340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072880 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
072881 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072882 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072883 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072884 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072885 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
072886 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072887 -               1730... 40 105380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
072888 -               1830............ 10 19160  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
072889 -               1830............ 10 19530  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
072890 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072891 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072892 -               2130... 40 81280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072893 -               2150... 1000 2005000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072894 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072895 -               2300... 80 377420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072896 -               0000... 05  230 Apixaban blood thinner RX 7088121 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072897 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
072898 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072899 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072901 -  ..
072902 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072903 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072904 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072905 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072907 -  ..
072908 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072909 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072911 -  ..
072912 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
072913 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072917 -  ..
072918 - Kardia recorded HR 72 at 0944 Unclassified, variable heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072919 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072920 - taking Apixaban, and not taking Tramadol nor Gabapentin, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072921 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072922 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072923 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
072924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072926 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
072927 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240110-ecg-094438_mile_00_072_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
072928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072932 -  ..
072933 - Post hike HR profile beginning 1920 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072934 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072935 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072936 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
072937 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072940 -        ..
072941 -       Date      240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031  231030    
072942 -       Time       1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027    1906     
072943 -       Hours        11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17      14     
072944 -       HR AVG       65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61      56     
072945 -       HR MAX      118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     128     
072946 -       HR Min       42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40      41     
072947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072950 -              https://flow.polar.com/training/analysis/7796368285                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072953 -               ..
072955 -   
072956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072959 -  ..
072960 - Breakfast - eggs avocado toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
072961 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072962 - Dinner - rice hamburger brocolli cauliflowoni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072964 -  ..
072965 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
072966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072989 -         ..
072990 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
072991 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072992 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072993 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
072994 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
072995 -   11.  240111 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
072996 -               0615....BP HR..................................................... 131  84  88  Kardia ECG reports HR status, see below. ref SDS 0 RWPV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
072997 -               0620....BP HR..................................................... 140  86  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
072998 -               0625....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
072999 -               0625....80 377500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073000 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073001 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073002 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073003 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073004 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073005 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
073006 -  ..
073007 -               1000....miles...........  25.0  46.0  419   771 minutes  temp  56 wind  7  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073008 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073009 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
073010 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073011 -               1314....mile 10 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073012 -               1314....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
073013 -               1314... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073014 -               1314... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073015 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073016 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
073017 -               1603....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073018 -               1603... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073019 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073020 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073021 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073022 -               1725... Hike ends mile 21... ref SDS 23 RJE7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073023 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073024 -               1730....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073025 -               1800....BP HR.....................................................  96  66 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073026 -               1810....BP HR.....................................................  93  68  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073027 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073028 -               1730... 40 105420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073029 -             1 0000............ 10 19160  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073030 -             1 0000............ 10 19530  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073031 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073032 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073033 -               2130... 40 81320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073034 -               2150... 1000 2006000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073035 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073036 -               2300... 80 377580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073037 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073038 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073039 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073040 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073042 -  ..
073043 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073044 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073045 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073046 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073048 -  ..
073049 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073050 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073052 -  ..
073053 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073054 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073056 -  ..
073057 - Today, hiked 25 miles - 51 days after PRP left knee and elbow - 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073058 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073059 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073060 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073061 - then Ygnacio Valley Road.  Continuing get bloated about mile 3, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073062 - not take Simethicone for relief ischemic colitis, possibly related to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073063 - statins and/or recent ablation.  Hiked on Pine Hollow 0.75 miles East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073064 - and back.  Continued 1 mile on Campus Drive to college.  Visited with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073065 - Dog Walker at college.  Hiked 4 1-mile loops through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073066 - Mile 12 stopped for hydration, nutrition, and took pain meds.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073067 - college hiking 4 miles over summit Ignacio Valley Road.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073068 - hiked 4 1-mile loops around Safeway shopping complex, then 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073069 - North on Oak Grove, and 2 miles on Treat to Cuneo; hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073070 - loops around block and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073073 -         ..
073074 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073075 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073076 -        Stomach pain ischemic colitis bloating.......   1          5  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating slightly did not take Simethicone about mile 3.5                                                                                                                                                                                                                                                                                                                                                                                              
073077 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073078 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073079 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073080 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073081 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073082 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073083 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073084 -        Shoulder left myopathy statins...............   2         70  persistent pain beginning about mile 3 to end hike - did take Tramadol and Gabapentin today at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                       
073085 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073086 -        Elbow left arm...............................   3         10  mostly persistent doing anything with left arm - at times feels improved, did take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                             
073087 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073088 -        Hip left.....................................   0        100  no pain today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073089 -        Back.........................................   0        100  lower right side hurting after sprinting to miss collision with 2 cars at stoplight at Cowell and Treat about .5 mile from end of hike                                                                                                                                                                                                                                                                                                                                                                                                       
073090 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073091 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073092 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073093 -        Knee left meniscus...PRP 231121..............   3         20  did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073094 -        Knee left patalla...PRP 210705...............   0        100  seemed to flare doing parking lots at college, then at times rest of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073095 -        Knee buckling left..PRP 191209.240108........   2          5  occurred today hiking up Ygnacio Valley Road going uphill past San Miguel, and passing Lime Ridge Doctor Tucker treated with PRP on 191009 1500, ref SDS 4 X19J                                                                                                                                                                                                                                                                                                                                                                        
073096 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073097 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073098 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073099 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073100 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073101 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073102 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073103 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073104 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073105 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073106 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073107 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 10                                                                                                                                                                                                                                                                                                                                              
073108 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 10                                                                                                                                                                                                                                                                                                                                              
073109 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073110 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073111 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
073112 -        Ankle right pain on 200407 and 231203........   0        100  think this is getting better but was worse today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073113 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
073114 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073115 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 231030 - received new shaving tool from Doctor Tang on 231030 - did not take Tramadol and Gabapentin today at mile 07                                                                                                                                                                                                                                                                                                                                                                                            
073116 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073117 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073118 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073119 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073120 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
073121 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
073122 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
073123 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073124 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - last few miles felling pressure - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                  
073125 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073126 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073127 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073128 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
073129 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073130 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073131 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073132 -        Peripheral neruopathy both feet..............   2        100  similar today - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073133 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073134 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073135 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073136 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073137 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073138 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073139 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073140 -        Wobbly disoriented staggering dizzy..........   2          5  took 1 Tramadol and 1 Gabapentin noticed wobbly/loopy mile 23 to emd of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073141 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073143 -  ..
073144 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073146 -  ..
073147 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073149 -  ..
073150 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073152 -  ..
073153 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073154 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073156 -  ..
073157 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073158 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073159 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073160 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073161 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073163 -  ..
073164 - Concord 25 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073165 - protection, mainly left knee, despite left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073166 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073167 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073168 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073169 - avocado for HDL; per above. ref SDS 0 S86F  Had to stop taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073170 - Apixaban blood thinner, because side effects rising - blurred vision,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073171 - blood pressure and HR vitals, and fatigue, reported on 240114 0709.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073172 - ref SDS 31 Y47G  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073173 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073174 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073175 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073176 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073177 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
073178 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073179 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073180 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073181 - feeling like pins and needles - difficulty feeling ground - less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073182 - severe after hiking on 240108, per above. ref SDS 0 Z95L  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073183 - through nose entire hike without dyspnea.  Temp started at 48, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073184 - reached 56.  West wind 07 mph and mostly 03 mph.  No rain.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073185 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073186 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073187 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073188 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073189 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073190 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073191 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073192 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073193 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073194 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073195 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073196 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073197 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073198 - Texaco Gas Station store mile 5. time ____, Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073199 - Ygnacio Valley Road; turned left hiked 0.75 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073200 - Halfway between Discovery Way and Rolling Woods, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073201 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073202 - uphill 3% - 4% grade with wind 04 mph.  Mile 07 - reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073203 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073204 - once around main campus buildings.  Since left elbow still recoverying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073205 - from PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073206 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073207 - using training equipment.  Hiked 3 1-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073208 - Student Parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073209 - Building mile 10 time 1314 temp 54 and wind 05 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073210 - artifact, Kardia reported HR 112 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073211 - RWTY  Both feet PL 2, both Tailor's bunions PL 0, left knee PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073212 - shoulder PL 2, left elbow PL 3.  Feel bloated - did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073213 - Simethicone, because took Tramadol and Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073214 - which caused severe neurological reaction with Simethicone, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073215 - on 230517, shown in case study, 230101 0654, ref SDS 23 SPSY; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073216 - reported to medical team on 230524 0823. ref SDS 25 F760  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073217 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073218 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073219 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073220 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 RT7W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073221 - Hiked 2 more loops through parking lots.  At mile 12, exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073222 - hiking North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073223 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073224 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073225 - wind 03 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073226 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073227 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073228 - mile 14, hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073229 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073230 - 3 1-mile loops around block at Safeway shopping complex.  Did not stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073231 - at Mod Pizza mile 20, time ____, Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073232 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073233 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073234 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073235 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073236 - sidewalk.  At San Miguel continued .75 miles on Treat uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073237 - temp 59.  Handled this well.  At summit, mile 22, left knee buckled -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073238 - did not fall, similar to report on 240108, per above. ref SDS 0 RTPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073239 - Hiked another mile to Cuneo.  Hiked 2 miles around block on Cuneo to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073240 - Kaski, Cowell, Treat and then home.  Ended hike mile 25 time 1741 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073241 - 49, wind 01, feet PL 3, left knee PL 2 (swollen), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073242 - left shoulder PL 2, neck and right shoulder PL 0 intermittantly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073243 - elbow PL 3, when lifting.  Lower legs (muscles, tendons, ligaments) PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073244 - 3.  EKG looks variable, with no artifact, Kardia reported HR 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073245 - Tachycardia - see below. ref SDS 0 R3WA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073252 -  ..
073253 - Kardia recorded HR 79 at 0708 Normal Sinus Rhythm, normal heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073254 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073255 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073256 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073257 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073258 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073259 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073262 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073263 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240111-ecg-070844_mile_00_079_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073268 -  ..
073269 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073270 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073271 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073273 -  ..
073274 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073275 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073276 -       Date       240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 231102 231101 231031 231030 231029 231028 231027 231026 231025 231024 231023 231022 2  
073277 -       Miles         25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     30     19     17     14     18     21     18     15     30     24     13     24     
073278 -       HR AVG       119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100    112    116    110    112    110    111    103    103    110     no    108     no     
073279 -         MAX        141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129    134    137    132    133    128    132    132    142    140  report   123  report    
073280 -         Min         53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     49     57     64     46     64     72     41     68     38            81            
073281 -       El Climb Ft  495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352    715    352    352    340    352    352    715    516    715           352            
073282 -       Temp Max      57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     77     75     73     61     73     71     52     68     68            78            
073283 -       Wind Max      07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     12      9      9      3     13     11      7     12     19             8            
073284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073286 -              https://flow.polar.com/training/analysis/7796717284                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073289 -               ..
073291 -   
073292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073296 -  ..
073297 - EKG at mile 10 time 1314 HR 112 temp 54, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
073298 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073299 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073302 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073303 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240111-ecg-131447_mile_10_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073307 -  ..
073308 - End hike EKG at mile 21 time 1741 HR 114 temp 49 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073309 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073310 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073313 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073314 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240111-ecg-174105_mile_25_114_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073318 -  ..
073319 - Post hike HR profile beginning 2345 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073320 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073321 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073322 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073323 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073326 -        ..
073327 -       Date      240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101  231031    
073328 -       Time       2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339    2027     
073329 -       Hours         9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8      17     
073330 -       HR AVG       66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56      61     
073331 -       HR MAX      117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     137     
073332 -       HR Min       42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40      40     
073333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073336 -              https://flow.polar.com/training/analysis/7797095274                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073339 -               ..
073341 -   
073342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073345 -  ..
073346 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073347 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073348 - Dinner - eggs rice hamburger brocolli cauliflowoni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073350 -  ..
073351 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073376 -         ..
073377 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073378 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073379 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073380 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073381 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073382 -   12.  240112 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073383 -               0710....BP HR..................................................... 137  67  60  Kardia ECG reports HR status, see below. ref SDS 0 RXS5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073384 -               0715....BP HR..................................................... 127  75  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073385 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073386 -               0725....80 377660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073387 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073388 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073389 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073390 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073391 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073392 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073393 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073394 -               1730... 40 105460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073395 -               1830............ 10 19170  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073396 -               1800............ 10 19540  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073397 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073398 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073399 -               2130... 40 81360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073400 -               2150... 1000 2007000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073401 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073402 -               2300... 80 377740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073403 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073404 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073405 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073406 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073408 -  ..
073409 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073410 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073411 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073412 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073414 -  ..
073415 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073416 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073418 -  ..
073419 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073420 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073424 - <RXS5X
073425 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073429 -  ..
073430 - Post hike HR profile beginning 2132 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073431 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073432 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073433 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073434 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073437 -        ..
073438 -       Date      240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102  231101    
073439 -       Time       2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316    2339     
073440 -       Hours        12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4       8     
073441 -       HR AVG       64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58      56     
073442 -       HR MAX      111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     130     
073443 -       HR Min       43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45      40     
073444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073447 -              https://flow.polar.com/training/analysis/7797767596                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073450 -               ..
073452 -   
073453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073456 -  ..
073457 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073458 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073459 - Dinner - eggs rice hamburger brocolli cauliflowoni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073461 -  ..
073462 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073487 -         ..
073488 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073489 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073490 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073491 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073492 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073493 -   13.  240113 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073494 -               0710....BP HR..................................................... 151  86  65  Kardia ECG reports HR status, see below. ref SDS 0 6XS5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073495 -               0715....BP HR..................................................... 156  87  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073496 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073497 -               0725....80 377820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073498 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073499 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073500 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073501 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073502 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073503 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
073504 -  ..
073505 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073506 -               1730... 40 105500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073507 -             1 0000............ 10 19170  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073508 -             1 1800............ 10 19540  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073509 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073510 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073511 -               2130... 40 81400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073512 -               2150... 1000 2008000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073513 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073514 -               2300... 80 377900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073515 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073516 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073517 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073518 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073520 -  ..
073521 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073522 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073523 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073524 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073526 -  ..
073527 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073528 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073530 -  ..
073531 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073532 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073536 -  ..
073537 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073541 -  ..
073542 - Post hike HR profile beginning 2006 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073543 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073544 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073545 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073546 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073549 -        ..
073550 -       Date      240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103  231102    
073551 -       Time       2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919    2316     
073552 -       Hours        12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13       4     
073553 -       HR AVG       63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60      58     
073554 -       HR MAX      113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     099     
073555 -       HR Min       43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40      45     
073556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073559 -              https://flow.polar.com/training/analysis/7798385565                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073562 -               ..
073564 -   
073565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073568 -  ..
073569 - Breakfast - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073570 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073571 - Dinner - hot dog tomato cottage cheese onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073573 -  ..
073574 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073598 -         ..
073599 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073600 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073601 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073602 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073603 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073604 -   14.  240114 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073605 -               0710....BP HR..................................................... 138  83  62  Kardia ECG reports HR status, see below. ref SDS 0 SB5J                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073606 -               0715....BP HR..................................................... 141  85  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073607 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073608 -               0725....80 377980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073609 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073610 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073611 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073612 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073613 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073614 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
073615 -  ..
073616 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073617 -               1730... 40 105540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073618 -               1830............ 10 19180  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073619 -               1830............ 10 19550  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073620 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073621 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073622 -               2130... 40 81440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073623 -               2150... 1000 2009000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073624 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073625 -               2300... 80 378060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073626 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073627 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073628 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073629 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073631 -  ..
073632 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073633 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073634 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073635 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073637 -  ..
073638 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073639 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073641 -  ..
073642 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073643 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073647 -  ..
073648 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073652 -  ..
073653 - Post hike HR profile beginning 2106 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073654 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073655 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073656 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073657 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073660 -        ..
073661 -       Date      240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104  231103    
073662 -       Time       2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220    1919     
073663 -       Hours         8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10      13     
073664 -       HR AVG       67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55      60     
073665 -       HR MAX      123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     119     
073666 -       HR Min       49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41      40     
073667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073670 -              https://flow.polar.com/training/analysis/7799055155                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073673 -               ..
073675 -   
073676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073679 -  ..
073680 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073681 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073682 - Dinner - steak rice broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073684 -  ..
073685 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073710 -         ..
073711 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073712 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073713 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073714 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073715 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073716 -   15.  240115 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073717 -               0710....BP HR..................................................... 130  74  54  Kardia ECG reports HR status, see below. ref SDS 0 S2A7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073718 -               0715....BP HR..................................................... 138  74  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073719 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073720 -               0725....80 378140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073721 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073722 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073723 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073724 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073725 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073726 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073727 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073728 -               1730... 40 105580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073729 -             1 0000............ 10 19180  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073730 -             1 0000............ 10 19550  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073731 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073732 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073733 -               2130... 40 81480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073734 -               2150... 1000 2010000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073735 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073736 -               2300... 80 378220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073737 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073738 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073739 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073740 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073743 -  ..
073744 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073745 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073746 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073747 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073749 -  ..
073750 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073751 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073753 -  ..
073754 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073755 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073759 -  ..
073760 - Kardia recorded HR 49 at 1134 Bradycardia uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073761 - with p-wave and artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073762 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073763 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073764 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073765 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073768 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073769 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240115-ecg-113444_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073773 -  ..
073774 - Post hike HR profile beginning 2141 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073775 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073776 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073777 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073778 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073781 -        ..
073782 -       Date      240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105  231104    
073783 -       Time       2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144    2220     
073784 -       Hours         9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10      10     
073785 -       HR AVG       63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57      55     
073786 -       HR MAX      100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     091     
073787 -       HR Min       43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41      41     
073788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073791 -              https://flow.polar.com/training/analysis/7799583674                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073794 -               ..
073796 -   
073797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073800 -  ..
073801 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073802 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073803 - Dinner - hamburger cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073805 -  ..
073806 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073833 -         ..
073834 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073835 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073836 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073837 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073838 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073839 -   16.  240116 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073840 -               0700....BP HR..................................................... 149  86  52  Kardia ECG reports HR status, see below. ref SDS 0 9ECW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073841 -               0705....BP HR..................................................... 153  90  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073842 -               0710....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073843 -               0715....80 378300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073844 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073845 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073846 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073847 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073848 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073849 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073850 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073851 -               1730... 40 105620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073852 -               1830............ 10 19190  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073853 -               1830............ 10 19560  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073854 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073855 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073856 -               2130... 40 81520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073857 -               2150... 1000 2011000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073858 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073859 -               2300... 80 378380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073860 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073861 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073862 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073863 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073865 -  ..
073866 - Vision blurry today beginning on 240109 - past few days difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073867 - working with SDS on computer screen 2 feet across the desk.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073868 - indicates blurred vision is a possible side effect taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073869 - blood thinner, started on 231215 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073871 -  ..
073872 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073873 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073875 -  ..
073876 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073877 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073882 -  ..
073883 - Kardia recorded HR 56 at 0714 Possible Atrial Firbrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073884 - heart beat lengths with p-wave and no artifact; no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073885 - miles yesterday, ending Apixaban on 240110, and not taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073886 - nor Gabapentin, and after 5th cardiac ablation (atypical) on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
073887 - 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073888 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073889 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073892 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
073893 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240116-ecg-071447_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073898 -  ..
073899 - Post hike HR profile beginning 2200 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073900 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073901 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073902 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073903 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073906 -        ..
073907 -       Date      240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107  231105    
073908 -       Time       2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151    2144     
073909 -       Hours        10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10      10     
073910 -       HR AVG       57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55      57     
073911 -       HR MAX      108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     121     
073912 -       HR Min       42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40      41     
073913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073916 -              https://flow.polar.com/training/analysis/7800278139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073919 -               ..
073921 -   
073922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073925 -  ..
073926 - Breakfast - NPO - EGD dilation procedure this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073927 - Lunch - half hamburger few fries after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073928 - Dinner - ham rice broccoli cauliflower onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073930 -  ..
073931 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073946 -         ..
073947 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073948 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073949 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073950 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073951 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073952 -   17.  240117 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073953 -               0645....BP HR..................................................... 155  80  51  Kardia ECG reports HR status, see below. ref SDS 0 SVWX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073954 -               0650....BP HR..................................................... 153  82  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073955 -               0655....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073956 -               0655....80 378460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073957 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
073958 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073959 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073960 -               1000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
073961 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073962 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
073963 -  ..
073964 -               1040....miles...........  25.0  25.0  408   408 minutes  temp  61 wind  6  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073965 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073966 -               1330... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
073967 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073968 -               1422....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073969 -               1422....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
073970 -               1422... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
073971 -               1422... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073972 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073973 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
073974 -               1634....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073975 -               1634... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
073976 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
073977 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073978 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073979 -               1755... Hike ends mile 25... ref SDS 23 ____                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073980 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
073981 -               1810....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073982 -               1820....BP HR..................................................... 113  68 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073983 -               1825....BP HR..................................................... 114  76  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
073984 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
073985 -               1730... 40 105660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
073986 -             1 0000............ 10 19190  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
073987 -             1 0000............ 10 19560  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
073988 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073989 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073990 -               2130... 40 81560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
073991 -               2150... 1000 2012000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
073992 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
073993 -               2300... 80 378540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
073994 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073995 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
073996 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
073997 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
073999 -  ..
074000 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074001 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074002 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074003 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074004 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074006 -  ..
074007 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074008 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074010 -  ..
074011 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074012 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074014 -  ..
074015 - Today, hiked 25 miles - 58 days after PRP left knee and elbow - 35                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074016 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074017 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074018 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074019 - then Ygnacio Valley Road.  Continuing get bloated about mile 9, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074020 - Simethicone for relief ischemic colitis, possibly related to statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074021 - and/or recent ablation.  Hiked on Pine Hollow 0.15 miles East and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074022 - back.  Continued 1 mile on Campus Drive to college.  Visited with Dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074023 - Walker at college.  Hiked 5 1.5-mile loops through parking lots.  Mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074024 - 13 stopped for hydration, nutrition, and took pain meds.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074025 - hiking 4 miles over summit Ignacio Valley Road.  At Oak Grove hiked 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074026 - 1-mile loops around Safeway shopping complex, then 1 mile North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074027 - Grove, and 2 miles on Treat to Cuneo; hiked 1-mile loop around block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074028 - and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074031 -         ..
074032 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074033 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074034 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating hiking loops at college Simethicone about mile 9                                                                                                                                                                                                                                                                                                                                                                                              
074035 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074036 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074037 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074038 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074039 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074040 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074041 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074042 -        Shoulder left myopathy statins...............   2         70  persistent pain beginning about mile 3 to end hike - did take Tramadol and Gabapentin today at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                       
074043 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074044 -        Elbow left arm...............................   3         10  mostly persistent doing anything with left arm - at times feels improved, did take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                             
074045 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074046 -        Hip left.....................................   0        100  no pain today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074047 -        Back.........................................   0        100  lower right side hurting after sprinting to miss collision with 2 cars at stoplight at Cowell and Treat about .5 mile from end of hike                                                                                                                                                                                                                                                                                                                                                                                                       
074048 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074049 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074050 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074051 -        Knee left meniscus...PRP 231121..............   2         30  took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074052 -        Knee left patalla...PRP 210705...............   2         20  seemed to flare doing parking lots at college, then at times rest of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074053 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074054 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074055 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074056 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074057 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074058 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074059 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074060 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074061 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074062 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 231030 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074063 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074064 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074065 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 13                                                                                                                                                                                                                                                                                                                                              
074066 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 231030 and provided new orthotic inserts on 230831 - these helped - flared about mile 10 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin today mile 13                                                                                                                                                                                                                                                                                                                                              
074067 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074068 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074069 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
074070 -        Ankle right pain on 200407 and 231203........   0        100  think this is getting better but was worse today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074071 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
074072 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074073 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 231030 - received new shaving tool from Doctor Tang on 231030 - did not take Tramadol and Gabapentin today at mile 07                                                                                                                                                                                                                                                                                                                                                                                            
074074 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 231030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074075 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074076 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074077 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074078 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
074079 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
074080 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
074081 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074082 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - last few miles felling pressure - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                  
074083 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074084 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074085 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074086 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
074087 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074088 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074089 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074090 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074091 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074092 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074093 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074094 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074095 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074096 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074097 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074098 -        Wobbly disoriented staggering dizzy..........   1          5  took 1 Tramadol and 1 Gabapentin noticed wobbly/loopy mile 23 to emd of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074099 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074101 -  ..
074102 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074104 -  ..
074105 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074107 -  ..
074108 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074110 -  ..
074111 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074112 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074114 -  ..
074115 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074116 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074117 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074118 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074119 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074121 -  ..
074122 - Concord 25 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074123 - protection, mainly left knee, despite left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074124 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074125 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074126 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074127 - avocado for HDL; per above. ref SDS 0 843K  Had to stop taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074128 - Apixaban blood thinner, because side effects rising - blurred vision,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074129 - blood pressure and HR vitals, and fatigue, reported on 240114 0709.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074130 - ref SDS 31 Y47G  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074131 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074132 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074133 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074134 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074135 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
074136 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074137 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074138 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074139 - feeling like pins and needles - more numb today - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074140 - ground - more severe after not hiking since 240111 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074141 - ref SDS 0 S86F  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074142 - Temp started at 48, and reached 56.  West wind 07 mph and mostly 03                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074143 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074144 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074145 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074146 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074147 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074148 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074149 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074150 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074151 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074152 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074153 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074154 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074155 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074156 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074157 - store mile 5. time ____, Continued hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074158 - turned left hiked 0.05 miles East on Pine Hollow.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074159 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074160 - uphill 3% - 4% grade with wind 04 mph.  Mile 06 - reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074161 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074162 - once around main campus buildings.  Since left elbow still recoverying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074163 - from PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074164 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074165 - using training equipment.  Hiked 5 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074166 - Student Parking.  On 3rd lap about mile 10 feeling bloated - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074167 - Simethicone about time 1330, per above. ref SDS 0 STW8  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074168 - Visitor Parking stopped at Administration Building mile 13 time 1422                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074169 - temp 60 and wind 06 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074170 - HR 118 Tachycardia (HR noticably higher today after not hiking past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074171 - days) - see below. ref SDS 0 SW4N  Both feet PL 2, both Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074172 - bunions PL 0, left knee meniscus PL 1, left knee patella PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074173 - shoulder PL 2, left elbow PL 3 intermitant.  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074174 - Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074175 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074176 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074177 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074178 - pill, per above. ref SDS 0 STW8  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074179 - buildings, then exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074180 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074181 - miles.  At mile 14, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074182 - .5 miles against wind 03 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074183 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074184 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074185 - traffic barriar mile 15, hiked West 2 miles downhill 3% grade; crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074186 - back to North side Ygnacio Valley Road.  Crossed Oak Grove at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074187 - light.  Hiked 3 1-mile loops around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074188 - Stopped at Mod Pizza mile 20, time 1634, temp 60 and wind 00 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074189 - uniform with no artifact, Kardia reported HR 129 Tachycardia (HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074190 - noticably higher today after not hiking past 6 days) - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074191 - ref SDS 0 WS92  Both feet PL 1, both Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074192 - meniscus PL 0, left knee patella PL 0, left shoulder PL 1, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074193 - PL 3 intermitant.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074194 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074195 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074196 - energy, and avocado for HDL, per above. ref SDS 0 STW8  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074197 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074198 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074199 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074200 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074201 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074202 - miles on Treat uphill 5% grade temp 59.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074203 - summit, mile 23, hiked another mile to Cuneo.  Hiked 1 mile around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074204 - block on Cuneo to Kaski, Cowell, Treat and then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074205 - 25 time 1755 temp 55, wind 01, feet PL 2, left knee PL 2 (swollen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074206 - right knee PL 0, left shoulder PL 1, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074207 - intermittantly, left elbow PL 2, when lifting.  Lower legs (muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074208 - tendons, ligaments) PL 0.  EKG looks uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074209 - reported HR 118 Tachycardia - see below. ref SDS 0 7WTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074217 -  ..
074218 - Kardia recorded HR 56 at 0910 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074219 - lengths with p-wave and artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074220 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074221 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074222 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074223 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074224 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074227 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074228 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240117-ecg-091010_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074233 -  ..
074234 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074235 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074236 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074238 -  ..
074239 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074240 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074241 -       Date       240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 231102 231101 231031 231030 231029 231028 2  
074242 -       Miles         25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     30     19     17     14     18     21     
074243 -       HR AVG       126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100    112    116    110    112    110    111     
074244 -         MAX        144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129    134    137    132    133    128    132     
074245 -         Min         49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     49     57     64     46     64     72     
074246 -       El Climb Ft  495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352    715    352    352    340    352    352     
074247 -       Temp Max      61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     77     75     73     61     73     71     
074248 -       Wind Max      06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     12      9      9      3     13     11     
074249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074252 -              https://flow.polar.com/training/analysis/7800565816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074255 -               ..
074257 -   
074258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074262 -  ..
074263 - EKG at mile 13 time 1422 HR 118 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
074264 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074265 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074268 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074269 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240117-ecg-142213_mile_13_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074273 -  ..
074274 - EKG at mile 20 time 1634 HR 129 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
074275 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074276 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074279 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074280 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240117-ecg-163403_mile_20_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074285 -  ..
074286 - End hike EKG at mile 25 time 1755 HR 118 temp 55 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074287 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074288 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074291 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074292 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240117-ecg-175557_mile_25_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074297 -  ..
074298 - Post hike HR profile beginning 1956 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074299 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074300 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074301 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074302 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074305 -        ..
074306 -       Date      240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108  231107    
074307 -       Time       1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027    2151     
074308 -       Hours         6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12      10     
074309 -       HR AVG       68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55      55     
074310 -       HR MAX      120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     109     
074311 -       HR Min       42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41      40     
074312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074315 -              https://flow.polar.com/training/analysis/7800684339                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074318 -               ..
074320 -   
074321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074324 -  ..
074325 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074326 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074327 - Dinner - roast beef rice broccoli potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
074329 -  ..
074330 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074359 -         ..
074360 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074361 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074362 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074363 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074364 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074365 -   18.  240118 0110............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074366 -               0645....BP HR..................................................... 154  87  54  Kardia ECG reports HR status, see below. ref SDS 0 MXQ3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074367 -               0650....BP HR..................................................... 154  83  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074368 -               0655....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074369 -               0655....80 378620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074370 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
074371 -               0345....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074372 -               0345....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074373 -               0345....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074374 -               0345....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074375 -               0345... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
074376 -  ..
074377 -               0352....miles...........  15.0  40.0  240   648 minutes  temp  53 wind  4  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074378 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074379 -               0505... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
074380 -               0555....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074381 -               0000....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074382 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
074383 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074384 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
074385 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074386 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
074387 -               0000....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074388 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
074389 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074390 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074391 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074392 -               0835... Hike ends mile 15... ref SDS 23 6JX2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074393 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074394 -               0800....weight.................................... 173  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074395 -               0820....BP HR..................................................... 111  72 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074396 -               0825....BP HR..................................................... 113  70  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074397 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074398 -               1730... 40 105700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
074399 -               1830............ 10 19200  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
074400 -               1830............ 10 19570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
074401 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074402 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074403 -               2130... 40 81600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074404 -               2150... 1000 2013000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074405 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074406 -               2300... 80 378700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074407 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074408 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074409 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074410 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074412 -  ..
074413 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074414 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074415 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074416 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074417 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074419 -  ..
074420 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074421 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074423 -  ..
074424 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074425 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074427 -  ..
074428 - Today, hiked 15 miles - in San Francisco Golden Gate Park, with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074429 - 53 and wind 4; begin from VA Medical Center on Clement at 42nd street,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074430 - hike to Point Lobos, then West 1 mile to Cliff House.  Hike South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074431 - mile on Great Highway.  Turn East onto JFK through Golden Gate Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074432 - past De Young Museum out to Stanyon, and continue to Paramount across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074433 - from University of San Francisco.  At mile 6.5, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074434 - hiked back to Great Highway, to Point Lobos, then 42nd to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074435 - hospital.  Did EKG at mile 6, had some softdrink and nutrition - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074436 - pain meds.  Fast pace entire hike, including uphill last 2 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074437 - with taking chia seeds and Ubiquinol CoQ10.  Feet, legs, back hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074438 - after hike, did not take pain meds to avoid falling asleep driving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074439 - home later.  Walked through hospital and later Safeway parking lot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074440 - extending hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074444 -         ..
074445 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074446 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074447 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not seem to occur - no Simethicone today                                                                                                                                                                                                                                                                                                                                                                                                  
074448 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074449 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074450 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074451 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074452 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074453 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074454 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074455 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - did take Tramadol and Gabapentin today at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                       
074456 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074457 -        Elbow left arm...............................   2         10  mostly persistent doing anything with left arm - at times feels improved, did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                         
074458 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074459 -        Hip left.....................................   0        100  no pain today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074460 -        Back.........................................   2         20  lower right side hurting noticed mostly after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074461 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074462 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074463 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074464 -        Knee left meniscus...PRP 231121..............   3         60  did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074465 -        Knee left patalla...PRP 210705...............   1         20  seemed to flare going uphill last 2 miles, normally going uphill reduces knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074466 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074467 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074468 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074469 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074470 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074471 -        Hamstring left leg...........................   2         20  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074472 -        Hamstring right leg..........................   2         20  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074473 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074474 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074475 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074476 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074477 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074478 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
074479 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
074480 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074481 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074482 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
074483 -        Ankle right pain on 200407 and 231203........   2         30  seemed to be getting better but was worse today, xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                          
074484 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
074485 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074486 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
074487 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074488 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074489 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074490 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074491 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
074492 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
074493 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
074494 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074495 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
074496 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074497 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074498 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074499 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
074500 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074501 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074502 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074503 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074504 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074505 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074506 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074507 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074508 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074509 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074510 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074511 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin noticed wobbly due to entire body hurting after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074512 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074514 -  ..
074515 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074517 -  ..
074518 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074520 -  ..
074521 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074523 -  ..
074524 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074525 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074527 -  ..
074528 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074529 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074530 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074531 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074532 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074534 -  ..
074535 - San Francisco 15 mile route, reported on 170519, ref SDS 6 WTRS  At VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074536 - time 0345, before starting hike at the VA, took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074537 - Chondroitin for OA.  Took few sips of Coca Cola and few bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074538 - peanut butter with margarine and chia seeds for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074539 - for HDL and energy (magnesium), and took Ubiquinol CoQ10 for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074540 - and HDL, per above. ref SDS 0 NA6M  Weather mostly clear temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074541 - 50, and only wind 4 mph.  Seemed very cold, so wore 3 shirts and coat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074542 - Started hike leaving parking lot at VAMCSF at 0352.  Hiked slowly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074543 - downhill on 42nd Street to warm up.  Turned corner heading downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074544 - West on Point Lobos to Cliff House at mile 1.  Too dark to see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074545 - anything.  Did not wear headlight.  Road bends and changes to "Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074546 - Highway" going South along ocean beach.  At mile 2 turned onto John F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074547 - Kennedy (JFK) Drive entering Golden Gate Park.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074548 - slightly uphill into the park for .5 miles.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074549 - continued East on JFK.  Very dark, few widely spaced street lights,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074550 - cannot see the road.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074551 - Said hello to early morning jogger (actually, he seems to be walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074552 - now) going West this morning, hiking past Lindley Meadow.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074553 - past Helman Hollow.  Both feet pain level 1.  Continued hiking under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074554 - bridge at Crossover Drive (part of highway 1 that goes to Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074555 - Bridge) - JFK is blocked to vehicle traffic the rest of the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074556 - through the park, limiting attendance to keep people separated that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074557 - minimizes spreading coronavirus.  Now that the epidemic has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074558 - delcared over, the park continues to deny access to drivers on JFK.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074559 - About mile 4 time 0505, feeling bloated took Simethicone, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074560 - ref SDS 0 SBUT  At mile 5 past De Young Museum, big Ferris Wheel ride                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074561 - is gone; research on Internet found report is was moved to Fisherman's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074562 - Wharf in October.  Have now passed a few bikers and joggers heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074563 - West.  Nearing the end of JFK Drive, continued past Nancy Pelosi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074564 - Drive, across from Conservatory (greenhouse to grow flowers).  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074565 - left at McClaren Lodge, the end of the park, onto Stanyon.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074566 - uphill 4% - 5% grade for .25 miles.  Crossed at stop light for Fulton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074567 - Continued downhill several more blocks to Paramount, where Anne lives.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074568 - Continued to end of street and stopped at mile 6.5, time 0555 temp 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074569 - wind 2, EKG looks variable and raggedy with p-wave and significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074570 - artifact, reported HR 98 Normal Sinus Rhythm - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074571 - SXVR  Feet PL 2, left knee pl 3, sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074572 - hydration and swallow nutrition peanut butter and avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074573 - argarine and chia seeds.  Took CoQ10 for energy and HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074574 - ref SDS 0 SBUT  Feet, left knee hurting, did not take Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074575 - Gabapentin because can induce sleep during long drive home.  Headed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074576 - back to hospital hiking South .5 miles uphill 2 blocks on Stanyon to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074577 - Fulton, then downhill.  Turned right onto JFK heading West through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074578 - park toward the ocean.  Stayed on South side against traffic (no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074579 - actual vehicle traffic in park) going Eest.  More bikers, runners and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074580 - hikers in the park now - daylight.  Passing De Young Museum most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074581 - everything pain level 3.  Resisted increasing pace even with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074582 - endorphins rising.  Noticed Waterfall not running at 0700 this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074583 - morning, before hiking under Crossover Road bridge and past Hellman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074584 - Hollow.  Hiked past Lindley Meadow, where a truck backed up because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074585 - missed a turn, and damaged Kathy's car; this got her a new car,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074586 - reported on 150729 0942. ref SDS 4 0001  Continued hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074587 - Spreckles Lake, the Buffalo compound.  Crossed over to North side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074588 - JFK going with traffic.  Turned corner and headed toward the ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074589 - Turned North onto Great Highway.  Hiked parallel to ocean toward the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074590 - Cliff House and the hospital.  Maintained pace hiking up steep hill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074591 - 5% - 6% grade.  Breathing through nose for 1.5 miles uphill all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074592 - way to the hospital - similar to last time hiking this route; actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074593 - seemed more fatigued today and hurting.  At the Cliff House, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074594 - onto Point Lobos going East; hiked uphill for 1 mile.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074595 - 42nd street and maintained pace going up final steep hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074596 - campus, then walked through hospital to cafeteria and then to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074597 - Radiology on 2nd floor - ending hike 14 miles - time 0835 temp 52 wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074598 - 3, feet PL 3, left knee PL 4, neck and left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074599 - shoulder PL 2 - getting better.  EKG looks variable and raggedy with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074600 - p-wave and artifact, reported HR 75 (HR lower than normal after hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074601 - because could not get EKG in parking garage, where hike began and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074602 - ended, so walked across the street into the hospital and eventually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074603 - found location, where Kardia would record ECG) Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074604 - below. ref SDS 0 6JX2 final mileage after walking in parking lot and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074605 - store at Safeway after driving home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074611 -  ..
074612 - Kardia recorded HR 65 at 0204 Unclassified, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074613 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074614 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074615 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074616 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074617 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074620 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074621 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240118-ecg-020449_mile_00_065_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074626 -  ..
074627 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074628 - used*** hike 14 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074629 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074631 -  ..
074632 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074633 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074634 -       Date       240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 231102 231101 231031 231030 231029 2  
074635 -       Miles         14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     30     19     17     14     18     
074636 -       HR AVG       104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100    112    116    110    112    110     
074637 -         MAX        150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129    134    137    132    133    128     
074638 -         Min         49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     49     57     64     46     64     
074639 -       El Climb Ft  495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352    715    352    352    340    352     
074640 -       Temp Max      53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     77     75     73     61     73     
074641 -       Wind Max      04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     12      9      9      3     13     
074642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074645 -              https://flow.polar.com/training/analysis/7800890327                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074648 -               ..
074650 -   
074651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074655 -  ..
074656 - EKG at mile 07 time 0555 HR 098 temp 53, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074657 - Rhythm... looks variable with artifact - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074658 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074661 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074662 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240118-ecg-055543_mile_07_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074666 -  ..
074667 - End hike EKG at mile 15 time 0835 HR 075 temp 52 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074668 - Unclassified... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
074669 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074672 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
074673 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240118-ecg-083542_mile_15_075_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074678 -  ..
074679 - Post hike HR profile beginning 2225 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074680 - overnight after hiking 15 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074681 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074682 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074683 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074686 -        ..
074687 -       Date      240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109  231108    
074688 -       Time       2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053    2027     
074689 -       Hours        10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14      12     
074690 -       HR AVG       64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60      55     
074691 -       HR MAX      105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     104     
074692 -       HR Min       43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43      41     
074693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074696 -              https://flow.polar.com/training/analysis/7801518774                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074699 -               ..
074701 -   
074702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074705 -  ..
074706 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074707 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074708 - Dinner - eggs roast beef rice broccoli potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074710 -  ..
074711 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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074719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074740 -         ..
074741 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074742 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074743 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074744 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074745 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074746 -   19.  240119 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074747 -               0720....BP HR..................................................... 154  87  54  Kardia ECG reports HR status, see below. ref SDS 0 TQXR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074748 -               0725....BP HR..................................................... 154  83  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074749 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074750 -               0730....80 37878780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074751 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
074752 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074753 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074754 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074755 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074756 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
074757 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074758 -               1730... 40 105740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
074759 -             1 0000............ 10 19200  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
074760 -             1 0000............ 10 19570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
074761 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074762 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074763 -               2130... 40 81640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074764 -               2150... 1000 2014000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074765 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074766 -               2300... 80 378860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074767 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074768 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074769 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074770 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074772 -  ..
074773 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074774 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074775 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074776 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074777 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074779 -  ..
074780 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074781 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074783 -  ..
074784 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074785 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074789 -  ..
074790 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074793 -  ..
074794 - Post hike HR profile beginning 0021 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074795 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074796 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074797 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074798 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074801 -        ..
074802 -       Date      240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110  231109    
074803 -       Time       0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010    2053     
074804 -       Hours         7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9      14     
074805 -       HR AVG       66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59      60     
074806 -       HR MAX      105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     166     
074807 -       HR Min       45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39      43     
074808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074811 -              https://flow.polar.com/training/analysis/7802149756                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074814 -               ..
074816 -   
074817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074820 -  ..
074821 - Breakfast - eggs ham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074822 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074823 - Dinner - eggs roast beef rice broccoli potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074825 -  ..
074826 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074855 -         ..
074856 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074857 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074858 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074859 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074860 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074861 -   20.  240120 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074862 -               0620....BP HR..................................................... 151  81  65  Kardia ECG reports HR status, see below. ref SDS 0 8UWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074863 -               0625....BP HR..................................................... 154  83  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074864 -               0630....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074865 -               0630....80 37878940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074866 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
074867 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074868 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074869 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074870 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074871 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
074872 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074873 -               1730... 40 105780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
074874 -               1830............ 10 19210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
074875 -               1830............ 10 19580  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
074876 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074877 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074878 -               2130... 40 81680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074879 -               2150... 1000 2015000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074880 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074881 -               2300... 80 379020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074882 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074883 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074884 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074885 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074887 -  ..
074888 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074889 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
074890 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074891 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074892 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074894 -  ..
074895 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074896 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074898 -  ..
074899 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074900 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074904 -  ..
074905 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
074906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074909 -  ..
074910 - Post hike HR profile beginning 1947 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074911 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074912 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074913 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074914 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074917 -        ..
074918 -       Date      240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111  231110    
074919 -       Time       1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232    0010     
074920 -       Hours        13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10       9     
074921 -       HR AVG       62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55      59     
074922 -       HR MAX      106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     203     
074923 -       HR Min       42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40      39     
074924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074927 -              https://flow.polar.com/training/analysis/7802889309                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074930 -               ..
074932 -   
074933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074936 -  ..
074937 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
074938 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074939 - Dinner - hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074941 -  ..
074942 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074971 -         ..
074972 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074973 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074974 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074975 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
074976 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074977 -   21.  240121 0630............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074978 -               0630....BP HR..................................................... 149  86  51  Kardia ECG reports HR status, see below. ref SDS 0 RV3Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074979 -               0635....BP HR..................................................... 152  82  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
074980 -               0640....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074981 -               0640....80 37879100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074982 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
074983 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074984 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074985 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
074986 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
074987 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
074988 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
074989 -               1730... 40 105820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
074990 -             1 0000............ 10 19210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
074991 -             1 0000............ 10 19580  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
074992 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074993 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074994 -               2130... 40 81720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
074995 -               2150... 1000 2016000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
074996 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
074997 -               2300... 80 379180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
074998 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
074999 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075000 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075001 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075003 -  ..
075004 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075005 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075006 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075007 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075008 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075010 -  ..
075011 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075012 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075014 -  ..
075015 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075016 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075020 -  ..
075021 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075024 -  ..
075025 - Post hike HR profile beginning 2108 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075026 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075027 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075028 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075029 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075032 -        ..
075033 -       Date      240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112  231111    
075034 -       Time       2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124    2232     
075035 -       Hours        11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13      10     
075036 -       HR AVG       66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60      55     
075037 -       HR MAX      106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     122     
075038 -       HR Min       39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40      40     
075039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075042 -              https://flow.polar.com/training/analysis/7803433257                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075045 -               ..
075047 -   
075048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075051 -  ..
075052 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075053 - Lunch - tuna cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075054 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075056 -  ..
075057 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075085 -         ..
075086 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075087 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075088 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075089 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075090 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075091 -   22.  240122 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075092 -               0720....BP HR..................................................... 153  79  51  Kardia ECG reports HR status, see below. ref SDS 0 E7SN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075093 -               0725....BP HR..................................................... 155  82  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075094 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075095 -               0730....80 37879260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075096 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
075097 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075098 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075099 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075100 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075101 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075102 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075103 -               1730... 40 105860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
075104 -               1830............ 10 19220  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
075105 -               1830............ 10 19590  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
075106 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075107 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075108 -               2130... 40 81760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075109 -               2150... 1000 2017000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075110 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075111 -               2300... 80 379340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075112 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075113 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075114 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075115 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075117 -  ..
075118 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075119 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075120 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075121 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075122 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075124 -  ..
075125 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075126 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075128 -  ..
075129 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075130 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075134 -  ..
075135 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075138 -  ..
075139 - Post hike HR profile beginning 2045 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075140 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075141 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075142 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075143 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075146 -        ..
075147 -       Date      240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113  231112    
075148 -       Time       2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135    2124     
075149 -       Hours        10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11      13     
075150 -       HR AVG       64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61      60     
075151 -       HR MAX      112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     175     
075152 -       HR Min       44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43      40     
075153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075156 -              https://flow.polar.com/training/analysis/7804014720                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075159 -               ..
075161 -   
075162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075166 -  ..
075167 - Breakfast - eggs haumburger potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075168 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075169 - Dinner - ham rice broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075171 -  ..
075172 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075200 -         ..
075201 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075202 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075203 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075204 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075205 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075206 -   23.  240123 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075207 -               0720....BP HR..................................................... 160  87  51  Kardia ECG reports HR status, see below. ref SDS 0 DYPQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075208 -               0725....BP HR..................................................... 155  83  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075209 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075210 -               0730....80 37879420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075211 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
075212 -               0930....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075213 -               0930....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075214 -               0930....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075215 -               0930....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075216 -               0930... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
075217 -  ..
075218 -         * cr  0953....miles...........  23.0  23.0  387   387 minutes  temp  63 wind  8  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075219 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075220 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
075221 -               0000....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075222 -               1244....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075223 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075224 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075225 -               1244... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075226 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075227 -               1521....mile 18 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075228 -               0000....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075229 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075230 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075231 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075232 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075233 -               1658... Hike ends mile 23... ref SDS 23 ____                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075234 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075235 -               1720....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075236 -               1730....BP HR..................................................... 119  77  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075237 -               1737....BP HR..................................................... 116  73  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075238 -               1745....BP HR..................................................... 114  76  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075239 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075240 -               1730... 40 105900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
075241 -             1 0000............ 10 19220  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
075242 -             1 0000............ 10 19590  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
075243 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075244 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075245 -               2130... 40 81800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075246 -               2150... 1000 2018000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075247 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075248 -               2300... 80 379500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075249 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075250 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075251 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075252 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075254 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075255 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075256 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075257 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075258 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075259 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075260 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075261 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075263 -  ..
075264 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075265 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075266 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075267 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075268 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075270 -  ..
075271 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075272 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075274 -  ..
075275 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075276 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075278 -  ..
075279 - Today, hiked 23 miles - 58 days after PRP left knee and elbow - 35                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075280 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075281 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075282 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075283 - then Ygnacio Valley Road.  Continuing get bloated about mile 9, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075284 - Simethicone for relief ischemic colitis, possibly related to statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075285 - and/or recent ablation.  Hiked on Pine Hollow 1.50 miles East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075286 - around at Junior High School and hiked back.  Continued 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075287 - Campus Drive to college.  Hiked 3 1.5-mile loops through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075288 - Mile 13 stopped for hydration, nutrition, and took pain meds.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075289 - college hiking 4 miles over summit Ignacio Valley Road.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075290 - hiked 2 1-mile loops around Safeway shopping complex, then 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075291 - North on Oak Grove, and 2 miles on Treat to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075296 -         ..
075297 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075298 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075299 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating about mile 3 - did not take Simethicone today - forgt pills                                                                                                                                                                                                                                                                                                                                                                                   
075300 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075301 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075302 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075303 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075304 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075305 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075306 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075307 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - did take Tramadol and Gabapentin today at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                       
075308 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075309 -        Elbow left arm...............................   2         10  mostly persistent doing anything with left arm - at times feels improved, did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                         
075310 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075311 -        Hip left.....................................   2         20  began about mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075312 -        Back.........................................   2         20  lower right side hurting noticed mostly after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075313 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075314 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075315 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075316 -        Knee left meniscus...PRP 231121..............   4         20  did not take Tramadol and Gabapentin today - forgot to bring pills - pain flared about mile 10 to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                
075317 -        Knee left patalla...PRP 210705...............   2         20  seemed to flare going uphill last 2 miles, normally going uphill reduces knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075318 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075319 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075320 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075321 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075322 -        Achilees tendon right leg collaps/buckling...   2         30  separate incidents about 4 2nd half of hike after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075323 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075324 -        Hamstring left leg...........................   2         20  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075325 -        Hamstring right leg..........................   2         20  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075326 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075327 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075328 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075329 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075330 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075331 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
075332 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
075333 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075334 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075335 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
075336 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
075337 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
075338 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075339 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
075340 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075341 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075342 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075343 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075344 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
075345 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
075346 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
075347 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075348 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
075349 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075350 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075351 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075352 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
075353 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075354 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075355 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075356 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075357 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075358 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075359 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075360 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075361 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075362 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075363 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075364 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin noticed wobbly due to entire body hurting after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075365 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075367 -  ..
075368 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075370 -  ..
075371 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075373 -  ..
075374 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075376 -  ..
075377 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075378 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075380 -  ..
075381 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075382 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075383 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075384 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075385 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075388 -  ..
075389 - Concord 23 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075390 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075391 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075392 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075393 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075394 - avocado for HDL; per above. ref SDS 0 7CAF  Had to stop taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075395 - Apixaban blood thinner, because side effects rising - blurred vision,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075396 - blood pressure and HR vitals, and fatigue, reported on 240114 0709.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075397 - ref SDS 31 Y47G  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075398 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075399 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075400 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075401 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075402 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075403 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075404 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075405 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075406 - feeling like pins and needles - ;ess numb today - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075407 - ground - more severe after not hiking since 240118 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075408 - ref SDS 0 NA6M  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075409 - Temp started at 57, and reached 63.  West wind 08 mph and mostly 03                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075410 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075411 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075412 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075413 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075414 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075415 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075416 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075417 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075418 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075419 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075420 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075421 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075422 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075423 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075424 - store mile 5. time ____, Continued hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075425 - turned left hiked 1.50 miles East on Pine Hollow.  Near Indiana Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075426 - at junior high school, turned around and hiked back to YV.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075427 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075428 - wind 03 mph.  Mile 08 - reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075429 - University East Bay Concord Campus.  Hiked once around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075430 - buildings.  Since left elbow still recoverying from PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075431 - 231121 0700. ref SDS 27 G45J, did not stop at training station to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075432 - 20 half-pullups, 40 half-pushups and 00 situps using training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075433 - equipment.  Hiked 4 1.5-mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075434 - Parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075435 - mile 13 time 1244 temp 61 and wind 03 mph; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075436 - artifact, Kardia reported HR 117 Tachycardia (HR noticably higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075437 - today after not hiking past 6 days) - see below. ref SDS 0 TY7W  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075438 - feet PL 2, both Tailor's bunions PL 0, left knee meniscus PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075439 - knee patella PL 2, left shoulder PL 2, left elbow PL 3 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075440 - Could not take Tramadol and Gabapentin for pain maagement, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075441 - forgot to bring pills.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075442 - to complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075443 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075444 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075445 - above. ref SDS 0 J4XM  Hiked another loop around parking lots, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075446 - exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075447 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075448 - 15, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075449 - wind 03 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075450 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075451 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075452 - barriar mile 16, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075453 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075454 - Hiked 2 1-mile loops around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075455 - Stopped at Mod Pizza mile 18, time 1521, temp 30 and wind 03 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075456 - uniform with no artifact, Kardia reported HR 119 Tachycardia (HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075457 - noticably higher today after not hiking past 6 days) - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075458 - ref SDS 0 H2N4  Both feet PL 3, both Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075459 - meniscus PL 3, left knee patella PL 2, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075460 - PL 3 intermitant.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075461 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075462 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075463 - energy, and avocado for HDL, per above. ref SDS 0 J4XM  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075464 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075465 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075466 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075467 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075468 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075469 - miles on Treat uphill 5% grade temp 60.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075470 - summit, mile 22, hiked another mile to Cuneo, and then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075471 - hike mile 23 time 1658 temp 59, wind 08, feet PL 2, left knee PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075472 - (swollen), right knee PL 0, left hip PL 2, left shoulder PL 2, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075473 - and right shoulder PL 0 intermittantly, left elbow PL 3, when lifting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075474 - Lower legs (muscles, tendons, ligaments) PL 3.  EKG looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075475 - with no artifact, Kardia reported HR 112 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075476 - ref SDS 0 FTM5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075482 -  ..
075483 - Kardia recorded HR 49 at 0816 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075484 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075485 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075486 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075487 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075488 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075491 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075492 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240123-ecg-081626_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075497 -  ..
075498 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075499 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075500 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075502 -  ..
075503 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075504 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075505 -       Date       240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 231104 231103 2  
075506 -       Miles         23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0      0     14     
075507 -       HR AVG       120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     no    100     
075508 -         MAX        140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report report   129     
075509 -         Min         75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                        54     
075510 -       El Climb Ft  495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                       352     
075511 -       Temp Max      63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                        62     
075512 -       Wind Max      08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                         7     
075513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075515 -              https://flow.polar.com/training/analysis/7804393467                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075518 -               ..
075520 -   
075521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075525 -  ..
075526 - EKG at mile 13 time 1344 HR 117 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075527 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075528 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075531 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075532 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240123-ecg-134438_mile_13_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075537 -  ..
075538 - EKG at mile 18 time 1521 HR 119 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075539 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075540 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075543 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075544 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240123-ecg-152120_mile_18_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075548 -  ..
075549 - End hike EKG at mile 23 time 1658 HR 112 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075550 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075551 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075554 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075555 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240123-ecg-165813_mile_23_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075560 -  ..
075561 - Post hike HR profile beginning 2235 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075562 - overnight after hiking 23 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075563 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075564 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075565 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075568 -        ..
075569 -       Date      240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114  231113    
075570 -       Time       2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151    2135     
075571 -       Hours        11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10      11     
075572 -       HR AVG       58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62      61     
075573 -       HR MAX      114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     103     
075574 -       HR Min       39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42      43     
075575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075578 -              https://flow.polar.com/training/analysis/7804795296                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075581 -               ..
075583 -   
075584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075588 -  ..
075589 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075590 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075591 - Dinner - eggs ham broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075593 -  ..
075594 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075622 -         ..
075623 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075624 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075625 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075626 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075627 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075628 -   24.  240124 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075629 -               0700....BP HR..................................................... 145  72  53  Kardia ECG reports HR status, see below. ref SDS 0 U2VC                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075630 -               0705....BP HR..................................................... 134  56  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075631 -               0710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075632 -               0710....80 37879580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075633 -               0000... 05  225 Apixaban blood thinner RX 7088121 pause 240110 due to rising side effects fatigue blurred vision elevated BP HR after resumed after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                         
075634 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075635 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075636 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075637 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075638 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075639 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075640 -               1730... 40 105940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
075641 -               1830............ 10 19230  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
075642 -               1830............ 10 19600  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
075643 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075644 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075645 -               2130... 40 81840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075646 -               2150... 1000 2019000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075647 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075648 -               2300... 80 379660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075649 -               0000... 05  230 Apixaban blood thinner RX 7088121 pause 240110 resume after 5th ablation on 231214.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075650 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075651 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075652 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075654 -  ..
075655 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075656 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075657 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075658 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075659 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075661 -  ..
075662 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075663 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075665 -  ..
075666 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075667 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075671 -  ..
075672 - Kardia recorded HR 54 at 1051 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075673 - lengths with p-wave and minor artifact; no AFL after hiking 23 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075674 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075675 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075676 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075677 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075678 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075681 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075682 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240124-ecg-105145_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075686 -  ..
075687 - Post hike HR profile beginning 1950 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075688 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075689 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075690 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075691 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075694 -        ..
075695 -       Date      240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115  231114    
075696 -       Time       1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133    2151     
075697 -       Hours        11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9      10     
075698 -       HR AVG       70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54      62     
075699 -       HR MAX      125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     125     
075700 -       HR Min       47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40      42     
075701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075704 -              https://flow.polar.com/training/analysis/7805302657                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075707 -               ..
075709 -   
075710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075714 -  ..
075715 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075716 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075717 - Dinner - ham broccoli cauliflower onion potato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075719 -  ..
075720 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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075726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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075728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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075742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075747 -         ..
075748 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075749 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075750 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075751 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075752 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075753 -   25.  240125 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075754 -               0640....BP HR..................................................... 155  80  52  Kardia ECG reports HR status, see below. ref SDS 0 G6SN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075755 -               0645....BP HR..................................................... 142  85  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075756 -               0650....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075757 -               0650....80 37879740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075758 -               0905....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075759 -               0905....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075760 -               0905....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075761 -               0905....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075762 -               0905... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
075763 -  ..
075764 -         * cr  0935....miles...........  33.0  53.0  558   945 minutes  temp  62 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075765 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075766 -               1215... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
075767 -               0000....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075768 -               1241....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075769 -               1241....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075770 -               1241... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075771 -               1241... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075772 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075773 -               1411....mile 15 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075774 -               1615....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075775 -               1615... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075776 -               1812....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075777 -               1812... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
075778 -               1830....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075779 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075780 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075781 -               1940... Hike ends mile 33... ref SDS 0 V8HE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075782 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075783 -               1950....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075784 -               1955....BP HR.....................................................  97  71  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075785 -               2010....BP HR..................................................... 119  81  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075786 -               2020....BP HR..................................................... 117  77  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075787 -               2040....BP HR..................................................... 114  77  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075788 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075789 -               2100... 40 105980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
075790 -             1 0000............ 10 19230  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
075791 -             1 0000............ 10 19600  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
075792 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075793 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075794 -               2130... 40 81880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075795 -               2150... 1000 2020000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075796 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075797 -               2300... 80 379820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075798 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075799 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075800 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075802 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075803 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075804 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075805 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075806 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075807 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075808 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075809 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075811 -  ..
075812 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075813 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075814 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075815 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075816 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075818 -  ..
075819 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075820 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
075822 -  ..
075823 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075824 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075826 -  ..
075827 - Today, hiked 33 miles - 60 days after PRP left knee and elbow - 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075828 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075829 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075830 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075831 - then Ygnacio Valley Road.  Hiked on Pine Hollow 0.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075832 - Turned around at Discovery Way and hiked back.  Continued 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075833 - Campus Drive to college.  Hiked 3 1.5-mile loops through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075834 - Feeling bloated about mile 10, took Simethicone for relief ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075835 - colitis, possibly related to statins and/or recent ablation.  Mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075836 - stopped for hydration, nutrition, and took pain meds.  Did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075837 - loop in parking lots, then hiked 8 mile loop through hills of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075838 - Ranch road housing development.  Back at college stopped at mile 21,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075839 - for hydration and nutrition.  Did another lap, then left college at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075840 - mile 23, hiking 4 miles over summit Ignacio Valley Road.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075841 - hiked 1-mile loop around Safeway shopping complex.  Stopped again for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075842 - hydration and nutrition at Mod Pizza.  Hiked another 1 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075843 - around shoppng complex, then 1 mile North on Oak Grove, and 2 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075844 - Treat to Cuneo.  Did 1 mile loop around the block, and home.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075845 - Tramadol and Gabapentin at mile 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075850 -         ..
075851 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075852 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075853 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating about mile 3 - did not take Simethicone today - still feeling bloated mile 12 took Simethicone hiking in parking lots at college                                                                                                                                                                                                                                                                                                              
075854 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075855 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075856 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075857 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075858 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075859 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075860 -        Neck left side turning head left and right...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075861 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - did take Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                       
075862 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075863 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, did take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                             
075864 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075865 -        Hip left.....................................   0        100  very faint paine 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075866 -        Back.........................................   2         20  lower right side hurting noticed mostly after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075867 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075868 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075869 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075870 -        Knee left meniscus...PRP 231121..............   4         20  did not take Tramadol and Gabapentin today - forgot to bring pills - pain flared about mile 10 to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                
075871 -        Knee left patalla...PRP 210705...............   2         20  seemed to flare going uphill last 2 miles, normally going uphill reduces knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                           
075872 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075873 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075874 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075875 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075876 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
075877 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075878 -        Hamstring left leg...........................   2         20  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075879 -        Hamstring right leg..........................   2         20  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075880 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075881 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075882 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075883 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075884 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075885 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
075886 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
075887 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075888 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075889 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
075890 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
075891 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
075892 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075893 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
075894 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075895 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075896 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075897 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075898 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
075899 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
075900 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
075901 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075902 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
075903 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075904 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075905 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075906 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
075907 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075908 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075909 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075910 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075911 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075912 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
075913 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075914 -        Veering right ...............................   3         10  last 2 miles on Treat and 1 mile around the block at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075915 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075916 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075917 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075918 -        Wobbly disoriented staggering dizzy..........   3         30  took 1 Tramadol and 1 Gabapentin noticed wobbly 2 miles on Treat and last mile loop around the block                                                                                                                                                                                                                                                                                                                                                                                                                                         
075919 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075921 -  ..
075922 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075924 -  ..
075925 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075927 -  ..
075928 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075930 -  ..
075931 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075932 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075934 -  ..
075935 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075936 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
075937 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075938 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075939 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075942 -  ..
075943 - Concord 33 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075944 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075945 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075946 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075947 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075948 - avocado for HDL; per above. ref SDS 0 EW3M  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
075949 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075950 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075951 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075952 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075953 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075954 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075955 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
075956 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075957 - left, onto Treat.  Feet starting hike feeling like pins and needles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075958 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075959 - 57, and reached 62.  West wind 08 mph and mostly 03 mph.  No rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075960 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075961 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075962 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075963 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075964 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075965 - road shoulder.  Saw Lisa driving to College with dogs.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075966 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075967 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075968 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075969 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
075970 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075971 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075972 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075973 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075974 - Texaco Gas Station store mile 5. time ____, Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
075975 - Ygnacio Valley Road; turned left hiked 0.50 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075976 - At Discovery Way turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075977 - Campus Drive hiking West 1 mile uphill 3% - 4% grade with wind 03 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075978 - At mile 07 Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
075979 - Bay Concord Campus.  Started loop through parking lots.  Walked with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075980 - Lisa and her dogs downhill back to Pine Hollow.  She continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075981 - dogs around Boatwright athletic fields.  Turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
075982 - uphill on Campus Drive.  Reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075983 - University East Bay Concord Campus mile 8.  Walked Hiked once around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075984 - main campus buildings.  Since left elbow still recoverying from PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075985 - injections on 231121 0700. ref SDS 27 G45J, did not stop at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
075986 - station to do 20 half-pullups, 40 half-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075987 - training equipment.  Hiked 1.5-mile loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075988 - Parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075989 - mile 11 time 1241 temp 61 and wind 08 mph; EKG variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075990 - artifact, Kardia reported HR 107 Unclassified - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075991 - FLX7  Both feet PL 3, both Tailor's bunions PL 0, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075992 - PL 3, left knee patella PL 2, left shoulder PL 2, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075993 - intermitant.  Took Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075994 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
075995 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
075996 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
075997 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 FJ3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075998 - Hiked another loop around parking lots, then exited college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
075999 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076000 - Hiked West on flat grade .5 miles.  At mile 13, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076001 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade against 03 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076002 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076003 - stopping.  At summit continued flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076004 - downhill .25 miles 5% grade.  At Rolling Woods Way continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076005 - Crystal Ranch Road .5 miles 6% grade against wind 03 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076006 - at top of hill.  Stopped mile 15 time 1411, temp 61, wind 10 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076007 - variable with no artifact, Kardia reported HR 131 (HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076008 - cellphone connection) Tachycardia - see below. ref SDS 0 ND4R  Feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076009 - 1, Tailir's bunions PL 0, calves PL 0 left knee PL 1, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076010 - 1, left elbow PL 3, nothing to eat nor drink (NPO), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076011 - ref SDS 0 FJ3L  Continued downhill on Crystal Ranch Road 6% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076012 - miles.  At bottom of hill, hiked uphill .25 miles to Autumn Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076013 - Circle.  Turned around hiking back.  Turned left onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076014 - Way hiking East .5 miles uphill 6% grade with 6 mph wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076015 - continued downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076016 - mile and turned left onto Campus Drive.  Hiked West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076017 - 4% grade against wind 02 mph.  At mile 18, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076018 - again at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076019 - loop around campus buildings, and then 2 loops through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076020 - Stopped at college cafeteria to buy softdrink, because container                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076021 - brought from home nearly empty.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076022 - Administration Building mile 22, time 1615 temp 61 and wind 03 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076023 - EKG uniforme with no artifact, Kardia reported HR 118 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076024 - see below. ref SDS 0 5UB8  Both feet PL 2, both Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076025 - left knee PL 1, left shoulder PL 1, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076026 - imtermittantly, left elbow PL 3 intermittantly.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076027 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076028 - butter, margarine and chia seeds for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076029 - not take Nuun electrolyte pill, took more CoQ10, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076030 - ref SDS 0 FJ3L  Hiked another 2 more loops through parking lots.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076031 - mile 23, exited college hiking North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076032 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076033 - mile 24, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076034 - against wind 02 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076035 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076036 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076037 - barriar mile 25, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076038 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076039 - Hiked 1-mile loop around block at Safeway shopping complex.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076040 - at Mod Pizza mile 28, time 1812, temp 56 and wind 08 mph; EKG variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076041 - with no artifact, Kardia reported HR 105 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076042 - ref SDS 0 JE2N  Both feet PL 2, both Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076043 - PL 1, left shoulder PL 1, neck to right shoulder PL 0 imtermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076044 - left elbow PL 3 intermittantly.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076045 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076046 - seeds for energy, and avocado for HDL, took more CoQ10, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076047 - ref SDS 0 FJ3L  Totally dark, noticably wobbly, loopy, staggering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076048 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076049 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076050 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076051 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076052 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076053 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076054 - summit, mile 31, hiked another mile to Cuneo and then another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076055 - around the block and home.  Ended hike mile 33 time 1940 temp 53, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076056 - 03, feet PL 3 (PL5 when standing), left knee PL 2 (swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076057 - knee PL 0, left shoulder PL 2, neck and right shoulder PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076058 - intermittantly, left elbow PL 3, when lifting.  EKG looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076059 - with artifact, Kardia reported HR 103 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076060 - ref SDS 0 V8HE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076066 -  ..
076067 - Kardia recorded HR 51 at 0645 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076068 - lengths with p-wave and minor artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076069 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076070 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076071 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076072 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076073 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076076 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076077 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240125-ecg-064547_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076082 -  ..
076083 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076084 - hike 33 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076085 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076087 -  ..
076088 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076089 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076090 -       Date       240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 231105 2  
076091 -       Miles         33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0      0     
076092 -       HR AVG       119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     no     
076093 -         MAX        149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report report r  
076094 -         Min         44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                                 
076095 -       El Climb Ft  715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                                 
076096 -       Temp Max      62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                                 
076097 -       Wind Max      10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                                 
076098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076100 -              https://flow.polar.com/training/analysis/7805697670                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076103 -               ..
076105 -   
076106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076110 -  ..
076111 - EKG at mile 11 time 1241 HR 107 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076112 - Unclassified... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076113 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076116 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076117 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240125-ecg-124133_mile_11_107_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076122 -  ..
076123 - EKG at mile 15 time 1411 HR 131 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076124 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076125 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076128 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240125-ecg-141120_mile_15_131_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076134 -  ..
076135 - EKG at mile 22 time 1615 HR 118 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076136 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076137 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076140 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076141 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240125-ecg-161507_mile_22_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076145 -  ..
076146 - EKG at mile 28 time 1812 HR 105 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076147 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076148 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076151 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076152 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240125-ecg-181219_mile_28_105_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076157 -  ..
076158 - End hike EKG at mile 33 time 1940 HR 103 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076159 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076160 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076163 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076164 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240125-ecg-194021_mile_33_103_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076169 -  ..
076170 - Post hike HR profile beginning 2228 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076171 - overnight after hiking 33 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076172 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076173 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076174 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076177 -        ..
076178 -       Date      240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116  231115    
076179 -       Time       2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012    2133     
076180 -       Hours        10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12       9     
076181 -       HR AVG       63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59      54     
076182 -       HR MAX      140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     103     
076183 -       HR Min       41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39      40     
076184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076187 -              https://flow.polar.com/training/analysis/7806049618                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076190 -               ..
076192 -   
076193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076197 -  ..
076198 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076199 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076200 - Dinner - macaroni cheese hamburger rice broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076202 -  ..
076203 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076231 -         ..
076232 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076233 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076234 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076235 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076236 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076237 -   26.  240126 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076238 -               0650....BP HR..................................................... 142  74  52  Kardia ECG reports HR status, see below. ref SDS 0 UWPK                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076239 -               0655....BP HR..................................................... 142  85  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076240 -               0700....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076241 -               0700....80 37879900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076242 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076243 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076244 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076245 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076246 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
076247 -  ..
076248 -               1217....miles...........  17.0  73.0  288  1233 minutes  temp  60 wind 07  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076249 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076250 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
076251 -               0000....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076252 -               1539....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076253 -               1539....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076254 -               1539... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076255 -               1539... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
076256 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076257 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076258 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076259 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
076260 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076261 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
076262 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076263 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076264 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076265 -               1726... Hike ends mile 17... ref SDS 0 FW5Y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076266 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076267 -               1800....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076268 -               1810....BP HR..................................................... 129  86  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076269 -               1815....BP HR..................................................... 135  85  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076270 -               2020....BP HR..................................................... 117  77  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076271 -               2040....BP HR..................................................... 114  77  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076272 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076273 -               1810... 40 106020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
076274 -               1850............ 10 19240  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
076275 -               1850............ 10 19610  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
076276 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076277 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076278 -               2130... 40 81920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076279 -               2150... 1000 2021000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076280 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076281 -               2300... 80 379980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076282 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076283 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076284 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076286 -  ..
076287 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076288 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076289 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076290 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076291 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076293 -  ..
076294 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076295 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076297 -  ..
076298 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076299 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076301 -  ..
076302 - Today, hiked 17 miles - 61 days after PRP left knee and elbow, and 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076303 - days after 5th cardiac ablation - hiked 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076304 - Concord streets including Treat, Hiked Turtle Creek Road past Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076305 - Community Park.  Took Ayers to Clayton Road, then Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076306 - Did not Stop at U76.  Hiked Pine Hollow 0.75 mile East; turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076307 - and hiked .5 miles uphill on Rolling Woods Way.  Turned around at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076308 - Vista Point Lane hiking back to Pine Hollow and back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076309 - Road.  Turned onto Campus Drive and hiked 1 mile uphill to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076310 - Hiked 2 miles through parking lots.  Mile 12, stopped for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076311 - and nutrition, then 1 mile through parking lots again to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076312 - Valley Road.  Hiked to summit Ygnacio Valley Road, then back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076313 - turned North onto Cowell 1 mile.  Turned West onto Treat then Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076314 - Hiked another 1 mile loop around the block, then home.  Took pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076315 - at mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076320 -         ..
076321 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076322 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076323 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not notice bloating today - did not take Simethicone today                                                                                                                                                                                                                                                                                                                                                                                         
076324 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076325 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076326 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076327 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076328 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076329 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076330 -        Neck turning head/chest left or right........  10          3  recurred today momentarily 2nd half hike turning body and head left or right very severe pain like pinched nerve                                                                                                                                                                                                                                                                                                                                                                                                                             
076331 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - did take Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                       
076332 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076333 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, did take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                             
076334 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076335 -        Hip left.....................................   0        100  very faint paine 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076336 -        Back.........................................   0        100  lower right side hurting noticed mostly after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076337 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076338 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076339 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076340 -        Knee left meniscus...PRP 231121..............   4         20  took Tramadol and Gabapentin today mile 12 - pain flared about mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076341 -        Knee left patalla...PRP 210705...............   2         20  seemed to flare going uphill normally going uphill reduces knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076342 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076343 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076344 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076345 -        Knee right..PRP 190816.......................   0        100  good entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076346 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076347 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076348 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076349 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076350 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076351 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076352 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076353 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076354 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076355 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
076356 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
076357 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076358 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076359 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
076360 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
076361 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
076362 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076363 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
076364 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076365 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076366 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076367 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076368 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
076369 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
076370 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
076371 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076372 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
076373 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076374 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076375 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076376 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
076377 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076378 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076379 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076380 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076381 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076382 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076383 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076384 -        Veering right ...............................   0        100  hike ended only 5 miles after taking meds mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076385 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076386 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076387 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076388 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin at mile 12, and ended mile 17 - not long enough for neurological impacts                                                                                                                                                                                                                                                                                                                                                                                                                                    
076389 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076391 -  ..
076392 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076394 -  ..
076395 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076397 -  ..
076398 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076400 -  ..
076401 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076402 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076404 -  ..
076405 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076406 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076407 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076408 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076409 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076412 -  ..
076413 - Concord 17 mile route - took less Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076414 - protection, mainly left knee, and because left knee treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076415 - intra articular injection on 231121 0700. ref SDS 27 I48N  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076416 - Ubiquinol CoQ10 depleted by statins, which increases energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076417 - Had small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076418 - energy, and avocado for HDL; per above. ref SDS 0 5X5M  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076419 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076420 - taking statins and overuse of Naproxen, reported on 220503 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076421 - ref SDS 22 TL6I, and specifically reviewing biopsy results on 200716                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076422 - 0800. ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076423 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076424 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076425 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076426 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076427 - left onto Treat.  Feet starting hike feeling like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076428 - difficulty feeling ground - less severe today.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076429 - entire hike without dyspnea.  Weather overcast all day - temp started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076430 - at 57, and reached 60.  West wind 07 mph and mostly 07 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076431 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076432 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076433 - uphill, and very light traffic.  Did not hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076434 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076435 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076436 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076437 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076438 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076439 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076440 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076441 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076442 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076443 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076444 - Did not stop at Union 76 Texaco Gas Station store mile 5. time ____                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076445 - Continued hiking on Ygnacio Valley Road; turned left hiked 0.75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076446 - East on Pine Hollow.  Turned right onto Rolling Woods Way.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076447 - uphill 5% grade .25 miles.  At Vista Point Lane turned around hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076448 - back to Pine Hollow and back to YV.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076449 - hiking West 1 mile uphill 3% - 4% grade against wind 08 mph.  Mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076450 - - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076451 - Concord Campus.  Hiked around main campus buildings.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076452 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076453 - using training equipment.  Hiked 2 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076454 - Student Parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076455 - Building mile 12 time 1539 temp 60 and wind 07 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076456 - no artifact, Kardia reported HR 102 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076457 - ref SDS 0 HW3R  Both feet PL 3, left knee PL 2, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076458 - neck to right shoulder momentary when twist head and shoulders left or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076459 - right PL 10 - seems like pinched nerve, left elbow PL 3, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076460 - momentary with specific movements.  Took Tramadol and Gabapentin for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076461 - pain management.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076462 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076463 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076464 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076465 - above. ref SDS 0 9DPT  Hiked another loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076466 - buildings.  At mile 13, exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076467 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076468 - grade .5 miles.  At mile 15, continued West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076469 - hiking uphill 3% grade .5 miles against wind 05 mph.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076470 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076471 - Valley Road to avoid severe camber.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076472 - summit.  At end of concrete barriar mile 14, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076473 - back.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076474 - grade.  Continued .5 miles flat grade.  Hiked another .25 miles narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076475 - path with no shoulder against heavy evening traffic (actually lighter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076476 - than normal today).  Turned left onto Treat heading West .25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076477 - Crossed street at break in traffic.  Turned right onto Cuneo and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076478 - 1-mile loop aroung the block, then home.  Ended hike mile 17, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076479 - 1726 temp 58, wind 05 mph, feet PL 2, both Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076480 - knee PL 1, left shoulder PL 2; neck to right shoulder PL 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076481 - momentarily when twistng shoulders/neck left or right; otherwise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076482 - entire body feels okay after 17 miles.  EKG looks uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076483 - artifact, Kardia reported HR 109 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076484 - FW5Y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076490 -  ..
076491 - Kardia recorded HR 52 at 1045 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076492 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076493 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076494 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076495 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076496 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076497 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076500 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076501 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240126-ecg-104551_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076506 -  ..
076507 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076508 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076509 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076511 -  ..
076512 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076513 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076514 -       Date       240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 231106 2  
076515 -       Miles         17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0      0     
076516 -       HR AVG       109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     no     
076517 -         MAX        135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report report r  
076518 -         Min         46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                          
076519 -       El Climb Ft  495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                          
076520 -       Temp Max      60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                          
076521 -       Wind Max      07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                          
076522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076524 -              https://flow.polar.com/training/analysis/7806273964                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076527 -               ..
076529 -   
076530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076534 -  ..
076535 - EKG at mile 12 time 1539 HR 102 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076536 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076537 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076540 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076541 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240126-ecg-153931_mile_12_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076546 -  ..
076547 - End hike EKG at mile 17 time 1726 HR 109 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076548 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076549 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076552 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076553 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240126-ecg-172645_mile_17_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076558 -  ..
076559 - Post hike HR profile beginning 2121 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076560 - overnight after hiking 17 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076561 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076562 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076563 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076566 -        ..
076567 -       Date      240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117  231116    
076568 -       Time       2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157    2012     
076569 -       Hours        11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6      12     
076570 -       HR AVG       56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59      59     
076571 -       HR MAX      121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     125     
076572 -       HR Min       40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45      39     
076573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076576 -              https://flow.polar.com/training/analysis/7806774259                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076579 -               ..
076581 -   
076582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076586 -  ..
076587 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076588 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076589 - Dinner - macaroni cheese hot dog rice broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076591 -  ..
076592 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076621 -         ..
076622 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076623 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076624 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076625 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076626 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076627 -   27.  240127 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076628 -               0720....BP HR..................................................... 162  78  46  Kardia ECG reports HR status, see below. ref SDS 0 VPUR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076629 -               0725....BP HR..................................................... 141  82  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076630 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076631 -               0730....80 380060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076632 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076633 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076634 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076635 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076636 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
076637 -  ..
076638 -         * cr  1138....miles...........  20.0  90.0  346  1579 minutes  temp  64 wind 08  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076639 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076640 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
076641 -               1311....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076642 -               1437....mile 10 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076643 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076644 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076645 -               1437... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
076646 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076647 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076648 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076649 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
076650 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076651 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
076652 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076653 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076654 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076655 -               1752... Hike ends mile 20... ref SDS 0 8Q3X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076656 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076657 -               1820....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076658 -               1825....BP HR..................................................... 118  78  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076659 -               1830....BP HR..................................................... 117  77  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076660 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076661 -               1820... 40 106060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
076662 -             1 0000............ 10 19240  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
076663 -             1 0000............ 10 19610  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
076664 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076665 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076666 -               2130... 40 81960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076667 -               2150... 1000 2022000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076668 -               2200... restless legs avoided Tramadol - calmed after 40 minutes or so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076669 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076670 -               2300... 80 380140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076671 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076672 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076673 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076675 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076676 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076677 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076678 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076679 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076680 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076681 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076682 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076684 -  ..
076685 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076686 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076687 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076688 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076689 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076691 -  ..
076692 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076693 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076695 -  ..
076696 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076697 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076700 -  ..
076701 - Today, hiked 20 miles - hiked 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076702 - streets including Treat, Turtle Creek Road past Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076703 - Park.  Took Ayers to Clayton Road, then Ygnacio Valley Road.  Mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076704 - stopped for hydration, nutrition.  Hiked on Pine Hollow 0.50 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076705 - East and back.  Continued 1 mile on Campus Drive to college.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076706 - 1.5-mile loops through parking lots.  Feeling bloated about mile 9,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076707 - took Simethicone for relief ischemic colitis, possibly related to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076708 - statins and/or recent ablation.  Mile 11 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076709 - nutrition - did not take pain meds.  Hiked another 1.5 miles in paking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076710 - lots then exited campus hiking 4 miles over summit Ignacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076711 - Road.  At Oak Grove hiked 2 1-mile loops around Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076712 - complex, then 1 mile North on Oak Grove, and 2 miles on Treat to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076713 - and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076719 -         ..
076720 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076721 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076722 -        Stomach pain ischemic colitis bloating.......   3         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - noticed bloating mile 9 - took Simethicone today                                                                                                                                                                                                                                                                                                                                                                                                       
076723 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076724 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076725 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076726 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076727 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076728 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076729 -        Neck turning head/chest left or right........   0        100  no recurrance today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076730 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - did not take Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                   
076731 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076732 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                         
076733 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076734 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076735 -        Back.........................................   0        100  lower right side hurting noticed mostly after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076736 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076737 -        Shin splint pain both legs...................   3         10  last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076738 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076739 -        Knee left meniscus...PRP 231121..............   2         30  did not take Tramadol and Gabapentin today - knee hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
076740 -        Knee left patalla...PRP 210705...............   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076741 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076742 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076743 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076744 -        Knee right..PRP 190816.......................   2         20  did not take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076745 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076746 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076747 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076748 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076749 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076750 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076751 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076752 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076753 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076754 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
076755 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
076756 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076757 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076758 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
076759 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
076760 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
076761 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076762 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
076763 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076764 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076765 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076766 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076767 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
076768 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
076769 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
076770 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076771 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
076772 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076773 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076774 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076775 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
076776 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076777 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076778 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076779 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076780 -        Peripheral neruopathy top left hand..........   0        100  during hike left hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076781 -        Peripheral neruopathy top right hand.........   2         20  during hike left hand numb and shaking after a few miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076782 -        Veering left.................................   0        100  interesting did not occur despite taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076783 -        Veering right ...............................   0        100  hike ended only 5 miles after taking meds mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076784 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076785 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076786 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076787 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin at mile 00, and ended mile 00 - not long enough for neurological impacts                                                                                                                                                                                                                                                                                                                                                                                                                                    
076788 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076790 -  ..
076791 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076793 -  ..
076794 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076796 -  ..
076797 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076799 -  ..
076800 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076801 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076803 -  ..
076804 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076805 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076806 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076807 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076808 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076812 -  ..
076813 - Concord 20 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076814 - protection, mainly left knee, despite left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076815 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076816 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076817 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076818 - avocado for HDL; per above. ref SDS 0 3T5J  Had to stop taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076819 - Apixaban blood thinner, because side effects rising - blurred vision,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076820 - blood pressure and HR vitals, and fatigue, reported on 240114 0709.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076821 - ref SDS 31 Y47G  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076822 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076823 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076824 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
076825 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076826 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
076827 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076828 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076829 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076830 - feeling like pins and needles - more numb today - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076831 - ground.  Breathed through nose entire hike without dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076832 - started at 58, and reached 63.  West wind 08 mph and mostly 04 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076833 - No rain.  Hiked East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076834 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076835 - some places 2% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076836 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076837 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076838 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076839 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076840 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076841 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076842 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076843 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076844 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076845 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076846 - Boulevard.  stopped at Union 76 Texaco Gas Station store mile 5. time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076847 - 1311, temp 61 and wind 05 mph; EKG uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076848 - reported HR 090 Normal Sinus Rhythm - see below. ref SDS 0 VP37  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076849 - feet PL 1, both Tailor's bunions PL 0, left knee meniscus PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076850 - knee patella PL 1, left shoulder PL 1, left elbow PL 2 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076851 - Did not take Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076852 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076853 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076854 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076855 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 LXP1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076856 - Continued hiking on Ygnacio Valley Road; turned left hiked 0.50 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076857 - East on Pine Hollow.  At Discovery Way turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076858 - YV.  Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076859 - grade with wind 04 mph.  Mile 07 - reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076860 - California State University East Bay Concord Campus.  Hiked once                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
076861 - around main campus buildings.  Since left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076862 - PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076863 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076864 - using training equipment.  Hiked 2 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076865 - Student Parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076866 - Building mile 10 time 1437 temp 64 and wind 02 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076867 - no artifact, Kardia reported HR 093 Normal Sinus Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076868 - ref SDS 0 G7AN  Both feet PL 2, both Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076869 - meniscus PL 1, left knee patella PL 1, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076870 - PL 2 intermitant.  Decided not to take Tramadol and Gabapentin for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076871 - pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076872 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076873 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076874 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076875 - above. ref SDS 0 LXP1  Hiked another loop through parking lots, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076876 - exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076877 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076878 - 12, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076879 - wind 03 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076880 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076881 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076882 - barriar mile 13, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076883 - North side Ygnacio Valley Road.  At mile 15, crossed Oak Grove traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076884 - light.  Hiked 1-mile loop around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076885 - Did not stop at Mod Pizza mile 20, time ____.  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076886 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076887 - hiking North .25 miles, turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076888 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076889 - shoulder.  Crossed Treat at street light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076890 - grade concrete sidewalk.  At San Miguel continued .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076891 - uphill 5% grade temp 59.  Handled this well.  At summit, mile 19,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076892 - hiked another mile to Cuneo and then home.  Ended hike mile 20 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076893 - 1752 temp 59, wind 05, feet PL 3, left knee PL 3 (swollen), right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076894 - PL 2, left shoulder PL 1, neck and right shoulder PL 7 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076895 - left elbow PL 2, when lifting.  Lower legs (muscles, tendons,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
076896 - ligaments) PL 2.  EKG looks uniform, with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076897 - HR 103 Tachycardia - see below. ref SDS 0 8Q3X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
076898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076903 -  ..
076904 - Kardia recorded HR 53 at 0840 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076905 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076906 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076907 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076908 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076909 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076910 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076913 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076914 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240127-ecg-084044_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076919 -  ..
076920 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076921 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076922 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076924 -  ..
076925 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
076926 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076927 -       Date       240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 231108 231107 2  
076928 -       Miles         20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18      0      0     
076929 -       HR AVG       107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     no     no     
076930 -         MAX        129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  report report r  
076931 -         Min         60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74                   
076932 -       El Climb Ft  495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352                   
076933 -       Temp Max      64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68                   
076934 -       Wind Max      08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5                   
076935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076937 -              https://flow.polar.com/training/analysis/7806947126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076940 -               ..
076942 -   
076943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076947 -  ..
076948 - EKG at mile 05 time 1311 HR 090 temp 61, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076949 - Rhythm... looks uniform with minor artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076950 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076953 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076954 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240127-ecg-131155_mile_05_090_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076959 -  ..
076960 - EKG at mile 10 time 1437 HR 093 temp 64, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076961 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076962 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
076963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076965 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076966 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240127-ecg-143711_mile_10_093_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076971 -  ..
076972 - End hike EKG at mile 20 time 1752 HR 103 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
076973 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076974 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
076975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076977 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
076978 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240127-ecg-175233_mile_20_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
076979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076983 -  ..
076984 - Post hike HR profile beginning 2058 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076985 - overnight after hiking 20 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
076986 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
076987 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
076988 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
076989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076991 -        ..
076992 -       Date      240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118  231117    
076993 -       Time       2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112    2157     
076994 -       Hours        11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11       6     
076995 -       HR AVG       60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61      59     
076996 -       HR MAX      108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     104     
076997 -       HR Min       41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39      45     
076998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
076999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077001 -              https://flow.polar.com/training/analysis/7807468983                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077004 -               ..
077006 -   
077007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077011 -  ..
077012 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077013 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077014 - Dinner - eggs ham potato broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077016 -  ..
077017 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077044 -         ..
077045 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077046 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077047 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077048 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077049 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077050 -   28.  240128 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077051 -               0720....BP HR..................................................... 153  82  49  Kardia ECG reports HR status, see below. ref SDS 0 RTWM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077052 -               0725....BP HR..................................................... 146  90  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077053 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077054 -               0730....80 380220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077055 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077056 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077057 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077058 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077059 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077060 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077061 -               1820... 40 106100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
077062 -               1830............ 10 19250  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
077063 -               1830............ 10 19620  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
077064 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077065 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077066 -               2130... 40 82000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077067 -               2150... 1000 2023000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077068 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077069 -               2300... 80 380300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077070 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077071 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077072 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077074 -  ..
077075 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077076 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077077 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077078 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077079 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077081 -  ..
077082 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077083 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077085 -  ..
077086 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077087 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077092 -  ..
077093 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077097 -  ..
077098 - Post hike HR profile beginning 2315 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077099 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077100 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077101 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077102 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077105 -        ..
077106 -       Date      240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119  231118    
077107 -       Time       2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939    2112     
077108 -       Hours         8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13      11     
077109 -       HR AVG       63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59      61     
077110 -       HR MAX      112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     116     
077111 -       HR Min       47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43      39     
077112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077115 -              https://flow.polar.com/training/analysis/7808041802                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077118 -               ..
077120 -   
077121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077125 -  ..
077126 - Breakfast - pancake banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077127 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077128 - Dinner - macaroni cheese eggs ham potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077130 -  ..
077131 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077160 -         ..
077161 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077162 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077163 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077164 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077165 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077166 -   29.  240129 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077167 -               0720....BP HR..................................................... 161  97  52  Kardia ECG reports HR status, see below. ref SDS 0 J49E                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077168 -               0725....BP HR..................................................... 142  84  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077169 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077170 -               0730....80 380380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077171 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077172 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077173 -               0940....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077174 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077175 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
077176 -  ..
077177 -         * cr  1002....miles...........  31.0  31.0  545   545 minutes  temp  69 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077178 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077179 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
077180 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077181 -               1242....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077182 -               1242....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077183 -               1242... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077184 -               1242... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077185 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077186 -               1412....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077187 -               1631....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077188 -               1631... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077189 -               1835....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077190 -               1835... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077191 -               1850....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077192 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077193 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077194 -               1956... Hike ends mile 31... ref SDS 0 LY5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077195 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077196 -               2010....weight.................................... 170  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077197 -               2020....BP HR..................................................... 109  73  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077198 -               2025....BP HR..................................................... 111  74  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077199 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077200 -               2030... 40 106140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
077201 -             1 0000............ 10 19250  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
077202 -             1 0000............ 10 19620  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
077203 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077204 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077205 -               2130... 40 82040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077206 -               2150... 1000 2024000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077207 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077208 -               2300... 80 380460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077209 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077210 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077211 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077213 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077214 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077215 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077216 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077217 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077218 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077219 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077220 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077222 -  ..
077223 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077224 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077225 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077226 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077227 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077229 -  ..
077230 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077231 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077233 -  ..
077234 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077235 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077238 -  ..
077239 - Today, hiked 31 miles - 65 days after PRP left knee and elbow - 42                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077240 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077241 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077242 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077243 - then Ygnacio Valley Road.  Hiked on Pine Hollow 0.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077244 - Turned around and hiked back.  Continued 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077245 - college.  Hiked 3 1.5-mile loops through parking lots.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077246 - bloated about mile 10, took Simethicone for relief ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077247 - possibly related to statins and/or recent ablation.  Mile 23 stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077248 - for hydration, nutrition, and took pain meds.  Did another loop in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077249 - parking lots, then hiked 8 mile loop through hills of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077250 - road housing development.  Back at college stopped at mile 29, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077251 - hydration and nutrition.  Did another lap, then left college at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077252 - 22, hiking 4 miles over summit Ignacio Valley Road.  Left knee patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077253 - PL 8 for about .5 miles, then fell to PL 1.  At Oak Grove hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077254 - loop around Safeway shopping complex.  Stopped again for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077255 - nutrition at Mod Pizza.  Hiked another 1 mile loop around shoppng                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077256 - complex, then 1 mile North on Oak Grove, and 2 miles East on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077257 - Cuneo and home.  Took Tramadol and Gabapentin at mile 08.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077263 -         ..
077264 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077265 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077266 -        Stomach pain ischemic colitis bloating.......   2         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - noticed bloating mile 20 - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                            
077267 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077268 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077269 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077270 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077271 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077272 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077273 -        Neck turning head/chest left or right........  10          5  episodic after mile 25 to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077274 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - did not take Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                   
077275 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077276 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
077277 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077278 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077279 -        Back.........................................   2         40  lower left side hurting noticed mostly after mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077280 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077281 -        Shin splint pain both legs...................   3         10  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077282 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077283 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                       
077284 -        Knee left patalla...PRP 210705...............   5          5  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
077285 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077286 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077287 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077288 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077289 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077290 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077291 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077292 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077293 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077294 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077295 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077296 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077297 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077298 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
077299 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
077300 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077301 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077302 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
077303 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
077304 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
077305 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077306 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
077307 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077308 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077309 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077310 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077311 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
077312 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
077313 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
077314 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077315 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
077316 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077317 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077318 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077319 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
077320 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077321 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077322 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077323 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077324 -        Peripheral neruopathy top left hand..........   3         40  during hike hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077325 -        Peripheral neruopathy top right hand.........   3         40  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077326 -        Veering left.................................   3         30  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077327 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077328 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077329 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077330 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077331 -        Wobbly disoriented staggering dizzy..........   3         20  took 1 Tramadol and 1 Gabapentin at mile 08, and ended mile 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077332 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077334 -  ..
077335 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077337 -  ..
077338 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077340 -  ..
077341 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077343 -  ..
077344 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077345 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077347 -  ..
077348 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077349 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077350 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077351 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077352 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077356 -  ..
077357 - Concord 31 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077358 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077359 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077360 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077361 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077362 - avocado for HDL; per above. ref SDS 0 W45H  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077363 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077364 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077365 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077366 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077367 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077368 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077369 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077370 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077371 - left, onto Treat.  Feet starting hike feeling like pins and needles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077372 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077373 - 59, and reached 69.  West wind 10 mph and mostly 05 mph.  No rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077374 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077375 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077376 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077377 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077378 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077379 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077380 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077381 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077382 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077383 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077384 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077385 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077386 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077387 - Did not stop at Union 76 Texaco Gas Station store mile 5. time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077388 - Continued on Ygnacio Valley Road; turned left hiked 0.25 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077389 - Pine Hollow.  Turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077390 - Campus Drive hiking West 1 mile uphill 3% - 4% grade with wind 03 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077391 - At mile 06 Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077392 - Bay Concord Campus.  Hiked around main campus buildings.  Since left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077393 - elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077394 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077395 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077396 - Hiked 1.5-mile loop through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077397 - Visitor Parking stopped at Administration Building mile 11 time 1242                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077398 - temp 62 and wind 05 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077399 - HR 099 Normal Sinus Rhythm - see below. ref SDS 0 7Y38  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077400 - 3, both Tailor's bunions PL 0, left knee meniscus PL 3, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077401 - patella PL 2, left shoulder PL 1, left elbow PL 3 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077402 - Tramadol and Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077403 - ml for HDL and energy to complete hike.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077404 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077405 - and chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077406 - electrolyte pill, per above. ref SDS 0 48J2  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077407 - parking lots, then exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077408 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077409 - grade .5 miles.  At mile 10, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077410 - Hiked South 1 mile uphill 5% grade against 03 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077411 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077412 - continued flat grade .5 miles.  Continued downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077413 - At Rolling Woods Way continued uphill on Crystal Ranch Road .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077414 - 6% grade against wind 03 mph.  Road ends at top of hill.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077415 - down hill about .25 mile and then back to top.  Stopped mile 13 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077416 - 1412, temp 67, wind 10 mph; EKG uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077417 - reported HR 126 (HR - no wait to get cellphone connection) Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077418 - - see below. ref SDS 0 SJNR  Feet PL 1, PL 0, calves PL 0 left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077419 - 1, left shoulder PL 0, left elbow PL 3, nothing to eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077420 - (NPO), per above. ref SDS 0 48J2  Continued downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077421 - Road 6% grade .5 miles.  At bottom of hill, hiked uphill .50 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077422 - Autumn Oak Circle.  Turned around hiking back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077423 - Rolling Woods Way hiking East .5 miles uphill 6% grade with 6 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077424 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077425 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077426 - mile uphill 3% - 4% grade against wind 02 mph.  At mile 17, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077427 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077428 - Campus.  Hiked loop around campus buildings, and then 2 loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077429 - parking lots.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077430 - Building mile 20, time 1631 temp 68 and wind 05 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077431 - no artifact, Kardia reported HR 112 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077432 - ref SDS 0 KT3B  Both feet PL 2, shin splints PL 2, left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077433 - left shoulder PL 1, neck to right shoulder PL 0 imtermittantly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077434 - elbow PL 3 intermittantly.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077435 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077436 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077437 - pill, took more CoQ10, per above. ref SDS 0 48J2  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077438 - through parking lots.  At mile 22, exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077439 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077440 - knee suddenly PL 8, seemed the patella rather than meniscus.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077441 - difficult to step.  Hiked West on flat grade .5 miles.  At mile 22,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077442 - decided to limp home turning on Cowell; continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077443 - Road uphill 3% grade .5 miles against wind 04 mph.  Knee feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077444 - better, so crossed Cowell at stop light, rather than turn and head                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077445 - home.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077446 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077447 - end of concrete barriar mile 25, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077448 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077449 - traffic light.  Hiked 1-mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077450 - complex.  Stopped at Mod Pizza mile 27, time 1835, temp 62 and wind 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077451 - mph; EKG uniform with no artifact, Kardia reported HR 103 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077452 - - see below. ref SDS 0 FJA4  Both feet PL 2, both Tailor's bunions PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077453 - 0, left knee PL 1, left shoulder PL 1, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077454 - imtermittantly, left elbow PL 3 intermittantly.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077455 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077456 - butter, margarine and chia seeds for energy, and avocado for HDL, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077457 - more CoQ10, per above. ref SDS 0 48J2  Totally dark, noticably wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077458 - loopy, staggering.  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077459 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077460 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077461 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077462 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077463 - San Miguel continued .75 miles on Treat uphill 5% grade temp 59.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077464 - Handled this well.  At summit, mile 30, hiked another mile to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077465 - and home.  Ended hike mile 31 time 1956 temp 58, wind 03, feet PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077466 - (PL5 when standing), left knee PL 2 (swollen) - patella PL 5 at times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077467 - - right knee PL 1, left shoulder PL 2, neck and right shoulder PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077468 - intermittantly, lower back left side PL 2, left elbow PL 3, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077469 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077470 - Tachycardia - see below. ref SDS 0 LY5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077476 -  ..
077477 - Kardia recorded HR 48 at 0816 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077478 - with p-wave and some artifact; no AFL after hiking 20 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077479 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077480 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077481 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077482 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077485 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077486 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240129-ecg-081651_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077491 -  ..
077492 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077493 - hike 31 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077494 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077496 -  ..
077497 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077498 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077499 -       Date       240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 231109 2  
077500 -       Miles         31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     18     
077501 -       HR AVG       112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116    121     
077502 -         MAX        141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142    141  r  
077503 -         Min         55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     74     
077504 -       El Climb Ft  715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715    352     
077505 -       Temp Max      69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     68     
077506 -       Wind Max      10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5      5     
077507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077509 -              https://flow.polar.com/training/analysis/7808421607                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077512 -               ..
077514 -   
077515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077519 -  ..
077520 - EKG at mile 08 time 1242 HR 099 temp 62, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077521 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077522 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077525 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077526 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240129-ecg-124217_mile_08_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077531 -  ..
077532 - EKG at mile 13 time 1412 HR 126 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077533 - Tachycardia... looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077534 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077537 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077538 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240129-ecg-141219_mile_13_126_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077544 -  ..
077545 - EKG at mile 20 time 1631 HR 112 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077546 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077547 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077550 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077551 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240129-ecg-163109_mile_20_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077556 -  ..
077557 - EKG at mile 10 time 1835 HR 103 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077558 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077559 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077562 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077563 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240129-ecg-183522_mile_27_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077568 -  ..
077569 - End hike EKG at mile 31 time 1956 HR 107 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077570 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077571 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077574 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077575 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240129-ecg-195604_mile_31_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077580 -  ..
077581 - Post hike HR profile beginning 2321 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077582 - overnight after hiking 31 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077583 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077584 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077585 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077588 -        ..
077589 -       Date      240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120  231119    
077590 -       Time       2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909    1939     
077591 -       Hours        10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9      13     
077592 -       HR AVG       63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66      59     
077593 -       HR MAX      114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     113     
077594 -       HR Min       47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45      43     
077595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077597 -              https://flow.polar.com/training/analysis/7808837949                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077600 -               ..
077602 -   
077603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077607 -  ..
077608 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077609 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077610 - Dinner - macaroni cheese eggs ham potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077612 -  ..
077613 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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077625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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077638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077641 -         ..
077642 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077643 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077644 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077645 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077646 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077647 -   30.  240130 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077648 -               0740....BP HR..................................................... 139  80  53  Kardia ECG reports HR status, see below. ref SDS 0 WTR2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077649 -               0745....BP HR..................................................... 131  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077650 -               0750....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077651 -               0750....80 380540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077652 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077653 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077654 -               0950....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077655 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077656 -               0950... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
077657 -  ..
077658 -               1025....miles...........  21.0  52.0  359   904 minutes  temp  69 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077659 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077660 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
077661 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077662 -               1309....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077663 -               1309....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077664 -               1309... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077665 -               1309... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077666 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077667 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077668 -               1543....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077669 -               1543... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077670 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077671 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
077672 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077673 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077674 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077675 -               1709... Hike ends mile 21... ref SDS 0 WURQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077676 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077677 -               1820....weight.................................... 170  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077678 -               1740....BP HR..................................................... 120  79  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077679 -               1745....BP HR..................................................... 117  77  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077680 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077681 -               1820... 40 106180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
077682 -               1830............ 10 19260  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
077683 -               1830............ 10 19630  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
077684 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077685 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077686 -               2130... 40 82080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077687 -               2150... 1000 2025000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077688 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077689 -               2300... 80 380620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077690 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077691 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077692 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077694 -  ..
077695 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077696 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077697 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077698 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077699 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077701 -  ..
077702 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077703 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077705 -  ..
077706 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077707 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077710 -  ..
077711 - Today, hiked 21 miles - started Polar 20 minutes late - hiked 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077712 - semi-loop through South Concord streets including Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077713 - Road past Newhall Community Park.  Took Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077714 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 miles East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077715 - around and hiked back.  Continued 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077716 - Hiked 2 1.5-mile loops through parking lots.  Mile 10 stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077717 - hydration, nutrition, and took pain meds.  Left college hiking 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077718 - over summit Ignacio Valley Road.  At Oak Grove hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077719 - around Safeway shopping complex, then 1 mile North on Oak Grove, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077720 - miles on Treat to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077724 -         ..
077725 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077726 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077727 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloating today - did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                 
077728 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077729 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077730 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077731 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077732 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077733 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077734 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
077735 -        Shoulder left myopathy statins...............   2         30  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                           
077736 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077737 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
077738 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077739 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077740 -        Back.........................................   2         40  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077741 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077742 -        Shin splint pain both legs...................   3         10  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077743 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077744 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
077745 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
077746 -        Knee buckling left..PRP 191209.240108........   0        100  did not notice today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077747 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077748 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077749 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077750 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077751 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077752 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077753 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077754 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077755 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077756 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077757 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077758 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077759 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
077760 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
077761 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077762 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077763 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
077764 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
077765 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
077766 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077767 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
077768 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077769 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077770 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077771 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077772 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
077773 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
077774 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
077775 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077776 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
077777 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077778 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077779 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
077780 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
077781 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077782 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077783 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077784 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077785 -        Peripheral neruopathy top left hand..........   3         40  during hike hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077786 -        Peripheral neruopathy top right hand.........   3         40  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077787 -        Veering left.................................   1         30  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077788 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077789 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077790 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077791 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077792 -        Wobbly disoriented staggering dizzy..........   1         20  took 1 Tramadol and 1 Gabapentin at mile 08, and ended mile 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077793 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077795 -  ..
077796 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077798 -  ..
077799 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077801 -  ..
077802 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077804 -  ..
077805 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077806 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077808 -  ..
077809 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077810 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077811 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077812 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
077813 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077817 -  ..
077818 - Concord 21 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077819 - protection, mainly left knee, despite left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077820 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077821 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077822 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077823 - avocado for HDL; per above. ref SDS 0 K3PN  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077824 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077825 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077826 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077827 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077828 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077829 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077830 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077831 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077832 - left, onto Treat.  Feet starting hike feeling like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077833 - difficulty feeling ground - less severe after hiking more since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077834 - 240122, per above. ref SDS 0 7CAF  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077835 - without dyspnea.  Temp started at 61, and reached 69.  Actually,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077836 - seemed hotter today.  West wind 10 mph and mostly 04 mph.  No rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077837 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077838 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077839 - places 2% uphill, and very light traffic.  Forgot to start Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077840 - GPS/HR monitor until mile 1.25.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077841 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077842 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077843 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077844 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077845 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077846 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077847 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077848 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077849 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077850 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077851 - Texaco Gas Station store mile 5. time ____, Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077852 - Ygnacio Valley Road; turned left hiked 0.05 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077853 - Turned around and hiked back to YV.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077854 - hiking West 1 mile uphill 3% - 4% grade with wind 04 mph.  Mile 06 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077855 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077856 - Concord Campus.  Hiked once around main campus buildings.  Since left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077857 - elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077858 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077859 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077860 - Will start doing strength exercises again soon, because left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077861 - having less pain doing lifts and compression (pullups and pushups)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077862 - now.  Hiked 2 1.0-mile loops through Faculty and Student Parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077863 - Back at Visitor Parking stopped at Administration Building mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077864 - time 1309 temp 67 and wind 04 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077865 - Kardia reported HR 090 Normal Sinus Rhythm - see below. ref SDS 0 WTWR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077866 - Both feet PL 4, left knee meniscus PL 3, left shoulder PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077867 - elbow PL 3 intermitant, lower back middle PL 2.  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077868 - Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077869 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077870 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077871 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077872 - pill, per above. ref SDS 0 WQRT  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077873 - buildings and through parking lots.  At mile 10, exited college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077874 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077875 - Hiked West on flat grade .5 miles.  At mile 11, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077876 - Ranch Road uphill 3% grade .5 miles against wind 03 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077877 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077878 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077879 - grade to summit.  At end of concrete traffic barriar mile 12, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077880 - West 2 miles downhill 3% grade; crossed back to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077881 - Valley Road.  Crossed Oak Grove at traffic light.  Hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077882 - loops around block at Safeway shopping complex.  Stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077883 - mile 16, time 1543, temp 66 and wind 08 mph; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077884 - artifact, Kardia reported HR 104 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077885 - WTXT  Both feet PL 2, left knee meniscus PL 2, left knee patella PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077886 - left shoulder PL 1, left elbow PL 3 intermitant.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077887 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077888 - butter, margarine and chia seeds for energy, and avocado for HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077889 - took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077890 - above. ref SDS 0 WQRT  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077891 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077892 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077893 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077894 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077895 - San Miguel continued .75 miles on Treat uphill 5% grade temp 59.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077896 - Handled this well.  At summit, mile 20, hiked another mile to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077897 - and then home.  Ended hike mile 21 time 1709 temp 62, wind 06, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077898 - 2, left knee PL 2 (less swollen), right knee PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077899 - neck and right shoulder PL 0 intermittantly, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077900 - lifting.  Lower legs (muscles, tendons, ligaments) PL 0.  Lower middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077901 - back PL 3.  EKG looks uniform, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077902 - 103 Tachycardia - see below. ref SDS 0 WURQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077908 -  ..
077909 - Kardia recorded HR 48 at 0952 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077910 - lengths with p-wave and no artifact; no AFL after hiking 31 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077911 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077912 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077913 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077914 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077915 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077918 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077919 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240130-ecg-095248_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077924 -  ..
077925 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077926 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077927 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077929 -  ..
077930 - Forgot to start Polar GPS/HR monitor until mile 1.25...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077932 -  ..
077933 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
077934 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077935 -       Date       240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 231115 231114 231113 231112 231111 231110 2  
077936 -       Miles         21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19      0     14     17     23     20     24     
077937 -       HR AVG       103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     no    107    112    107    107    116     
077938 -         MAX        123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  report   124    138    133    131    142     
077939 -         Min         66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69            60     87     62     70     72     
077940 -       El Climb Ft  495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520           520    715    715    352    715     
077941 -       Temp Max      69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69            70     69     71     73     69     
077942 -       Wind Max      10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7             8      7      4      5      5     
077943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077946 -              https://flow.polar.com/training/analysis/7809108384                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077949 -               ..
077951 -   
077952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077956 -  ..
077957 - EKG at mile 08 time 1309 HR 090 temp 67, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077958 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077959 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
077960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077962 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077963 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240130-ecg-130917_mile_08_090_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077968 -  ..
077969 - EKG at mile 16 time 1543 HR 104 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
077970 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077971 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
077972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077974 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077975 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240130-ecg-154302_mile_16_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077979 -  ..
077980 - End hike EKG at mile 21 time 1709 HR 103 temp 62 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077981 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
077982 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
077983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077985 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
077986 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240130-ecg-170913_mile_21_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
077987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077991 -  ..
077992 - Post hike HR profile beginning 0107 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077993 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
077994 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
077995 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
077996 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
077997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
077999 -        ..
078000 -       Date      240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121  231120    
078001 -       Time       0107    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935    1909     
078002 -       Hours         8      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14       9     
078003 -       HR AVG       60      63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60      66     
078004 -       HR MAX      124     114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     125     
078005 -       HR Min       39      47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40      45     
078006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078008 -              https://flow.polar.com/training/analysis/7809516052                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078011 -               ..
078013 -   
078014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078018 -  ..
078019 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078020 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078021 - Dinner - macaroni cheese eggs ham potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078023 -  ..
078024 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078053 -         ..
078054 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078055 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078056 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078057 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078058 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078059 -   31.  240131 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078060 -               0715....BP HR..................................................... 147  84  45  Kardia ECG reports HR status, see below. ref SDS 0 WXPU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078061 -               0720....BP HR..................................................... 131  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078062 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078063 -               0725....80 380700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078064 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078065 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078066 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078067 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078068 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078069 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078070 -               1700... 40 106220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
078071 -             1 0000............ 10 19260  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
078072 -             1 0000............ 10 19630  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
078073 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078074 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078075 -               2130... 40 82120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078076 -               2150... 1000 2026000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078077 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078078 -               2300... 80 380780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078079 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078080 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078081 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078084 -  ..
078085 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078086 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078087 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078088 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078089 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078091 -  ..
078092 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078093 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078095 -  ..
078096 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078097 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078102 -  ..
078103 - Kardia recorded HR 45 at 0945 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078104 - with p-wave and minor artifact; no AFL after hiking 31 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078105 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078106 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078107 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078108 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078109 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078112 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078113 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240131-ecg-094503_mile_00_045_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078118 -  ..
078119 - Post hike HR profile beginning 0107 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078120 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078121 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078122 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078123 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078126 -        ..
078127 -       Date      240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122  231121    
078128 -       Time       0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229    1935     
078129 -       Hours         8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8      14     
078130 -       HR AVG       60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63      60     
078131 -       HR MAX      124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     137     
078132 -       HR Min       39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46      40     
078133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078135 -              https://flow.polar.com/training/analysis/7809516052                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078138 -               ..
078140 -   
078141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078145 -  ..
078146 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078147 - Lunch - sandwich balony cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078148 - Dinner - macaroni cheese eggs ham potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078150 -  ..
078151 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078177 -         ..
078178 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078179 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078180 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078181 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078182 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078183 -   32.  240201 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078184 -               0725....BP HR..................................................... 143  80  47  Kardia ECG reports HR status, see below. ref SDS 0 W6TZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078185 -               0730....BP HR..................................................... 145  83  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078186 -               0735....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078187 -               0735....80 380860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078188 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078189 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078190 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078191 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078192 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078193 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078194 -               1700... 40 106260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
078195 -               1830............ 10 19270  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
078196 -               1830............ 10 19640  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
078197 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078198 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078199 -               2130... 40 82160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078200 -               2150... 1000 2027000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078201 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078202 -               2300... 80 380940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078203 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078204 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078205 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078207 -  ..
078208 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078209 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078210 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078211 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078212 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078214 -  ..
078215 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078216 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078218 -  ..
078219 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078220 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078224 -  ..
078225 - Kardia recorded HR 47 at 0755 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078226 - with p-wave and minor artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078227 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078228 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078229 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078230 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078231 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078234 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078235 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240201-ecg-075518_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078240 -  ..
078241 - Post hike HR profile beginning 2124 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078242 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078243 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078244 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078245 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078248 -        ..
078249 -       Date      240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123  231122    
078250 -       Time       2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001    2229     
078251 -       Hours         9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11       8     
078252 -       HR AVG       65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60      63     
078253 -       HR MAX      126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     105     
078254 -       HR Min       45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39      46     
078255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078257 -              https://flow.polar.com/training/analysis/7810740874                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078260 -               ..
078262 -   
078263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078267 -  ..
078268 - Breakfast - cheerios milk banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078269 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078270 - Dinner - eggs ham broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078272 -  ..
078273 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078297 -         ..
078298 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078299 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078300 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078301 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078302 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078303 -   33.  240202 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078304 -               0645....BP HR..................................................... 149  82  50  Kardia ECG reports HR status, see below. ref SDS 0 XPRB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078305 -               0650....BP HR..................................................... 154  83  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078306 -               0655....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078307 -               0655....80 381020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078308 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078309 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078310 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078311 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078312 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078313 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078314 -               1700... 40 106300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
078315 -             1 0000............ 10 19270  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
078316 -             1 0000............ 10 19640  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
078317 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078318 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078319 -               2130... 40 82200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078320 -               2150... 1000 2028000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078321 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078322 -               2300... 80 381100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078323 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078324 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078325 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078327 -  ..
078328 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078329 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078330 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078331 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078332 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078334 -  ..
078335 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078336 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078338 -  ..
078339 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078340 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078345 -  ..
078346 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078351 -  ..
078352 - Post hike HR profile beginning 2051 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078353 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078354 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078355 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078356 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078359 -        ..
078360 -       Date      240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124  231123    
078361 -       Time       2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046    2001     
078362 -       Hours         7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12      11     
078363 -       HR AVG       67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65      60     
078364 -       HR MAX      105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     105     
078365 -       HR Min       51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41      39     
078366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078368 -              https://flow.polar.com/training/analysis/7811390403                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078371 -               ..
078373 -   
078374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078378 -  ..
078379 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078380 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078381 - Dinner - macaroni cheese eggs ham potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078383 -  ..
078384 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078411 -         ..
078412 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078413 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078414 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078415 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078416 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078417 -   34.  240203 0615............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078418 -               0615....BP HR..................................................... 155  84  49  Kardia ECG reports HR status, see below. ref SDS 0 XQUR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078419 -               0620....BP HR..................................................... 151  83  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078420 -               0625....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078421 -               0625....80 381180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078422 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078423 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078424 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078425 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078426 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078427 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078428 -               1700... 40 106340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
078429 -               1830............ 10 19280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
078430 -               1830............ 10 19650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
078431 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078432 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078433 -               2130... 40 82240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078434 -               2150... 1000 2029000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078435 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078436 -               2300... 80 381260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078437 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078438 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078439 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078441 -  ..
078442 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078443 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078444 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078445 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078446 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078448 -  ..
078449 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078450 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078452 -  ..
078453 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078454 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078459 -  ..
078460 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078464 -  ..
078465 - Post hike HR profile beginning 2332 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078466 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078467 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078468 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078469 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078472 -        ..
078473 -       Date      240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125  231124    
078474 -       Time       2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900    2046     
078475 -       Hours         9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12      12     
078476 -       HR AVG       66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57      65     
078477 -       HR MAX      163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     176     
078478 -       HR Min       46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41      41     
078479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078481 -              https://flow.polar.com/training/analysis/7812263542                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078484 -               ..
078486 -   
078487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078491 -  ..
078492 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078493 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078494 - Dinner - hamburger eggs broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078496 -  ..
078497 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078523 -         ..
078524 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078525 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078526 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078527 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078528 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078529 -   35.  240204 0615............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078530 -               0615....BP HR..................................................... 152  87  51  Kardia ECG reports HR status, see below. ref SDS 0 XRVU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078531 -               0620....BP HR..................................................... 155  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078532 -               0625....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078533 -               0625....80 381340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078534 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078535 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078536 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078537 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078538 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078539 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078540 -               1700... 40 106380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
078541 -             1 0000............ 10 19280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
078542 -             1 0000............ 10 19650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
078543 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078544 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078545 -               2130... 40 82280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078546 -               2150... 1000 2030000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078547 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078548 -               2300... 80 381420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078549 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078550 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078551 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078553 -  ..
078554 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078555 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078556 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078557 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078558 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078560 -  ..
078561 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078562 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078564 -  ..
078565 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078566 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078570 -  ..
078571 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078574 -  ..
078575 - Post hike HR profile beginning 2223 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078576 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078577 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078578 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078579 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078582 -        ..
078583 -       Date      240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126  231125    
078584 -       Time       2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219    1900     
078585 -       Hours         9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10      12     
078586 -       HR AVG       69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62      57     
078587 -       HR MAX      104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     113     
078588 -       HR Min       46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43      41     
078589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078591 -              https://flow.polar.com/training/analysis/7812843894                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078594 -               ..
078596 -   
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078599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078601 -  ..
078602 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078603 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078604 - Dinner - hamburger eggs broccoli potato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078606 -  ..
078607 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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078633 -         ..
078634 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078635 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078636 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078637 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078638 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078639 -   36.  240205 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078640 -               0625....BP HR..................................................... 146  82  50  Kardia ECG reports HR status, see below. ref SDS 0 XS2W                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078641 -               0630....BP HR..................................................... 147  86  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078642 -               0635....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078643 -               0635....80 381580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078644 -               1230....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078645 -               1230....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078646 -               1230....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078647 -               1230....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078648 -               1230... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
078649 -  ..
078650 -         * cr  1306....miles...........  25.0  25.0  424   424 minutes  temp  60 wind 10  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078651 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078652 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
078653 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078654 -               1642....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078655 -               1642....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078656 -               1642... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078657 -               1642... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078658 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078659 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078660 -               1901....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078661 -               1901... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078662 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078663 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
078664 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078665 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078666 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078667 -               2037... Hike ends mile 25... ref SDS 0 ND5V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078668 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078669 -               2045....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078670 -               2050....BP HR..................................................... 147  83 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078671 -               2100....BP HR..................................................... 134  81  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078672 -               2110....BP HR..................................................... 122  80  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078673 -               2125....BP HR..................................................... 128  86  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078674 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078675 -               1700... 40 106420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
078676 -               1830............ 10 19280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
078677 -               1830............ 10 19650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
078678 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078679 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078680 -               2130... 40 82320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078681 -               2150... 1000 2031000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078682 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078683 -               2300... 80 381580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078684 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078685 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078686 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078688 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078689 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078690 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078691 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078692 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078693 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078694 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078695 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078697 -  ..
078698 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078699 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078700 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078701 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078702 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078704 -  ..
078705 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078706 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078708 -  ..
078709 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078710 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078713 -  ..
078714 - Today, hiked 25 miles - 72 days after PRP left knee and elbow - 49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078715 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078716 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078717 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078718 - then Ygnacio Valley Road.  Did not notice getting bloated today, so no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078719 - Simethicone for relief ischemic colitis, possibly related to statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078720 - and/or recent ablation.  Hiked on Pine Hollow 2.50 miles East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078721 - around at end, and hiked back.  Continued 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078722 - college.  Hiked 3 1.5-mile loops through parking lots.  Mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078723 - stopped for hydration, nutrition, and took pain meds.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078724 - hiking 4 miles over summit Ignacio Valley Road.  At Oak Grove hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078725 - 1-mile loops around Safeway shopping complex, then 1 mile North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078726 - Grove, and 2 miles on Treat to Cuneo and home.  Sudden severe pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078727 - left knee buckling about mile 20, may indicate need follow up PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078728 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078732 -         ..
078733 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078734 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078735 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloating today - did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                 
078736 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078737 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078738 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078739 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078740 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078741 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078742 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078743 -        Shoulder left myopathy statins...............   3         60  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                           
078744 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078745 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
078746 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078747 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078748 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078749 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078750 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
078751 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078752 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
078753 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
078754 -   ***  Knee buckling left..PRP 191209.240108........  10         10  seems like anterio ligament strained - severe pain on lateral pressure, especially going downhil - pain occurs instantly episodically and then subsides                                                                                                                                                                                                                                                                                                                                                                                      
078755 -   ***  Knee left cruciate ligaments back of knee....  10         10  think this is same as knee buckling - could have occurred when running short distance on Pine Hollow to accomodate drivers waiting to turn onto Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                  
078756 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078757 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078758 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078759 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078760 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078761 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078762 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078763 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078764 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078765 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078766 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078767 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
078768 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
078769 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078770 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078771 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
078772 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
078773 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
078774 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078775 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
078776 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078777 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078778 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078779 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078780 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
078781 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
078782 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
078783 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078784 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
078785 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078786 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078787 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078788 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
078789 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078790 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078791 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078792 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078793 -        Peripheral neruopathy top left hand..........   3         40  during hike hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078794 -        Peripheral neruopathy top right hand.........   3         40  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078795 -        Veering left.................................   1         30  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078796 -        Veering right ...............................   0        100  did not notice veering today, despite taking Tramadol and Gabapentin at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078797 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078798 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078799 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078800 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin at mile 13, and ended mile 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078801 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078803 -  ..
078804 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078806 -  ..
078807 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078809 -  ..
078810 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078812 -  ..
078813 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078814 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078816 -  ..
078817 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078818 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078819 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078820 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078821 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078825 -  ..
078826 - Concord 25 mile route - took more Glucosamine Chondroitin (...but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078827 - probably not enough...) for OA protection, mainly left knee, aiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078828 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078829 - ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by statins, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078830 - increases energy and HDL.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078831 - margarine and chia seeds for energy, and avocado for HDL; per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078832 - ref SDS 0 QW3G  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078833 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078834 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078835 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
078836 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078837 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078838 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078839 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078840 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078841 - feeling like pins and needles - ;ess numb today - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078842 - ground - more severe after not hiking since 240118 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
078843 - ref SDS 0 NA6M  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078844 - Temp started at 57, and reached 63.  West wind 08 mph and mostly 03                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078845 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078846 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078847 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078848 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078849 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078850 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078851 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078852 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078853 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078854 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078855 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078856 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078857 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078858 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078859 - store mile 5. time ____, Continued hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078860 - turned left hiked 2.50 miles East on Pine Hollow.  At the end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078861 - Hollow, turned around and hiked back to YV.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078862 - Drive hiking West 1 mile uphill 3% - 4% grade with wind 03 mph.  Mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078863 - 10 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078864 - Concord Campus.  Hiked once around main campus buildings.  Since left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078865 - elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078866 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078867 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078868 - Hiked 2 1.5-mile loops through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078869 - Visitor Parking stopped at Administration Building mile 13 time 1642                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078870 - temp 55 and wind 05 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078871 - HR 113 Tachycardia (HR noticably higher today after not hiking past 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078872 - days) - see below. ref SDS 0 7FRV  Both feet PL 2, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078873 - PL 3, left knee patella PL 2, left shoulder PL 3, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078874 - intermitant.  Took Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078875 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078876 - softdrink carried from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078877 - and nutrition - peanut butter, margarine and chia seeds for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078878 - and avocado for HDL, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078879 - ref SDS 0 XQQW  Hiked another loop through parking lots,  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078880 - Visitor Parking at mile 14, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078881 - Campus Drive.  Going downhill, left knee buckled with severe pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078882 - momentarily.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078883 - flat grade .5 miles.  At mile 15, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078884 - uphill 3% grade .5 miles against wind 05 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078885 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078886 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078887 - end of concrete traffic barriar mile 16, hiked West 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078888 - 3% grade; crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078889 - Grove at traffic light.  Hiked 2 1-mile loops around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078890 - shopping complex.  Stopped near Mod Pizza mile 20, time 1901, temp 52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078891 - and wind 05 mph; EKG uniform with no artifact, Kardia reported HR 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078892 - Tachycardia (HR noticably higher today after not hiking past 5 days) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078893 - see below. ref SDS 0 XD8N  Both feet PL 3, left knee meniscus PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078894 - left knee patella PL 2, left shoulder PL 1, left elbow PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078895 - intermitant.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078896 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078897 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078898 - energy, and avocado for HDL, per above. ref SDS 0 XQQW  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078899 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078900 - to Via Monte hiking North .25 miles - left knee buckled again with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078901 - severe momentary pain, had to be careful to walk straight, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078902 - veering or stumbling, which often occurs 2+ hours after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
078903 - Tramadol, causes severe pain - turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
078904 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt
078905 -  ..
078906 - shoulder.  Crossed Treat at street light.  About 50' across street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078907 - left knee buckled again with severe pain - nearly fell down in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078908 - crosswalk with 3 lanes of cars waiting for light to turn green.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078909 - Turned right and hiked 1 mile East on flat grade concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078910 - At San Miguel continued .75 miles on Treat uphill 5% grade temp 60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078911 - This was difficult being careful to avoid angular movement that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078912 - triggers knee pain, and avoid significant tree debris from continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078913 - storm the past few days.  Handled this well.  At summit, mile 22,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078914 - hiked another mile to Cuneo, then .25 miles to Kaski and back, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078915 - home.  Ended hike mile 25 time 2037 temp 51, wind 00, feet PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078916 - knee PL 7 (swollen) - maybe anterior cruciate ligament (ACL); right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078917 - knee PL 0, left hip PL 0, left shoulder PL 2, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078918 - PL 0 intermittantly, left elbow PL 3, when lifting.  Lower legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078919 - (muscles, tendons, ligaments) PL 0.  EKG looks variable, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
078920 - artifact, Kardia reported HR 107 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078921 - ND5V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078927 -  ..
078928 - Kardia recorded HR 50 at 0959 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078929 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078930 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
078931 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078932 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078933 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078934 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078937 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078938 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240205-ecg-095926_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078943 -  ..
078944 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078945 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078946 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078948 -  ..
078949 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
078950 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078951 -       Date       240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 231118 231117 231116 2  
078952 -       Miles         25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23      0      0     19     
078953 -       HR AVG       119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     no     no    113     
078954 -         MAX        143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  report report   155  r  
078955 -         Min         37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66                   69     
078956 -       El Climb Ft  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715                  520     
078957 -       Temp Max      60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63                   69     
078958 -       Wind Max      10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8                    7     
078959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078962 -              https://flow.polar.com/training/analysis/7813145838                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078965 -               ..
078967 -   
078968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078972 -  ..
078973 - EKG at mile 13 time 1642 HR 113 temp 55, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078974 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078975 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078978 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078979 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240205-ecg-164232_mile_13_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078984 -  ..
078985 - EKG at mile 20 time 1901 HR 117 temp 52, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
078986 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
078987 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078990 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
078991 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240205-ecg-190134_mile_20_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
078992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
078995 -  ..
078996 - End hike EKG at mile 25 time 2037 HR 107 temp 51 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
078997 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
078998 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
078999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079001 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079002 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240205-ecg-203743_mile_25_107_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079007 -  ..
079008 - Post hike HR profile beginning 0134 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079009 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079010 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079011 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079012 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079015 -        ..
079016 -       Date      240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127  231126    
079017 -       Time       0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016    2219     
079018 -       Hours         6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2      10     
079019 -       HR AVG       61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61      62     
079020 -       HR MAX      107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     134     
079021 -       HR Min       46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46      43     
079022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079024 -              https://flow.polar.com/training/analysis/7813622130                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079027 -               ..
079029 -   
079030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079034 -  ..
079035 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079036 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079037 - Dinner - ham eggs broccoli cauliflower potato onion olives cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079039 -  ..
079040 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079069 -         ..
079070 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079071 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079072 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079073 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079074 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079075 -   37.  240206 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079076 -               0725....BP HR..................................................... 143  84  49  Kardia ECG reports HR status, see below. ref SDS 0 6XRS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079077 -               0730....BP HR..................................................... 138  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079078 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079079 -               0735....80 381660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079080 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079081 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079082 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079083 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079084 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079085 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079086 -               1700... 40 106460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
079087 -             1 0000............ 10 19280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
079088 -             1 0000............ 10 19650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
079089 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079090 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079091 -               2130... 40 82360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079092 -               2150... 1000 2032000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079093 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079094 -               2300... 80 381740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079095 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079096 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079097 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079099 -  ..
079100 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079101 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079102 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079103 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079104 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079106 -  ..
079107 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079108 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079110 -  ..
079111 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079112 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079116 -  ..
079117 - Kardia recorded HR 48 at 0907 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079118 - with p-wave and significant artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079119 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079120 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079121 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079122 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079123 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079126 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079127 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240206-ecg-090755_mile_00_048_bdy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079133 -  ..
079134 - Post hike HR profile beginning 2029 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079135 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079136 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079137 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079138 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079141 -        ..
079142 -       Date      240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128  231127    
079143 -       Time       2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859    0016     
079144 -       Hours        11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12       2     
079145 -       HR AVG       59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67      61     
079146 -       HR MAX      116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119      97     
079147 -       HR Min       41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45      46     
079148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079150 -              https://flow.polar.com/training/analysis/7814143221                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079153 -               ..
079155 -   
079156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079160 -  ..
079161 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079162 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079163 - Dinner - macaroni & cheese ham brocolli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079165 -  ..
079166 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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079177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079194 -         ..
079195 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079196 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079197 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079198 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079199 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079200 -   38.  240207 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079201 -               0705....BP HR..................................................... 132  75  50  Kardia ECG reports HR status, see below. ref SDS 0 YRVS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079202 -               0710....BP HR..................................................... 136  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079203 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079204 -               0725....80 381820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079205 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079206 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079207 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079208 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079209 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079210 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079211 -               1700... 40 106500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
079212 -               1830............ 10 19290  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
079213 -               1830............ 10 19660  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
079214 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079215 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079216 -               2130... 40 82400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079217 -               2150... 1000 2033000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079218 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079219 -               2300... 80 381900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079220 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079221 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079222 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079225 -  ..
079226 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079227 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079228 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079229 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079230 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079232 -  ..
079233 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079234 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079236 -  ..
079237 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079238 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079243 -  ..
079244 - Kardia recorded HR 47 at 0948 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079245 - with p-wave and some artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079246 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079247 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079248 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079249 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079252 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079253 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240207-ecg-094847_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079258 -  ..
079259 - Post hike HR profile beginning 1939 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079260 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079261 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079262 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079263 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079266 -        ..
079267 -       Date      240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129  231128    
079268 -       Time       1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003    1859     
079269 -       Hours        12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10      12     
079270 -       HR AVG       64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61      67     
079271 -       HR MAX      117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     119     
079272 -       HR Min       42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43      45     
079273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079275 -              https://flow.polar.com/training/analysis/7814776834                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079278 -               ..
079280 -   
079281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079285 -  ..
079286 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079287 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079288 - Dinner - macaroni & cheese ham brocolli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079290 -  ..
079291 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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079309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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079312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079318 -         ..
079319 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079320 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079321 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079322 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079323 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079324 -   39.  240208 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079325 -               0715....BP HR..................................................... 137  78  53  Kardia ECG reports HR status, see below. ref SDS 0 YS4V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079326 -               0720....BP HR..................................................... 136  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079327 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079328 -               0735....80 381820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079329 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079330 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079331 -               1120....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079332 -               1120....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079333 -               1120... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
079334 -  ..
079335 -               1158....miles...........  22.0  47.0  369   793 minutes  temp  55 wind 08  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079336 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079337 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
079338 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079339 -               1502....mile 10 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079340 -               1502....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079341 -               1502... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079342 -               1502... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079343 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079344 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079345 -               1720....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079346 -               1720... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079347 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079348 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079349 -               1740....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079350 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079351 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079352 -               1850... Hike ends mile 22... ref SDS 0 YTUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079353 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079354 -               1855....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079355 -               1900....BP HR..................................................... 141  84  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079356 -               1910....BP HR..................................................... 133  83  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079357 -               1920....BP HR..................................................... 128  81  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079358 -               1940....BP HR..................................................... 103  68  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079359 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079360 -               1700... 40 106500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
079361 -             1 0000............ 10 19290  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
079362 -             1 0000............ 10 19660  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
079363 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079364 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079365 -               2130... 40 82400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079366 -               2150... 1000 2033000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079367 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079368 -               2300... 80 381900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079369 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079370 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079371 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079374 -  ..
079375 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079376 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079377 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079378 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079379 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079381 -  ..
079382 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079383 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079385 -  ..
079386 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079387 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079390 -  ..
079391 - Today, hiked 22 miles - 75 days after PRP left knee and elbow - 52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079392 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079393 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079394 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079395 - then Ygnacio Valley Road.  Did not notice getting bloated today, so no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079396 - Simethicone for relief ischemic colitis, possibly related to statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079397 - and/or recent ablation.  Hiked on Pine Hollow 0.50 miles East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079398 - around and hiked back.  Continued 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079399 - Hiked 3 1.5-mile loops through parking lots.  Mile 10 stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079400 - hydration, nutrition, and took pain meds.  Hiked another mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079401 - parking lots.  At mile 13, left college hiking 4 miles over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079402 - Ignacio Valley Road.  At Oak Grove hiked 3 1-mile loops around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079403 - shopping complex, then 1 mile North on Oak Grove, and 2 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079404 - to Cuneo and home.  After pausing hiking for 2 day, did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079405 - episodes of sudden severe pain left knee buckling likely from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079406 - straining left ACL, that occurred on 240205, per above. ref SDS 0 EZ4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079410 -         ..
079411 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079412 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079413 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloating today - did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                 
079414 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079415 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079416 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079417 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079418 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079419 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079420 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079421 -        Shoulder left myopathy statins...............   2         60  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                           
079422 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079423 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
079424 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079425 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079426 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079427 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079428 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079429 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079430 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
079431 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
079432 -   ***  Knee buckling left..PRP 191209.240108........   3          5  seems like anterior ligament strained - hurt after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079433 -   ***  Knee left anterior cruciate ligament.........   3          5  only hurt after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079434 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079435 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079436 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079437 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079438 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079439 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079440 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079441 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079442 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079443 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079444 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079445 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
079446 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
079447 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079448 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079449 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
079450 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
079451 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
079452 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079453 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
079454 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079455 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079456 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079457 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079458 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
079459 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
079460 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
079461 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079462 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
079463 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079464 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079465 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079466 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
079467 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079468 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079469 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079470 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079471 -        Peripheral neruopathy top left hand..........   0        100  during hike hand numb and shaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079472 -        Peripheral neruopathy top right hand.........   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079473 -        Veering left.................................   1         30  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079474 -        Veering right ...............................   0        100  did not notice veering today, despite taking Tramadol and Gabapentin at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079475 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079476 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079477 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079478 -        Wobbly disoriented staggering dizzy..........   3         10  took 1 Tramadol and 1 Gabapentin at mile 10, and ended mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079479 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079481 -  ..
079482 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079484 -  ..
079485 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079487 -  ..
079488 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079490 -  ..
079491 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079492 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079494 -  ..
079495 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079496 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079497 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079498 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079499 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079503 -  ..
079504 - Concord 22 mile route - took more Glucosamine Chondroitin (...but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079505 - probably not enough...) for OA protection, mainly left knee, aiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079506 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079507 - ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by statins, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079508 - increases energy and HDL.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079509 - margarine and chia seeds for energy, and avocado for HDL; per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079510 - ref SDS 0 2X6I  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079511 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079512 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079513 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079514 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079515 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079516 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079517 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079518 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079519 - feeling like pins and needles - difficulty feeling ground - more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079520 - severe after not hiking since 240205 per above. ref SDS 0 QW3G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079521 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079522 - 51, and reached 65.  West wind 08 mph and mostly 03 mph.  No rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079523 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079524 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079525 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079526 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079527 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079528 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079529 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079530 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079531 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079532 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079533 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079534 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079535 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079536 - Stopped at Union 76 Texaco Gas Station store mile 5, just to say hello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079537 - to Kim.  Continued hiking on Ygnacio Valley Road; turned left hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079538 - 0.50 miles East on Pine Hollow.  Beyond Discovery Way, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079539 - and hiked back to YV.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079540 - mile uphill 3% - 4% grade with wind 03 mph.  Mile 07 - reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079541 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079542 - once around main campus buildings.  Since left elbow still recoverying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079543 - from PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079544 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079545 - using training equipment.  Hiked 1.5-mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079546 - Student Parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079547 - Building mile 10, time 1502 temp 54 and wind 05 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079548 - no artifact, Kardia reported HR 105 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079549 - ref SDS 0 XXSR  Both feet PL 1, left knee meniscus PL 1, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079550 - patella PL 1, left shoulder PL 2, left elbow PL 3 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079551 - Tramadol and Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079552 - ml for HDL and energy to complete hike.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079553 - home for hydration and swallowing pain pills and nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079554 - butter, margarine and chia seeds for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079555 - not take Nuun electrolyte pill, per above. ref SDS 0 YQPY  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079556 - another loop through parking lots,  Back at Visitor Parking at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079557 - 11, exited college hiking North downhill on Campus Drive.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079558 - downhill, left knee did not buckled, as occurred in last hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079559 - 230205.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079560 - grade .5 miles.  At mile 12, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079561 - 3% grade .5 miles against wind 05 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079562 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079563 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079564 - end of concrete traffic barriar mile 13, hiked West 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079565 - 3% grade; crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079566 - Grove at traffic light.  Hiked 2 1-mile loops around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079567 - shopping complex.  Stopped near Mod Pizza mile 17, time 1720, temp 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079568 - and wind 06 mph; EKG uniform with no artifact, Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079569 - Tachycardia (HR noticably higher today after not hiking past 5 days) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079570 - see below. ref SDS 0 YTTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079571 - Both feet PL 3, left knee meniscus PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079572 - left knee patella PL 2, left shoulder PL 1, left elbow PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079573 - intermitant.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079574 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079575 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079576 - energy, and avocado for HDL, per above. ref SDS 0 YQPY  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079577 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079578 - to Via Monte hiking North .25 miles - left knee did not buckle with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079579 - severe momentary pain, as occurred on 240205; was careful to walk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079580 - straight, because veering or stumbling, which often occurs 2+ hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079581 - after taking Tramadol, causes severe pain - turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079582 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079583 - mile North on asphalt shoulder.  Crossed Treat at street light.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079584 - knee did not buckle with severe pain, as occurred on 240205.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079585 - right and hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079586 - Miguel continued .75 miles on Treat uphill 5% grade temp 60.  Was to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079587 - avoid angular movement that triggers knee pain, while avoiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079588 - significant tree debris from severe storm the past few days.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079589 - this well.  At summit, mile 21, hiked another mile to Cuneo, then .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079590 - miles to Kaski and back, then home.  Ended hike mile 22 time 1850 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079591 - 47, wind 05, feet PL 2, left knee PL 2 (slightly swollen) - maybe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079592 - anterior cruciate ligament (ACL); right knee PL 0, left hip PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079593 - shoulder PL 2, neck and right shoulder PL 0 intermittantly, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079594 - PL 3, when lifting.  Lower legs (muscles, tendons, ligaments) PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079595 - EKG looks uniform, with no artifact, Kardia reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079596 - Tachycardia - see below. ref SDS 0 YTUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079602 -  ..
079603 - Kardia recorded HR 47 at 0726 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079604 - with p-wave and some artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079605 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079606 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079607 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079608 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079611 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079612 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240208-ecg-072601_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079617 -  ..
079618 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079619 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079620 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079622 -  ..
079623 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079624 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079625 -       Date       240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 231119 2  
079626 -       Miles         22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     23     
079627 -       HR AVG       116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111    120     
079628 -         MAX        133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129    148  r  
079629 -         Min         76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     66     
079630 -       El Climb Ft  495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352    715     
079631 -       Temp Max      55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     63     
079632 -       Wind Max      08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11      8     
079633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079636 -              https://flow.polar.com/training/analysis/7815085274                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079639 -               ..
079641 -   
079642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079646 -  ..
079647 - EKG at mile 10 time 1502 HR 105 temp 54, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079648 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079649 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079652 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079653 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240208-ecg-150232_mile_10_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079658 -  ..
079659 - EKG at mile 17 time 1720 HR 113 temp 51, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079660 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079661 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079664 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079665 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240208-ecg-172043_mile_17_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079669 -  ..
079670 - End hike EKG at mile 22 time 1850 HR 108 temp 47 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079671 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079672 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079675 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079676 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240208-ecg-185037_mile_22_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079681 -  ..
079682 - Post hike HR profile beginning 0325 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079683 - overnight after hiking 22 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079684 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079685 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079686 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079689 -        ..
079690 -       Date      240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130  231129    
079691 -       Time       0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010    2003     
079692 -       Hours         6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11      10     
079693 -       HR AVG       58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64      61     
079694 -       HR MAX       96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     113     
079695 -       HR Min       43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43      43     
079696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079698 -              https://flow.polar.com/training/analysis/7815445897                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079701 -               ..
079703 -   
079704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079708 -  ..
079709 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079710 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079711 - Dinner - tuna macaroni cheese eggs ham onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079713 -  ..
079714 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079741 -         ..
079742 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079743 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079744 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079745 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079746 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079747 -   40.  240209 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079748 -               0725....BP HR..................................................... 158  79  51  Kardia ECG reports HR status, see below. ref SDS 0 8QYX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079749 -               0730....BP HR..................................................... 146  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079750 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079751 -               0735....80 381980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079752 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079753 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079754 -               1130....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079755 -               1130....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079756 -               1130... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
079757 -  ..
079758 -               1206....miles...........  20.0  67.0  347  1140 minutes  temp  57 wind 06  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079759 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079760 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079761 -               1440... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
079762 -               1542....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079763 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079764 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079765 -               1542... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079766 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079767 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079768 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079769 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079770 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079771 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
079772 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079773 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079774 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079775 -               1814... Hike ends mile 20... ref SDS 0 YR4U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079776 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079777 -               1830....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079778 -               1840....BP HR..................................................... 120  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079779 -               1850....BP HR..................................................... 114  74  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079780 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079781 -               1900... 40 106540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
079782 -               2030............ 10 19300  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
079783 -               2030............ 10 19670  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
079784 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079785 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079786 -               2130... 40 82440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079787 -               2150... 1000 2034000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079788 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079789 -               2300... 80 382060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079790 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079791 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079792 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079794 -  ..
079795 - Vision better today after pausing Apixaban on 240110, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079796 - ref SDS 0 M35G  Can see text better working with SDS on computer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079797 - screen 2 feet across the desk.  Research indicates blurred vision is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079798 - possible side effect taking Apixaban blood thinner, started on 231215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079799 - 0731. ref SDS 29 8E34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079801 -  ..
079802 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079803 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079805 -  ..
079806 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079807 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079810 -  ..
079811 - Today, hiked 20 miles - 76 days after PRP left knee and elbow - 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079812 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079813 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079814 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079815 - then Ygnacio Valley Road.  Hiked on Pine Hollow 1.00 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079816 - Turned around and hiked back.  Continued 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079817 - college.  Hiked 5 1.5-mile loops through parking lots.  On 1st or 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079818 - loop, took Simethicone to relieve bloating.  Mile 12 stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079819 - hydration, nutrition, and took pain meds.  At mile 16, left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079820 - hiking 2 miles over summit Ignacio Valley Road.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079821 - hiked back to Cowell, then another mile to Teat and Cuneo, finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079822 - home.  Had numerous episodes of severe, momentary pain left knee from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079823 - straining ACL, though knee did not seem to buckle, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079824 - 240205, per above. ref SDS 0 EZ4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079828 -         ..
079829 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079830 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079831 -        Stomach pain ischemic colitis bloating.......   2          5  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
079832 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079833 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079834 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079835 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079836 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079837 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079838 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079839 -        Shoulder left myopathy statins...............   2         60  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                           
079840 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079841 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
079842 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079843 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079844 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079845 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079846 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
079847 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079848 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
079849 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
079850 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079851 -   ***  Knee left anterior cruciate ligament.........  10         20  multiple episodes especially when turning left - also stepping down awkwardly, seems like nerve slipping into a joint that closes on the nerve                                                                                                                                                                                                                                                                                                                                                                                               
079852 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079853 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079854 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079855 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079856 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079857 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079858 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079859 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079860 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079861 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079862 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079863 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
079864 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
079865 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079866 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079867 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
079868 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
079869 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
079870 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079871 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
079872 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079873 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079874 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079875 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079876 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
079877 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
079878 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
079879 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079880 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
079881 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079882 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079883 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079884 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
079885 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079886 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079887 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079888 -        Peripheral neruopathy both feet..............   2         50  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079889 -        Peripheral neruopathy top left hand..........   2         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079890 -        Peripheral neruopathy top right hand.........   2         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079891 -        Veering left.................................   1         30  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079892 -        Veering right ...............................   0        100  did not notice veering today, despite taking Tramadol and Gabapentin at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079893 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079894 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079895 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079896 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin at mile 10, and ended mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079897 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079899 -  ..
079900 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079902 -  ..
079903 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079905 -  ..
079906 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079908 -  ..
079909 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079910 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079912 -  ..
079913 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079914 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079915 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079916 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079917 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079921 -  ..
079922 - Concord 20 mile route - took more Glucosamine Chondroitin (...but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079923 - probably not enough...) for OA protection, mainly left knee, aiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079924 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079925 - ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by statins, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079926 - increases energy and HDL.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079927 - margarine and chia seeds for energy, and avocado for HDL; per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079928 - ref SDS 0 MQ3M  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079929 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079930 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079931 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
079932 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079933 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
079934 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079935 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
079936 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079937 - feeling like pins and needles - difficulty feeling ground - more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079938 - severe after not hiking since 240205 per above. ref SDS 0 QW3G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079939 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079940 - 54, and reached 57.  West wind 06 mph and mostly 03 mph.  No rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079941 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079942 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079943 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079944 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079945 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079946 - road shoulder.  At mile 3, feeling neuropathy top of both hands.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079947 - Turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079948 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079949 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079950 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079951 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079952 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079953 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079954 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079955 - Texaco Gas Station store mile 5, time ____.  Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079956 - Ygnacio Valley Road; turned left hiked 1.00 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079957 - At Pennsylvania Avenue, turned around and hiked back to YV.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079958 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079959 - wind 03 mph.  Mile 08 - reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079960 - University East Bay Concord Campus.  Hiked once around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079961 - buildings.  Since left elbow still recoverying from PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079962 - 231121 0700. ref SDS 27 G45J, did not stop at training station to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
079963 - 20 half-pullups, 40 half-pushups and 00 situps using training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
079964 - equipment.  Hiked 2 1.5-mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079965 - Parking.  On 1st loop feeling bloated symptom ischemic colotis - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079966 - Simethicone.  During both loops turning left sharply or stepping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079967 - awkwardly generating left, lateral force on left knee caused momentary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079968 - PL 10, similar to symptoms diagnosed as ACL tear in MRI on 160805                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
079969 - 0800. ref SDS 7 OH5R; and, a year later on 171229 0745. ref SDS 9 OH5R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079970 - Both were treated with PRP, and symptoms did not recur until now, 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079971 - years later.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079972 - Building mile 12, time 1542 temp 57 and wind 07 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079973 - uniform with no artifact, Kardia reported HR 105 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079974 - below. ref SDS 0 YRTR  Both feet PL 2, left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079975 - knee ACL PL 7 episodic, left shoulder PL 1, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
079976 - intermitant.  Decided not to hike over YV summit, in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079977 - hiking in darkness.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079978 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079979 - hike.  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079980 - pain pills and nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079981 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079982 - above. ref SDS 0 XYRS  Hiked 2 more loops through parking lots,  Back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079983 - at Visitor Parking at mile 16, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079984 - Campus Drive.  Going downhill, left knee did not buckle, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079985 - in last hike on 230205.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079986 - West on flat grade .5 miles.  At mile 17, continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079987 - Road uphill 3% grade .5 miles against wind 05 mph.  Crossed Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
079988 - stop light.  At break in traffic, crossed to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079989 - Road to avoid severe camber.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079990 - summit.  At end of concrete traffic barriar mile 18, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
079991 - hiked back .5 mile.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079992 - downhill 5% grade.  Continued .5 miles flat grade.  Too dark to see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
079993 - the road.  Hiked another .25 miles narrow path with no shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
079994 - against heavy evening commute traffic (headlights blinding - since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
079995 - left knee injured this was challenging).  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
079996 - heading West .25 miles.  Crossed street at break in traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079997 - right onto Cuneo and hiked home.  Ended hike mile 20, time 1814 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
079998 - 53, wind 00 mph, feet PL 2, left knee PL 2, ACL PL 10 multiple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
079999 - episodes, left shoulder PL 3; neck to right shoulder PL 8 momentarily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080000 - when twistng shoulders/neck left or right; otherwise entire body feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080001 - okay after 20 miles.  EKG looks uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080002 - reported HR 105 Tachycardia - see below. ref SDS 0 YR4U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080008 -  ..
080009 - Kardia recorded HR 46 at 1021 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080010 - with p-wave and some artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080011 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080012 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080013 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080014 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080017 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080018 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240209-ecg-102151_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080023 -  ..
080024 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080025 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080026 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080028 -  ..
080029 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080030 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080031 -       Date       240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 231120 2  
080032 -       Miles         20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     15     
080033 -       HR AVG       114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no    111     
080034 -         MAX        147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report   129     
080035 -         Min         45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   39     
080036 -       El Climb Ft  495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                  352     
080037 -       Temp Max      57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   65     
080038 -       Wind Max      06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   11     
080039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080042 -              https://flow.polar.com/training/analysis/7815640295                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080045 -               ..
080047 -   
080048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080052 -  ..
080053 - EKG at mile 12 time 1542 HR 105 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080054 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080055 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080058 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080059 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240209-ecg-154252_mile_12_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080064 -  ..
080065 - End hike EKG at mile 20 time 1814 HR 105 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080066 - Tachycardia... looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080067 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080070 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080071 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240209-ecg-181440_mile_20_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080079 -  ..
080080 - Post hike HR profile beginning 2332 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080081 - overnight after hiking 20 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080082 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080083 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080084 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080087 -        ..
080088 -       Date      240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201  231130    
080089 -       Time       2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205    2010     
080090 -       Hours         8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8      11     
080091 -       HR AVG       65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62      64     
080092 -       HR MAX      150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     140     
080093 -       HR Min       39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43      43     
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080095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080096 -              https://flow.polar.com/training/analysis/7816047500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
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080099 -               ..
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080106 -  ..
080107 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080108 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080109 - Dinner - tuna macaroni cheese hot dog potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080111 -  ..
080112 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
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080140 -         ..
080141 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080142 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080143 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080144 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080145 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080146 -   41.  240210 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080147 -               0715....BP HR..................................................... 160  88  45  Kardia ECG reports HR status, see below. ref SDS 0 7LQ2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080148 -               0720....BP HR..................................................... 159  89  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080149 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080150 -               0725....80 382140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080151 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080152 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080153 -               1040....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080154 -               1040....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080155 -               1040... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
080156 -  ..
080157 -               1102....miles...........  25.0  92.0  429  1569 minutes  temp  62 wind 08  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080158 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080159 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080160 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
080161 -               1323....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080162 -               1223....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080163 -               1223... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080164 -               1223... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080165 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080166 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080167 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080168 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080169 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080170 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080171 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080172 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080173 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080174 -               1836... Hike ends mile 25... ref SDS 0 YV6S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080175 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080176 -               1850....weight.................................... 172  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080177 -               1855....BP HR.....................................................  94  62 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080178 -               1900....BP HR..................................................... 101  63  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080179 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080180 -               1920... 40 106580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
080181 -             1 0000............ 10 19300  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
080182 -             1 0000............ 10 19670  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
080183 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080184 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080185 -               2130... 40 82480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080186 -               2150... 1000 2035000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080187 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080188 -               2300... 80 382220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080189 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080190 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080191 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080194 -  ..
080195 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080196 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080198 -  ..
080199 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080200 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080203 -  ..
080204 - Today, hiked 25 miles - 76 days after PRP left knee and elbow - 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080205 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080206 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080207 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080208 - then Ygnacio Valley Road.  Hiked on Pine Hollow 1.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080209 - Turned around and hiked back.  Continued 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080210 - college.  Hiked 5 1.5-mile loops through parking lots.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080211 - Simethicone to relieve bloating.  Mile 09 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080212 - nutrition, and took pain meds.  At mile 16, left college hiking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080213 - miles over summit Ignacio Valley Road.  Continued 2 miles, then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080214 - 2 miles around Safeway shopping complex.  Hiked 1 mile on Oak Grove,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080215 - and hiked 2 miles to Cuneo, finally home.  Had only few episodes of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080216 - severe, momentary pain left knee from straining ACL, and knee did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080217 - seem to buckle, as occurred on 240205, per above. ref SDS 0 EZ4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080221 -         ..
080222 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080223 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080224 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
080225 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080226 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080227 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080228 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080229 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080230 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080231 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080232 -        Shoulder left myopathy statins...............   2         60  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                           
080233 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080234 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
080235 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080236 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080237 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080238 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080239 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080240 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080241 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
080242 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
080243 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080244 -   ***  Knee left anterior cruciate ligament.........  10          5  multiple episodes especially when turning left - also stepping down awkwardly, seems like nerve slipping into a joint that closes on the nerve                                                                                                                                                                                                                                                                                                                                                                                               
080245 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080246 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080247 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080248 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080249 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080250 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080251 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080252 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080253 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080254 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080255 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080256 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
080257 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
080258 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080259 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080260 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
080261 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
080262 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
080263 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080264 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
080265 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080266 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080267 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080268 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080269 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
080270 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
080271 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
080272 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080273 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
080274 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080275 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080276 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080277 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
080278 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080279 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080280 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080281 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080282 -        Peripheral neruopathy top left hand..........   0        100  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080283 -        Peripheral neruopathy top right hand.........   0        100  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080284 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080285 -        Veering right ...............................   0        100  did not notice veering today, despite taking Tramadol and Gabapentin at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080286 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080287 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080288 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080289 -        Wobbly disoriented staggering dizzy..........   1         15  took 1 Tramadol and 1 Gabapentin at mile 10, and ended mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080290 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080292 -  ..
080293 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080295 -  ..
080296 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080298 -  ..
080299 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080301 -  ..
080302 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080303 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080305 -  ..
080306 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080307 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080308 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080309 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080310 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080314 -  ..
080315 - Concord 25 mile route - took more Glucosamine Chondroitin (...but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080316 - probably not enough...) for OA protection, mainly left knee, aiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080317 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080318 - ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by statins, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080319 - increases energy and HDL.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080320 - margarine and chia seeds for energy, and avocado for HDL; per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080321 - ref SDS 0 W3TJ  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080322 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080323 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080324 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080325 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080326 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080327 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080328 - team on 220503 0900. ref SDS 22 TL6I  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080329 - stuff.  Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080330 - starting hike feeling like pins and needles - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080331 - ground - more severe after not hiking since 240205 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080332 - ref SDS 0 QW3G  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080333 - Temp started at 59, and reached 62.  West wind 10 mph and mostly 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080334 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080335 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080336 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080337 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080338 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080339 - .75 miles on asphalt road shoulder.  At mile 3, feeling neuropathy top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080340 - of both hands.  Turned right onto Clayton Road hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080341 - on asphalt pavement in parking lots of shopping complex.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080342 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080343 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080344 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080345 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080346 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080347 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080348 - Turned left hiked 1.75 miles East on Pine Hollow.  At Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080349 - Middle School turned around and hiked back to YV.  Stopped at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080350 - Texaco Gas Station store mile 9, time 1323, temp 62 and wind 10 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080351 - EKG mostly uniform with no artifact, Kardia reported HR 099 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080352 - Sinus Rhythm - see below. ref SDS 0 YVRQ  Both feet PL 2, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080353 - meniscus PL 2, left knee ACL PL 4 episodic, left shoulder PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080354 - elbow PL 3 intermitant.  Took Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080355 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080356 - hike.  Bought softdrink for hydration and swallowing pain pills and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080357 - nutrition - peanut butter, margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080358 - avocado for HDL, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080359 - ref SDS 0 FSRP  Continued hike on Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080360 - again onto Pine Hollow hiking .5 miles.  Turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080361 - to YV.  Turned left onto Campus Drive hiking West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080362 - 4% grade with wind 03 mph.  Mile 11 - reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080363 - California State University East Bay Concord Campus.  Hiked once                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080364 - around main campus buildings.  Since left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080365 - PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080366 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080367 - using training equipment.  Hiked 4 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080368 - Student Parking.  Did not feel bloated symptom ischemic colotis - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080369 - not need Simethicone.  Avoided turning left sharply or stepping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080370 - awkwardly to avoid left knee momentary PL 10.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080371 - did not stop at Administration Building mile __, time ___2.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080372 - 16, exited college hiking North downhill on Campus Drive.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080373 - downhill, left knee did not buckle, as occurred in hiking on 230205.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080374 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080375 - miles.  At mile 17, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080376 - .5 miles against wind 05 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080377 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080378 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080379 - traffic barriar mile 18, crossed back to South side to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080380 - shoulder.  Hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080381 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080382 - 1-mile loop around block at Safeway shopping complex.  Decided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080383 - stop near Mod Pizza mile 21, time ____, Continued hiking 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080384 - around the block - turned right onto path parallel to Via Monte hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080385 - North .25 miles - turned right onto Shadelands hiking .25 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080386 - turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080387 - Crossed Treat at street light.  Turned right and hiked 1 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080388 - flat grade concrete sidewalk.  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080389 - Treat uphill 5% grade temp 60.  Handled this well.  At summit, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080390 - 22, hiked another mile to Cuneo, then .25 miles to Kaski and back,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080391 - then home.  Ended hike mile 25 time 1836 temp 55, wind 04, feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080392 - left knee PL 7 (swollen) - maybe anterior cruciate ligament (ACL);                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080393 - right knee PL 0, left hip PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080394 - shoulder PL 0 intermittantly, left elbow PL 3, when lifting.  Lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080395 - legs (muscles, tendons, ligaments) PL 0.  EKG looks variable, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080396 - artifact, Kardia reported HR 101 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080397 - below. ref SDS 0 YV6S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080404 -  ..
080405 - Kardia recorded HR 47 at 0901 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080406 - with p-wave and some artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080407 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080408 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080409 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080410 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080413 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080414 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240210-ecg-090129_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080419 -  ..
080420 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080421 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080422 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080424 -  ..
080425 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080426 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080427 -       Date       240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 231121 2  
080428 -       Miles         25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0      0     
080429 -       HR AVG       113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     no     
080430 -         MAX        131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report report    
080431 -         Min         48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63                   
080432 -       El Climb Ft  495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352                   
080433 -       Temp Max      62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72                   
080434 -       Wind Max      10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10                   
080435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080438 -              https://flow.polar.com/training/analysis/7816257901                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080441 -               ..
080443 -   
080444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080448 -  ..
080449 - EKG at mile 09 time 1323 HR 099 temp 62, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080450 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080451 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080454 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080455 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240210-ecg-132353_mile_09_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080460 -  ..
080461 - End hike EKG at mile 25 time 1836 HR 101 temp 55 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080462 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080463 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080466 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080467 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240210-ecg-183600_mile_25_101_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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080472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080475 -  ..
080476 - Post hike HR profile beginning 2131 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080477 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080478 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080479 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080480 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080483 -        ..
080484 -       Date      240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202  231201    
080485 -       Time       2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017    2205     
080486 -       Hours        13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12       8     
080487 -       HR AVG       56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65      62     
080488 -       HR MAX      105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     129     
080489 -       HR Min       40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45      43     
080490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080492 -              https://flow.polar.com/training/analysis/7816795677                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080495 -               ..
080497 -   
080498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080502 -  ..
080503 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080504 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080505 - Dinner - hamburger eggs onion brocolli cauliflower cheese olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080507 -  ..
080508 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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080533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080535 -         ..
080536 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080537 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080538 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080539 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080540 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080541 -   42.  240211 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080542 -               0720....BP HR..................................................... 155  88  48  Kardia ECG reports HR status, see below. ref SDS 0 GY3K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080543 -               0725....BP HR..................................................... 142  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080544 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080545 -               0735....80 382300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080546 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080547 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080548 -               1040....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080549 -               1040....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080550 -               1040... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
080551 -  ..
080552 -               1216....miles...........  25.0 117.0  429  1998 minutes  temp  60 wind 10  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080553 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080554 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080555 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
080556 -               1505....mile 10 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080557 -               1505....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080558 -               1505... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080559 -               1505... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080560 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080561 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080562 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080563 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080564 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080565 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080566 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080567 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080568 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080569 -               1941... Hike ends mile 25... ref SDS 0 PHQU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080570 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080571 -               2005....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080572 -               2015....BP HR..................................................... 104  70  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080573 -               2025....BP HR..................................................... 113  74  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080574 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080575 -               1920... 40 106620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
080576 -               1830............ 10 19310  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
080577 -               1830............ 10 19680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
080578 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080579 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080580 -               2130... 40 82520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080581 -               2150... 1000 2036000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080582 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080583 -               2300... 80 382380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080584 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080585 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080586 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080589 -  ..
080590 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080591 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080593 -  ..
080594 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080595 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080598 -  ..
080599 - Today, hiked 25 miles - 77 days after PRP left knee and elbow - 54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080600 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080601 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080602 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080603 - then Ygnacio Valley Road.  Hiked on Pine Hollow 2.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080604 - Turned around and hiked back.  Mile 10 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080605 - nutrition, and took pain meds.  Continued .5 mile East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080606 - again, and returned, turned and hiked 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080607 - college.  Hiked 2 1.5-mile loops through parking lots.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080608 - Simethicone to relieve bloating.  At mile 14, left college hiking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080609 - miles over summit Ignacio Valley Road.  Continued 2 miles, then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080610 - 2 miles around Safeway shopping complex.  Hiked 1 mile on Oak Grove,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080611 - and hiked 2 miles to Cuneo, finally home.  Had only few episodes of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080612 - severe, momentary pain left knee from straining ACL, and knee did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080613 - seem to buckle, as occurred on 240205, per above. ref SDS 0 EZ4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080617 -         ..
080618 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080619 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080620 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
080621 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080622 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080623 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080624 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080625 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080626 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080627 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080628 -        Shoulder left myopathy statins...............   2         60  persistent pain beginning about mile 3 to end hike - took Tramadol and Gabapentin today at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                           
080629 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080630 -        Elbow left arm...............................   2         40  mostly persistent doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                 
080631 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080632 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080633 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080634 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080635 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evenint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080636 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080637 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
080638 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
080639 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080640 -   ***  Knee left anterior cruciate ligament.........  10          5  multiple episodes especially when turning left - also stepping down awkwardly, seems like nerve slipping into a joint that closes on the nerve                                                                                                                                                                                                                                                                                                                                                                                               
080641 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080642 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080643 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080644 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080645 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080646 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080647 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080648 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080649 -        Tailor's Bunion right foot..PRP 21 705.......   3         10  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080650 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080651 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080652 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
080653 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
080654 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080655 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080656 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
080657 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
080658 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
080659 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080660 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
080661 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080662 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080663 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080664 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080665 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
080666 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
080667 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
080668 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080669 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
080670 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080671 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080672 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080673 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
080674 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080675 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080676 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080677 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080678 -        Peripheral neruopathy top left hand..........   2         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080679 -        Peripheral neruopathy top right hand.........   2         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080680 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080681 -        Veering right ...............................   0        100  did not notice veering today, despite taking Tramadol and Gabapentin at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080682 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080683 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080684 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080685 -        Wobbly disoriented staggering dizzy..........   1         15  took 1 Tramadol and 1 Gabapentin at mile 10, and ended mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080686 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080688 -  ..
080689 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080691 -  ..
080692 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080694 -  ..
080695 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080697 -  ..
080698 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080699 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080701 -  ..
080702 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080703 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080704 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080705 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080706 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080710 -  ..
080711 - Concord 25 mile route - took more Glucosamine Chondroitin (...but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080712 - probably not enough...) for OA protection, mainly left knee, aiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080713 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080714 - ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by statins, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080715 - increases energy and HDL.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080716 - margarine and chia seeds for energy, and avocado for HDL; per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080717 - ref SDS 0 2Z6K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080718 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080719 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080720 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080721 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080722 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080723 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080724 - team on 220503 0900. ref SDS 22 TL6I  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080725 - stuff. \Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080726 - starting hike feeling like pins and needles - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080727 - ground - more severe after not hiking since 240205 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080728 - ref SDS 0 QW3G  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080729 - Temp started at 55, and reached 60.  West wind 10 mph and mostly 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080730 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080731 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080732 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080733 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080734 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080735 - .75 miles on asphalt road shoulder.  At mile 3, feeling neuropathy top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080736 - of both hands.  Turned right onto Clayton Road hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080737 - on asphalt pavement in parking lots of shopping complex.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080738 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080739 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080740 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080741 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080742 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080743 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080744 - Turned left hiked 2.75 miles East to end of Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080745 - around and hiked back to YV.  Stopped at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080746 - store mile 9, time 1505, temp 59 and wind 06 mph; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080747 - with no artifact, Kardia reported HR 106 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080748 - ref SDS 0 K3PE  Both feet PL 2, right foot tailor's bunion PL 2 and PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080749 - 0 when keeping foot straight forward; left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080750 - knee ACL PL 3 episodic, left shoulder PL 2, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080751 - intermitant.  Took Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080752 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080753 - softdrink brought from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080754 - and nutrition - peanut butter, margarine and chia seeds for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080755 - and avocado for HDL, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080756 - ref SDS 0 YWAK  Continued hike on Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080757 - again onto Pine Hollow hiking .5 miles.  Turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080758 - to YV.  Turned left onto Campus Drive hiking West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080759 - 4% grade with wind 03 mph.  Mile 12 - reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080760 - California State University East Bay Concord Campus.  Hiked once                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080761 - around main campus buildings.  Since left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080762 - PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080763 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080764 - using training equipment.  Hiked 2 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080765 - Student Parking.  Did not feel bloated symptom ischemic colotis - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080766 - not need Simethicone.  Avoided turning left sharply or stepping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080767 - awkwardly to avoid left knee momentary PL 10.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080768 - did not stop at Administration Building mile __, time ___2.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080769 - 14, exited college hiking North downhill on Campus Drive.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080770 - downhill, left knee did not buckle, as occurred in hiking on 230205.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080771 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080772 - miles.  At mile 15, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080773 - .5 miles against wind 05 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080774 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080775 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080776 - traffic barriar mile 18, crossed back to South side to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080777 - shoulder.  Hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080778 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080779 - 1-mile loop around block at Safeway shopping complex.  Decided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080780 - stop near Mod Pizza mile 21, time ____, Continued hiking 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080781 - around the block - turned right onto path parallel to Via Monte hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080782 - North .25 miles - turned right onto Shadelands hiking .25 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080783 - turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080784 - Crossed Treat at street light.  Turned right and hiked 1 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080785 - flat grade concrete sidewalk.  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080786 - Treat uphill 5% grade temp 60.  Handled this well.  At summit, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080787 - 22, hiked another mile to Cuneo, then 1.0 mile around the block, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080788 - then .25 mile back to Kaski again.  Turned right hiked half block to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080789 - avoid hiking uphill in dark, because risks injuring left knee more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080790 - Continued hiking another mile, then home.  Ended hike mile 25 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080791 - 1941 temp 50, wind 00, feet PL 2, right foot tailor's bunion PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080792 - left knee PL 2 (swollen) - anterior cruciate ligament (ACL) episodic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080793 - PL 10, right knee PL 0, left hip PL 0, left shoulder PL 1, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080794 - right shoulder PL 0 intermittantly, left elbow PL 3, when lifting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080795 - Lower legs (muscles, tendons, ligaments) PL 0.  EKG looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080796 - with no artifact, Kardia reported HR 106 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080797 - ref SDS 0 PHQU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080804 -  ..
080805 - Kardia recorded HR 47 at 1002 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080806 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080807 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080808 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080809 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080810 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080813 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080814 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240211-ecg-100257_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080819 -  ..
080820 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080821 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080822 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080824 -  ..
080825 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080826 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080827 -       Date       240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 231123 231122 2  
080828 -       Miles         25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     14      0     
080829 -       HR AVG       115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111    118     no     
080830 -         MAX        129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133    134  report r  
080831 -         Min         74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     63            
080832 -       El Climb Ft  495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352    352            
080833 -       Temp Max      60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     72            
080834 -       Wind Max      10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     10            
080835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080838 -              https://flow.polar.com/training/analysis/7816948955                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080841 -               ..
080843 -   
080844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080848 -  ..
080849 - EKG at mile 10 time 1505 HR 106 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080850 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080851 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080854 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080855 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240211-ecg-150547_mile_10_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080861 -  ..
080862 - End hike EKG at mile 25 time 1941 HR 106 temp 50 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080863 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080864 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080867 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080868 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240211-ecg-194116_mile_25_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080875 -  ..
080876 - Post hike HR profile beginning 2240 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080877 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080878 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080879 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080880 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080883 -        ..
080884 -       Date      240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203  231202    
080885 -       Time       2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333    2017     
080886 -       Hours         6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7      12     
080887 -       HR AVG       65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61      65     
080888 -       HR MAX      118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     116     
080889 -       HR Min       48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43      45     
080890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080892 -              https://flow.polar.com/training/analysis/7817159922                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080895 -               ..
080897 -   
080898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080902 -  ..
080903 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080904 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080905 - Dinner - macaroni cheese hamburger eggs onion brocolli cauliflower cheese olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080907 -  ..
080908 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080934 -         ..
080935 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080936 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080937 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080938 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080939 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080940 -   43.  240212 0505............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080941 -               0510....BP HR..................................................... 140  77  53  Kardia ECG reports HR status, see below. ref SDS 0 P6VS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080942 -               0515....BP HR..................................................... 136  81  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080943 -               0520....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080944 -               0525....80 382460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080945 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080946 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080947 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080948 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080949 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
080950 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080951 -               1920... 40 106660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
080952 -             1 0000............ 10 19310  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
080953 -             1 0000............ 10 19680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
080954 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080955 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080956 -               2130... 40 82560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080957 -               2150... 1000 2037000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080958 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080959 -               2300... 80 382540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080960 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080961 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080962 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080965 -  ..
080966 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080967 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080969 -  ..
080970 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080971 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080976 -  ..
080977 - Kardia recorded HR 53 at 0534 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080978 - lengths with p-wave and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080979 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080980 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080981 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080982 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080983 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080986 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080987 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240212-ecg-053459_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080992 -  ..
080993 - Post hike HR profile beginning 2047 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080994 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080995 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080996 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080997 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081000 -        ..
081001 -       Date      240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204  231203    
081002 -       Time       2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147    2333     
081003 -       Hours        11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7       7     
081004 -       HR AVG       68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65      61     
081005 -       HR MAX      123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     125     
081006 -       HR Min       47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44      43     
081007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081009 -              https://flow.polar.com/training/analysis/7817938457                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081012 -               ..
081014 -   
081015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081019 -  ..
081020 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081021 - Lunch - tomato baloney onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081022 - Dinner - hot dog potato brocolli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081024 -  ..
081025 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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081038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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081048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081050 -         ..
081051 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081052 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081053 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081054 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081055 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081056 -   44.  240213 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081057 -               0710....BP HR..................................................... 156  83  51  Kardia ECG reports HR status, see below. ref SDS 0 KWR2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081058 -               0715....BP HR..................................................... 152  87  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081059 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081060 -               0725....80 382620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081061 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081062 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081063 -               0940....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081064 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081065 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
081066 -  ..
081067 -               1011....miles...........  27.0  27.0  456   456 minutes  temp  60 wind  8  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081068 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081069 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081070 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
081071 -               1328....mile 11 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081072 -               1328....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081073 -               1328... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081074 -               1328... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081075 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081076 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081077 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081078 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081079 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081080 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081081 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081082 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081083 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081084 -               1816... Hike ends mile 27... ref SDS 0 P4MQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081085 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081086 -               1840....weight.................................... 172  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081087 -               1845....BP HR..................................................... 121  82  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081088 -               1850....BP HR..................................................... 121  81  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081089 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081090 -               1900... 40 106700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
081091 -               2030............ 10 19320  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081092 -               2030............ 10 19690  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081093 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081094 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081095 -               2130... 40 82600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081096 -               2150... 1000 2038000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081097 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081098 -               2300... 80 382700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081099 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081100 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081101 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081104 -  ..
081105 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081106 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081108 -  ..
081109 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081110 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081113 -  ..
081114 - Today, hiked 27 miles - 79 days after PRP left knee and elbow - 56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081115 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081116 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081117 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081118 - then Ygnacio Valley Road.  Hiked 3 miles on Campus Drive and through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081119 - Boatwright athletic fields with Lisa walking dogs.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081120 - hiked back to college campus and through parking lots.  Mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081121 - stopped for hydration, nutrition, and took pain meds.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081122 - hiking 4 miles through parking lots.  Did not need Simethicone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081123 - relieve bloating.  At mile 15, left college hiking 2 miles over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081124 - Ignacio Valley Road.  Continued 2 miles, then hiked 3 miles around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081125 - Safeway shopping complex.  Hiked 1 mile on Oak Grove, and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081126 - miles to Cuneo, plus 2 more miles on Cuneo and Kaski, finally home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081127 - Had no episodes of severe, momentary pain left knee from straining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081128 - ACL, and knee did not seem to buckle, as occurred on 240205, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081129 - above. ref SDS 0 EZ4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081133 -         ..
081134 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081135 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081136 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
081137 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081138 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081139 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081140 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081141 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081142 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081143 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081144 -        Shoulder left myopathy statins...............   3         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081145 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081146 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                   
081147 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081148 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081149 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081150 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081151 -        Shin splint pain both legs...................   2          5  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081152 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081153 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
081154 -        Knee left patalla...PRP 210705...............   2         15  occurred suddenly about mile 22 after going downhill on Campus drive and while hiking on flat grade Ygnacio Valley Road considered ending hike at Cowell at mile 25, but pain subsided to PL 2 at Cowell, so continued eventually reaching PL 0 on this                                                                                                                                                                                                                                                                                      
081155 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081156 -   ***  Knee left anterior cruciate ligament.........   0        100  no episodes - was careful turning left - also stepping down awkwardly, seems like nerve slipping into a joint that closes on the nerve                                                                                                                                                                                                                                                                                                                                                                                                       
081157 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081158 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081159 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081160 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081161 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081162 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081163 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081164 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081165 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081166 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081167 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081168 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
081169 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
081170 -        Planarfaciitis right foot..240213.............  2          5  occurred for half mile going downhill on Ygnacio Valley Road - very glad this just seemed to go away                                                                                                                                                                                                                                                                                                                                                                                                                                         
081171 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081172 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081173 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
081174 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
081175 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
081176 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081177 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
081178 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081179 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081180 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081181 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081182 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
081183 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
081184 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
081185 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081186 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
081187 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081188 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081189 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081190 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
081191 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081192 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081193 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081194 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081195 -        Peripheral neruopathy top left hand..........   2         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081196 -        Peripheral neruopathy top right hand.........   2         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081197 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081198 -        Veering right ...............................   0        100  did not notice veering today, despite taking Tramadol and Gabapentin at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081199 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081200 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081201 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081202 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin at mile 11, did not seem to get wobbly entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081203 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081205 -  ..
081206 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081208 -  ..
081209 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081211 -  ..
081212 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081214 -  ..
081215 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081216 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081218 -  ..
081219 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081220 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081221 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081222 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081223 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081227 -  ..
081228 - Concord 27 mile route - took more Glucosamine Chondroitin (...seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081229 - helpful - less pain on prior days) for OA protection, mainly left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081230 - knee, aiding left knee treated with PRP intra articular injection on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081231 - 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081232 - statins, which increases energy and HDL.  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081233 - butter and margarine and chia seeds for energy, and avocado for HDL;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081234 - per above. ref SDS 0 R26I  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081235 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081236 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081237 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081238 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081239 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081240 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081241 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081242 - backpack to carry stuff. \Hiked Cuneo .25 miles and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081243 - Treat.  Feet starting hike feeling like pins and needles - difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081244 - feeling ground - more severe after not hiking since 240205 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081245 - ref SDS 0 QW3G  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081246 - Temp started at 55, and reached 60.  West wind 10 mph and mostly 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081247 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081248 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081249 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081250 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081251 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081252 - .75 miles on asphalt road shoulder.  Did not feel neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081253 - (tingling) top of both hands during hike today.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081254 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081255 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081256 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081257 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081258 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081259 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081260 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081261 - at Michigan Boulevard.  Hiked past Union 76 Texaco Gas Station store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081262 - mile 6, time ____.  on Ygnacio Valley Road.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081263 - Hollow hiking .15 miles.  Turned around and hiked back to YV.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081264 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081265 - wind 03 mph.  Crossed paths with Lisa starting 2nd loop from Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081266 - parking.  Hiked with Lisa and the dogs back downhill on Campus Drive,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081267 - then through roadway and parking at Boatwright athletic fields, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081268 - back to Student parking.  Lisa mentioned that soaking chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081269 - water overnight increases energy for hiking compared to eating chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081270 - seeds separately and sipping water to aid swallowing.  Mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081271 - continued hiking on Campus Drive.  Mile 09 - reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081272 - at California State University East Bay Concord Campus.  Hiked once                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081273 - around main campus buildings.  Since left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081274 - PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081275 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081276 - using training equipment.  Hiked 1.5-mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081277 - Student Parking.  Did not feel bloated symptom ischemic colotis - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081278 - not need Simethicone.  Avoided turning left sharply or stepping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081279 - awkwardly to avoid left knee momentary PL 10.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081280 - stopped at Administration Building.  Encountered Kathy.  Helped her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081281 - carry a wood pallet stacked at this location, around the building to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081282 - the agricultural project she is doing for a NSF grant.  This was mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081283 - 11, time 1328. temp 59 and wind 00 mph; EKG looks uniform though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081284 - raggedy with artifact, Kardia reported HR 108 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081285 - ref SDS 0 PX7W  Both feet PL 2, right foot Tailor's Bunion PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081286 - knee meniscus PL 2, left knee ACL PL 0 episodic, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081287 - left elbow PL 3 episodic.  Took Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081288 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081289 - hike.  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081290 - pain pills and nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081291 - (with magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081292 - electrolyte pill, per above. ref SDS 0 P5DV  Hiked 2 more 2-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081293 - through parking lots.  At mile 15, exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081294 - downhill on Campus Drive.  Cars were waiting for green light to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081295 - onto Ygnacio Valley Road.  Joyce pulled up at the end of the line.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081296 - She rolled down the car window and said hello.  I paused the hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081297 - walked to her car, since there was no oncoming traffic.  In brief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081298 - conversation, it came up that college seems to hae low enrollment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081299 - Joyce said the entire state college system has reduced enrollment,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081300 - since coronairus pandemic the past 2 years.  The East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081301 - campus does not plan to promote the school for increased enrollment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081302 - The college director plans to rent empty classrooms for private                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081303 - businesses.  The light turned green, and Joyce drove off.  Good that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081304 - left knee did not buckle, as occurred in hiking on 230205.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081305 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081306 - mile 16, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081307 - against wind 05 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081308 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081309 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081310 - traffic barriar mile 17, crossed back to South side to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081311 - shoulder.  Hiked West 2 miles downhill 3% grade.  Along this part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081312 - route there was pain in bottom of right foot like plantar fasciitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081313 - for about .5 mile.  Very fortunate this stopped, because Millie had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081314 - plantar fascitiis for nearly 2 years before it finally healed.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081315 - .5 miles from Oak Grove, crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081316 - Road.  Crossed Oak Grove at traffic light.  Hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081317 - around block at Safeway shopping complex.  Decided not to stop near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081318 - Mod Pizza mile 21, time ____, Continued hiking 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081319 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081320 - miles - turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081321 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081322 - Treat at street light.  Turned right and hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081323 - grade concrete sidewalk.  At San Miguel continued .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081324 - uphill 5% grade temp 58.  Handled this well.  At summit, mile 24,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081325 - hiked another mile to Cuneo, then to Kaski, back to Cuneo, and 1.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081326 - mile.  Turned around at Court Lane.  Hiked back on Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081327 - Ended hike mile 27 time 1816 temp 55, wind 06, feet PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081328 - tailor's bunion PL 1, left knee PL 2 (swollen) - anterior cruciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081329 - ligament (ACL) episodic PL 2 (much better today), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081330 - left hip PL 0, left shoulder PL 3, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081331 - intermittantly, left elbow PL 3, when lifting.  Lower legs (muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081332 - tendons, ligaments) PL 0.  EKG looks uniform, with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081333 - reported HR 101 Tachycardia - see below. ref SDS 0 P4MQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081340 -  ..
081341 - Kardia recorded HR 54 at 0843 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081342 - lengths with p-wave and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081343 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081344 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081345 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081346 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081347 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081350 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081351 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240213-ecg-084302_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081357 -  ..
081358 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081359 - hike 27 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081360 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081362 -  ..
081363 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081364 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081365 -       Date       240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 231125 231124 2  
081366 -       Miles         27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     16     17     
081367 -       HR AVG       115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111    107    111     
081368 -         MAX        132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130    126    133     
081369 -         Min         80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     78     43     
081370 -       El Climb Ft  495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352    352    352     
081371 -       Temp Max      60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     62     61     
081372 -       Wind Max      10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     12     10     
081373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081376 -              https://flow.polar.com/training/analysis/7818253530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081379 -               ..
081381 -   
081382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081386 -  ..
081387 - EKG at mile 11 time 1328 HR 108 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081388 - Tachycardia... looks uniform though raggedy with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081389 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081392 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081393 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240213-ecg-132833_mile_11_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081399 -  ..
081400 - End hike EKG at mile 27 time 1816 HR 101 temp 55 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081401 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081402 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081405 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081406 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240213-ecg-181600_mile_27_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081413 -  ..
081414 - Post hike HR profile beginning 0009 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081415 - overnight after hiking 27 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081416 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081417 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081418 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081421 -        ..
081422 -       Date      240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205  231204    
081423 -       Time       0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952    2147     
081424 -       Hours         8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11       7     
081425 -       HR AVG       59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62      65     
081426 -       HR MAX      109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     116     
081427 -       HR Min       40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40      44     
081428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081430 -              https://flow.polar.com/training/analysis/7818613841                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081433 -               ..
081435 -   
081436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081440 -  ..
081441 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081442 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081443 - Dinner - macaroni cheese hamburger eggs onion brocolli cauliflower cheese olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081445 -  ..
081446 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081473 -         ..
081474 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081475 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081476 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081477 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081478 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081479 -   45.  240214 0655............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081480 -               0655....BP HR..................................................... 148  80  48  Kardia ECG reports HR status, see below. ref SDS 0 B2I8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081481 -               0700....BP HR..................................................... 141  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081482 -               0710....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081483 -               0710....80 382780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081484 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081485 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081486 -               0940....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081487 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081488 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081489 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081490 -               1900... 40 106740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
081491 -             1 0000............ 10 19320  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081492 -             1 0000............ 10 19690  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081493 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081494 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081495 -               2130... 40 82640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081496 -               2150... 1000 2039000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081497 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081498 -               2300... 80 382860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081499 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081500 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081501 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081504 -  ..
081505 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081506 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081508 -  ..
081509 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081510 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081516 -  ..
081517 - Kardia recorded HR 51 at 0904 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081518 - heart beat lengths with p-wave and some artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081519 - 27 miles yesterday, ending Apixaban on 240110, and not taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081520 - nor Gabapentin, and after 5th cardiac ablation (atypical) on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081521 - 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081522 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081523 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081526 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081527 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240214-ecg-090454_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081533 -  ..
081534 - Post hike HR profile beginning 1939 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081535 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081536 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081537 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081538 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081541 -        ..
081542 -       Date      240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206  231205    
081543 -       Time       1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044    1952     
081544 -       Hours        11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10      11     
081545 -       HR AVG       62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66      62     
081546 -       HR MAX      108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     152     
081547 -       HR Min       38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47      40     
081548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081550 -              https://flow.polar.com/training/analysis/7819185317                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081553 -               ..
081555 -   
081556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081560 -  ..
081561 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081562 - Lunch - cottage cheese tomato onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081563 - Dinner - macaroni cheese hamburger eggs onion brocolli cauliflower cheese olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081565 -  ..
081566 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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081582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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081588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081593 -         ..
081594 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081595 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081596 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081597 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081598 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081599 -   46.  240215 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081600 -               0705....BP HR..................................................... 154  91  50  Kardia ECG reports HR status, see below. ref SDS 0 S6NA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081601 -               0710....BP HR..................................................... 149  74  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081602 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081603 -               0715....80 382940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081604 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081605 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081606 -               0940....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081607 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081608 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
081609 -  ..
081610 -               1001....miles...........  31.0  58.0  537   993 minutes  temp  64 wind 10  rain  5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081611 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081612 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081613 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
081614 -               1254....mile 10 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081615 -               1254....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081616 -               1254... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081617 -               1254... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081618 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081619 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081620 -               1603....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081621 -               1603... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081622 -               1804....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081623 -               1804... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081624 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081625 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081626 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081627 -               1938... Hike ends mile 31... ref SDS 0 U3YJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081628 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081629 -               2000....weight.................................... 171  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081630 -               2005....BP HR..................................................... 115  79  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081631 -               2010....BP HR..................................................... 116  78  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081632 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081633 -               2030... 40 106780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
081634 -               2100............ 10 19330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081635 -               2100............ 10 19700  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081636 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081637 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081638 -               2130... 40 82680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081639 -               2150... 1000 2040000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081640 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081641 -               2300... 80 383020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081642 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081643 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081644 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081647 -  ..
081648 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081649 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081651 -  ..
081652 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081653 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081656 -  ..
081657 - Today, hiked 31 miles - 81 days after PRP left knee and elbow - 58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081658 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081659 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081660 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081661 - then Ygnacio Valley Road.  At mile 5, hiked 2.5 miles to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081662 - Hollow, then 2.5 miles to end of Mitchel Canyon Road.  At Mount Diablo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081663 - Tralhead mile 10 stopped for hydration, pain meds and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081664 - Hiked .5 miles up the trail, then back to Trailhead and Mitchell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081665 - Canyon Road Hiked 2.5 miles back to Pine Hollow.  Continued 2.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081666 - back to Ygnacio Valley Road.  Took Campus Drive to college.  Hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081667 - miles through parking lots.  Stopped for hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081668 - Hiked another mile through parking lots.  At mile 21, left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081669 - hiking 2 miles over summit Ignacio Valley Road.  Continued 2 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081670 - then hiked 2 miles around Safeway shopping complex.  Hiked 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081671 - Oak Grove, and hiked 2 miles to Cuneo, plus .5 miles on Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081672 - finally home.  Had no episodes of severe, momentary pain left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081673 - from straining ACL, and knee did not seem to buckle, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081674 - 240205, per above. ref SDS 0 EZ4I  Was veering left last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081678 -         ..
081679 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081680 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081681 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
081682 -        Side ache vasodilation ischemic colitis......   2        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081683 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081684 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081685 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081686 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081687 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081688 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081689 -        Shoulder left myopathy statins...............   3         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081690 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081691 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                   
081692 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081693 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081694 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081695 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081696 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081697 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081698 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
081699 -        Knee left patalla...PRP 210705...............   1        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081700 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081701 -   ***  Knee left anterior cruciate ligament.........   0        100  no episodes - was careful turning left - also stepping down awkwardly                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081702 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081703 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081704 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081705 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081706 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081707 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081708 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081709 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081710 -        Tailor's Bunion right foot..PRP 21 705.......   3         20  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
081711 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081712 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081713 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
081714 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
081715 -        Planarfaciitis right foot..240213.............  0        100  did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081716 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081717 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081718 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
081719 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
081720 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
081721 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081722 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
081723 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081724 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081725 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081726 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081727 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
081728 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
081729 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
081730 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081731 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
081732 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081733 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081734 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081735 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
081736 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081737 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081738 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081739 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081740 -        Peripheral neruopathy top left hand..........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081741 -        Peripheral neruopathy top right hand.........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081742 -        Veering left.................................   3         10  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081743 -        Veering right ...............................   0        100  veering today, after taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081744 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081745 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081746 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081747 -        Wobbly disoriented staggering dizzy..........   2         15  took 1 Tramadol and 1 Gabapentin at mile 10, got wobbly about mile 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081748 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081750 -  ..
081751 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081753 -  ..
081754 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081756 -  ..
081757 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081759 -  ..
081760 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081761 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081763 -  ..
081764 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081765 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081766 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081767 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081768 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081772 -  ..
081773 - Concord 31 mile route - took more Glucosamine Chondroitin (...seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081774 - helpful - less pain on prior days) for OA protection, mainly left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081775 - knee, aiding left knee treated with PRP intra articular injection on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081776 - 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081777 - statins, which increases energy and HDL.  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081778 - butter and margarine and chia seeds for energy, and avocado for HDL;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081779 - per above. ref SDS 0 R26I  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081780 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081781 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081782 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081783 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081784 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081785 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081786 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081787 - backpack to carry stuff. \Hiked Cuneo .25 miles and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081788 - Treat.  Feet starting hike feeling like pins and needles - difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081789 - feeling ground - more severe after not hiking since 240205 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081790 - ref SDS 0 QW3G  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081791 - Temp started at 55, and reached 60.  West wind 10 mph and mostly 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081792 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081793 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081794 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081795 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081796 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081797 - .75 miles on asphalt road shoulder.  Did not feel neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081798 - (tingling) top of both hands during hike today.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081799 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081800 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081801 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081802 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081803 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081804 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081805 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081806 - at Michigan Boulevard.  Hiked past Union 76 Texaco Gas Station store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081807 - mile 6, time ____.  on Ygnacio Valley Road.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081808 - Hollow hiking 2.5 miles.  At end of road, turned around.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081809 - and turned left onto Mitchell Canyon Road.  Hiked 2.5 miles South to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081810 - Mount Diablo State Park Ranger station.  Stopped at mile 10 time 1254.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081811 - temp 60 and wind 01 mph; EKG looks uniform with some severe artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081812 - Kardia reported HR 110 Tachycardia - see below. ref SDS 0 8SFL  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081813 - feet PL 2, right foot Tailor's Bunion PL 0, left knee meniscus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081814 - left knee ACL PL 0 episodic, left shoulder PL 3, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081815 - episodic.  Took Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081816 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081817 - softdrink carried from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081818 - and nutrition - peanut butter, margarine and chia seeds (with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081819 - magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081820 - electrolyte pill, per above. ref SDS 0 QM6V  From trailhead hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081821 - uphill 5% slope .5 mile.  Decided not go further, because trail is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081822 - muddy and high risk for falling with injured left knee.  Hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081823 - trailhead.  Continued 2.5 miles North on Mitchell Canyon Road.  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081824 - joined hiking with a young mother.  She come to get her daughter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081825 - Mount Diablo school.  She came early to get a good parking spot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081826 - then hiked for an hour to Mount Diablo park, and was on her way back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081827 - combining exercise with getting her child from school.  She and her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081828 - husband recently moved from Modesto, after immigrating from India,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081829 - where she worked in technical support.  We joked about possibly having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081830 - talked calling Microsoft or Amazon for technical support.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081831 - continued to Clayton, and I turned on Pine Hollow.  Hiked to the end,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081832 - then turned around and hiked 2.5 miles back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081833 - Campus Drive hiking West 1 mile uphill 3% - 4% grade with wind 02 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081834 - Mile 16 - reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081835 - Bay Concord Campus.  Hiked once around main campus buildings.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081836 - left elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081837 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081838 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081839 - Hiked 4 1.0-mile loops through Faculty and Student Parking.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081840 - feel bloated symptom ischemic colotis - did not need Simethicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081841 - Avoided turning left sharply or stepping awkwardly to avoid left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081842 - momentary PL 10.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081843 - Building mile 20, time 1603. temp 64 and wind 06 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081844 - uniform though raggedy with no artifact, Kardia reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081845 - Tachycardia - see below. ref SDS 0 5K4A  Both feet PL 1, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081846 - Tailor's Bunion PL 2, left knee meniscus PL 1, left knee ACL PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081847 - episodic, left shoulder PL 3 (lifting), left elbow PL 3 episodic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081848 - not take more Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081849 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081850 - softdrink carried from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081851 - and nutrition - peanut butter, margarine and chia seeds (with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081852 - magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081853 - electrolyte pill, per above. ref SDS 0 QM6V  Hiked another 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081854 - loop through parking lots.  At mile 21, exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081855 - downhill on Campus Drive.  Left knee did not buckle, as occurred in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081856 - hiking on 230205.  Turned left onto Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081857 - on flat grade .5 miles.  At mile 22, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081858 - uphill 3% grade .5 miles against wind 05 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081859 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081860 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081861 - end of concrete traffic barriar mile 23, crossed back to South side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081862 - use wider shoulder.  Hiked West 2 miles downhill 3% grade.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081863 - have pain in bottom of right foot like plantar fasciitis for about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081864 - mile, that occurred on 240213.  About .5 miles from Oak Grove, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081865 - back to North side Ygnacio Valley Road.  Crossed Oak Grove at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081866 - light.  Hiked 1-mile loop around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081867 - Stopped near Mod Pizza mile 26, time 1804, temp 58 and wind 06 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081868 - EKG looks uniform though raggedy with artifact, Kardia reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081869 - Tachycardia - see below. ref SDS 0 F9WB  Both feet PL 1, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081870 - Tailor's Bunion PL 0, left knee meniscus PL 2, left knee ACL PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081871 - episodic, left shoulder PL 2 (lifting), left elbow PL 3 episodic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081872 - not take more Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081873 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081874 - softdrink carried from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081875 - and nutrition - peanut butter, margarine and chia seeds (with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081876 - magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081877 - electrolyte pill, per above. ref SDS 0 QM6V  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081878 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081879 - hiking North .25 miles - turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081880 - miles, and turned left onto Oak Grove.  Seemed to be veering left for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081881 - rest of hike.  Continued 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081882 - Treat at street light.  Turned right and hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081883 - grade concrete sidewalk.  At San Miguel continued .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081884 - uphill 5% grade temp 58.  Handled this well.  At summit, mile 29,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081885 - hiked another mile to Cuneo, then to Kaski, back to Cuneo, and 1.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081886 - mile.  Turned around at Court Lane.  Hiked back on Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081887 - Ended hike mile 31 time 1938 temp 54, wind 04, feet PL 1, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081888 - tailor's bunion PL 0, left knee PL 2 (swollen) - anterior cruciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081889 - ligament (ACL) episodic PL 1 (much better today), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081890 - left hip PL 0, left shoulder PL 2, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081891 - intermittantly, left elbow PL 2, when lifting.  Lower legs (muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081892 - tendons, ligaments) PL 0.  EKG looks uniform, with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081893 - reported HR 103 Tachycardia - see below. ref SDS 0 U3YJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081900 -  ..
081901 - Kardia recorded HR 48 at 0837 Bradycardia, variable heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081902 - with p-wave and some artifact; no AFL after hiking 27 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081903 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081904 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081905 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081906 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081909 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081910 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240215-ecg-083750_mile_00_048_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081916 -  ..
081917 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081918 - hike 31 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081919 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081921 -  ..
081922 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081923 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081924 -       Date       240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 231129 231128 231127 231126 2  
081925 -       Miles         31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0      0     13     17     19     
081926 -       HR AVG       115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     no    107    110    111     
081927 -         MAX        134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report report   135    140    130     
081928 -         Min         69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                          59     60     54     
081929 -       El Climb Ft  658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                         340    715    352     
081930 -       Temp Max      64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                          52     62     61     
081931 -       Wind Max      10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                          10     12     12     
081932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081935 -              https://flow.polar.com/training/analysis/7819546415                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081938 -               ..
081940 -   
081941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081945 -  ..
081946 - EKG at mile 10 time 1254 HR 110 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081947 - Tachycardia... looks uniform with some severe artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081948 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081951 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081952 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240215-ecg-125412_mile_10_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081957 -  ..
081958 - EKG at mile 20 time 1603 HR 116 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081959 - Qachycardia... looks uniform and raggedy with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081960 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081963 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081964 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240215-ecg-160349_mile_20_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081969 -  ..
081970 - EKG at mile 26 time 1804 HR 107 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081971 - Tachycardia... looks uniform and raggedy with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081972 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081975 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081976 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240215-ecg-180442_mile_26_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081980 -  ..
081981 - End hike EKG at mile 31 time 1938 HR 103 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081982 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081983 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081986 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081987 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240215-ecg-193806_mile_31_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081994 -  ..
081995 - Post hike HR profile beginning 2312 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081996 - overnight after hiking 31 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081997 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081998 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081999 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082002 -        ..
082003 -       Date      240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207  231206    
082004 -       Time       2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926    2044     
082005 -       Hours        10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12      10     
082006 -       HR AVG       67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62      66     
082007 -       HR MAX      121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     112     
082008 -       HR Min       37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39      47     
082009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082011 -              https://flow.polar.com/training/analysis/7819932156                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082014 -               ..
082016 -   
082017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082021 -  ..
082022 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082023 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082024 - Dinner - macaroni cheese hamburger eggs onion brocolli cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082025 - mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082027 -  ..
082028 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082055 -         ..
082056 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082057 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082058 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082059 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082060 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082061 -   47.  240216 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082062 -               0645....BP HR..................................................... 135  77  49  Kardia ECG reports HR status, see below. ref SDS 0 CWV4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082063 -               0650....BP HR..................................................... 132  75  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082064 -               0655....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082065 -               0655....80 383100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082066 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082067 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082068 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082069 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082070 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082071 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082072 -               1700... 40 106820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
082073 -             1 0000............ 10 19330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082074 -             1 0000............ 10 19700  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082075 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082076 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082077 -               2130... 40 82720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082078 -               2150... 1000 2041000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082079 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082080 -               2300... 80 383180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082081 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082082 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082083 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082086 -  ..
082087 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082088 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082090 -  ..
082091 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082092 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082096 -  ..
082097 - Kardia not recorded today....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082101 -  ..
082102 - Post hike HR profile beginning 2020 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082103 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082104 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082105 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082106 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082109 -        ..
082110 -       Date      240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208  231207    
082111 -       Time       2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323    1926     
082112 -       Hours        11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9      12     
082113 -       HR AVG       71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64      62     
082114 -       HR MAX      125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     123     
082115 -       HR Min       41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44      39     
082116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082118 -              https://flow.polar.com/training/analysis/7820540145                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082121 -               ..
082123 -   
082124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082128 -  ..
082129 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082130 - Lunch - hamburger few bites - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082131 - Dinner - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082133 -  ..
082134 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082162 -         ..
082163 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082164 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082165 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082166 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082167 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082168 -   48.  240217 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082169 -               0725....BP HR..................................................... 141  81  47  Kardia ECG reports HR status, see below. ref SDS 0 IYSN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082170 -               0730....BP HR..................................................... 137  79  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082171 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082172 -               0735....80 383260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082173 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082174 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082175 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082176 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082177 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082178 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082179 -               1700... 40 106860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
082180 -               1830............ 10 19340  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082181 -               1830............ 10 19710  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082182 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082183 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082184 -               2130... 40 82760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082185 -               2150... 1000 2042000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082186 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082187 -               2300... 80 383340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082188 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082189 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082190 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082193 -  ..
082194 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082195 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082197 -  ..
082198 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082199 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082204 -  ..
082205 - Kardia recorded HR 49 at 0847 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082206 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082207 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082208 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082209 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082210 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082213 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082214 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240217-ecg-084717_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082219 -  ..
082220 - Post hike HR profile beginning 1922 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082221 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082222 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082223 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082224 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082227 -        ..
082228 -       Date      240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209  231208    
082229 -       Time       1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225    2323     
082230 -       Hours        12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9       9     
082231 -       HR AVG       64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63      64     
082232 -       HR MAX      111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     173     
082233 -       HR Min       46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47      44     
082234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082236 -              https://flow.polar.com/training/analysis/7821311804                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082239 -               ..
082241 -   
082242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082246 -  ..
082247 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082248 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082249 - Dinner - hamburger eggs onion brocolli cauliflower mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082251 -  ..
082252 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082279 -         ..
082280 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082281 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082282 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082283 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082284 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082285 -   49.  240218 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082286 -               0705....BP HR..................................................... 139  87  53  Kardia ECG reports HR status, see below. ref SDS 0 R7XF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082287 -               0710....BP HR..................................................... 137  85  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082288 -               0715....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082289 -               0715....80 383420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082290 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082291 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082292 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082293 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082294 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082295 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082296 -               1700... 40 106900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
082297 -             1 0000............ 10 19340  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082298 -             1 0000............ 10 19710  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082299 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082300 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082301 -               2130... 40 82800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082302 -               2150... 1000 2043000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082303 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082304 -               2300... 80 383500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082305 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082306 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082307 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082310 -  ..
082311 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082312 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082314 -  ..
082315 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082316 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082319 -  ..
082320 - Kardia not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082323 -  ..
082324 - Post hike HR profile beginning 1940 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082325 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082326 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082327 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082328 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082331 -        ..
082332 -       Date      240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210  231209    
082333 -       Time       1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209    2225     
082334 -       Hours        14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10       9     
082335 -       HR AVG       66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60      63     
082336 -       HR MAX      115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     117     
082337 -       HR Min       44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43      47     
082338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082340 -              https://flow.polar.com/training/analysis/7821935476                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082343 -               ..
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082350 -  ..
082351 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082352 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082353 - Dinner - steak eggs onion brocolli cauliflower macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082354 - mushrooms olives (ate few bites - saved for future meals)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082356 -  ..
082357 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
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082382 -         ..
082383 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082384 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082385 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082386 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082387 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082388 -   50.  240219 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082389 -               0705....BP HR..................................................... 150  87  52  Kardia ECG reports HR status, see below. ref SDS 0 R6PI                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082390 -               0710....BP HR..................................................... 148  89  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082391 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082392 -               0715....80 383580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082393 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082394 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082395 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082396 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082397 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
082398 -  ..
082399 -               1153....miles...........  12.0  12.0  195   195 minutes  temp  65 wind 22  rain 40%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082400 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082401 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082402 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
082403 -               1403....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082404 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082405 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082406 -               1403... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082407 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082408 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082409 -               1603....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082410 -               1603... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082411 -               1804....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082412 -               1804... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082413 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082414 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082415 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082416 -               1816... Hike ends mile 27... ref SDS 0 P4MQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082417 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082418 -               1550....weight.................................... 171  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082419 -               1600....BP HR..................................................... 122  84  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082420 -               1620....BP HR..................................................... 133  85  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082421 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082422 -               1700... 40 106940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
082423 -               1830............ 10 19350  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082424 -               1830............ 10 19720  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082425 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082426 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082427 -               2130... 40 82880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082428 -               2150... 1000 2044000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082429 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082430 -               2300... 80 383660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082431 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082432 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082433 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082436 -  ..
082437 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082438 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082440 -  ..
082441 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082442 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082445 -  ..
082446 - Today, hiked 12 miles - 86 days after PRP left knee and elbow - 64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082447 - days after 5th cardiac ablation left atrial atypical AFL - hiked 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082448 - mile semi-loop through South Concord streets including Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082449 - Creek Road past Newhall Community Park.  Took Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082450 - then Ygnacio Valley Road.  At mile 5, hiked 0.5 miles to past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082451 - Discovery Way, and back to Ygnacio Valley Road.  Took Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082452 - college.  Stopped for hydration and nutrition.  Raining hard at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082453 - 8.  Left college hiking 2 miles over summit Ignacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082454 - Hiked .5 mile back to Cowell, then to Treat and home.  Had no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082455 - of severe, momentary pain left knee from straining ACL, and knee did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082456 - not seem to buckle, as occurred on 240205, per above. ref SDS 0 EZ4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082460 -         ..
082461 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082462 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082463 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
082464 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082465 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082466 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082467 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082468 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082469 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082470 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082471 -        Shoulder left myopathy statins...............   2         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082472 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082473 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                   
082474 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082475 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082476 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082477 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082478 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082479 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082480 -        Knee left meniscus...PRP 231121..............   1         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
082481 -        Knee left patalla...PRP 210705...............   1        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082482 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082483 -   ***  Knee left anterior cruciate ligament.........   0        100  no episodes - was careful turning left - also stepping down awkwardly                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082484 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082485 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082486 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082487 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082488 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082489 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082490 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082491 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082492 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
082493 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082494 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082495 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
082496 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
082497 -        Planarfaciitis right foot..240213.............  0        100  did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082498 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082499 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082500 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
082501 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
082502 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
082503 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082504 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
082505 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082506 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082507 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082508 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082509 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
082510 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
082511 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
082512 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082513 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
082514 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082515 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082516 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082517 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
082518 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082519 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082520 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082521 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082522 -        Peripheral neruopathy top left hand..........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082523 -        Peripheral neruopathy top right hand.........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082524 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082525 -        Veering right ...............................   0        100  veering today, after taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082526 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082527 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082528 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082529 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin at mile 10, got wobbly about mile 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082530 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082532 -  ..
082533 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082535 -  ..
082536 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082538 -  ..
082539 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082541 -  ..
082542 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082543 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082545 -  ..
082546 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082547 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082548 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082549 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082550 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082554 -  ..
082555 - Concord 13 mile route - took more Glucosamine Chondroitin (...seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082556 - helpful - less pain on prior days) for OA protection, mainly left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082557 - knee, aiding left knee treated with PRP intra articular injection on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082558 - 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082559 - statins, which increases energy and HDL.  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082560 - butter and margarine and chia seeds for energy, and avocado for HDL;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082561 - per above. ref SDS 0 NH6M  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082562 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082563 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082564 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082565 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082566 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082567 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082568 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082569 - backpack to carry stuff. \Hiked Cuneo .25 miles and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082570 - Treat.  Feet starting hike feeling like pins and needles - difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082571 - feeling ground - more severe after not hiking since 240215 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082572 - ref SDS 0 CE8F  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082573 - Temp started at 55, and reached 60.  West wind 22 mph and mostly 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082574 - mph - rained 40% mostly light, heavy 15%, so shortened hike.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082575 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082576 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082577 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082578 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082579 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082580 - Did not feel neuropathy (tingling) top of both hands during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082581 - today.  Turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082582 - asphalt pavement in parking lots of shopping complex.  Started raining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082583 - - light, sprinkles.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082584 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082585 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082586 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082587 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082588 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082589 - at Michigan Boulevard.  Hiked past Union 76 Texaco Gas Station store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082590 - mile 6, time ____.  on Ygnacio Valley Road.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082591 - Hollow hiking 0.5 miles.  Past Discovery Way turned around.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082592 - back to YV, and turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082593 - uphill 3% - 4% grade against wind 20 mph, and heavy rain.  Reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082594 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082595 - Campus, hiked once around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082596 - still recoverying from PRP injections on 231121 0700. ref SDS 27 G45J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082597 - did not stop at training station to do 20 half-pullups, 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082598 - half-pushups and 00 situps using training equipment.  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082599 - bloated symptom ischemic colotis - did not need Simethicone.  Avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082600 - turning left sharply or stepping awkwardly to avoid left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082601 - momentary PL 10.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082602 - Building mile 08, time 1403. temp 65 and wind 18 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082603 - variable though raggedy with no artifact, Kardia reported HR 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082604 - Possible Atrial Fibrillation - see below. ref SDS 0 R6UP  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082605 - 1, right foot Tailor's Bunion PL 0, left knee meniscus PL 1, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082606 - ACL PL 0 episodic, left shoulder PL 2 (lifting), left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082607 - episodic.  Did not take Tramadol and Gabapentin for pain maagement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082608 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082609 - softdrink carried from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082610 - and nutrition - peanut butter, margarine and chia seeds (with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082611 - magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082612 - electrolyte pill, per above. ref SDS 0 6N5J  Rain stopped - exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082613 - college hiking North downhill on Campus Drive.  Left knee did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082614 - buckle, as occurred in hiking on 230205.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082615 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 22,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082616 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082617 - wind 20 mph and rain again.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082618 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082619 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082620 - traffic barriar mile 10, turned around hiking back 0.5 mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082621 - left onto Cowell. heading North .25 miles downhill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082622 - Continued .5 miles flat grade.  Rain increasing.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082623 - miles narrow path with no shoulder against heavy early evening commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082624 - traffic - rain made this more challenging.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082625 - heading West .25 miles.  Crossed street at break in traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082626 - right onto Cuneo and hiked home.  Ended hike mile 12, time 1525 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082627 - 59, wind 18 mph, feet PL 1, right foot tailor's bunion PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082628 - PL 1 (swollen) - anterior cruciate ligament (ACL) episodic PL 0 (much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082629 - better today), right knee PL 0, left hip PL 0, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082630 - neck and right shoulder PL 0 intermittantly, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082631 - lifting.  Lower legs (muscles, tendons, ligaments) PL 0.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082632 - variable with no artifact, Kardia reported HR 103 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082633 - below. ref SDS 0 GE3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082640 -  ..
082641 - Kardia not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082642 - Kardia recorded HR 49 at 0847 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082643 - with p-wave and no artifact; no AFL after hiking 00 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082644 - ending Apixaban on 240110, and not taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082645 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082646 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082647 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082650 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082651 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240217-ecg-084717_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082657 -  ..
082658 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082659 - hike 12 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082660 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082662 -  ..
082663 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082664 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082665 -       Date       240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 231202 231201 231130 2  
082666 -       Miles         12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     20      0      0     
082667 -       HR AVG       117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110    113     no     no     
082668 -         MAX        140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134    133  report report r  
082669 -         Min         36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     37                   
082670 -       El Climb Ft  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715    352                   
082671 -       Temp Max      65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     62                   
082672 -       Wind Max      22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     11                   
082673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082676 -              https://flow.polar.com/training/analysis/7822178170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082679 -               ..
082681 -   
082682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082686 -  ..
082687 - EKG at mile 08 time 1403 HR 106 temp 65, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082688 - Atrial Fibrillation... looks variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082689 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082692 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082693 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240219-ecg-140330_mile_08_106_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082697 -  ..
082698 - End hike EKG at mile 12 time 1525 HR 103 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082699 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082700 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082703 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082704 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240219-ecg-152521_mile_12_103_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082711 -  ..
082712 - Post hike HR profile beginning 1940 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082713 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082714 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082715 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082716 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082719 -        ..
082720 -       Date      240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211  231210    
082721 -       Time       2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308    2209     
082722 -       Hours        10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9      10     
082723 -       HR AVG       67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59      60     
082724 -       HR MAX      109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     116     
082725 -       HR Min       41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36      43     
082726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082728 -              https://flow.polar.com/training/analysis/7822545996                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082731 -               ..
082733 -   
082734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082738 -  ..
082739 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082740 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082741 - Dinner - steak eggs onion brocolli cauliflower macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082742 - mushrooms olives (ate few bites - saved for future meals)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082744 -  ..
082745 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082772 -         ..
082773 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082774 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082775 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082776 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082777 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082778 -   51.  240220 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082779 -               0705....BP HR..................................................... 139  81  53  Kardia ECG reports HR status, see below. ref SDS 0 72KA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082780 -               0710....BP HR..................................................... 127  80  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082781 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082782 -               0715....80 383740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082783 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082784 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082785 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082786 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082787 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082788 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082789 -               1700... 40 106820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
082790 -             1 0000............ 10 19350  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082791 -             1 0000............ 10 19720  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082792 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082793 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082794 -               2130... 40 82920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082795 -               2150... 1000 2045000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082796 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082797 -               2300... 80 383820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082798 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082799 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082800 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082803 -  ..
082804 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082805 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082807 -  ..
082808 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082809 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082812 -  ..
082813 - Kardia not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082817 -  ..
082818 - Post hike HR profile beginning 1917 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082819 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082820 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082821 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082822 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082825 -        ..
082826 -       Date      240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212  231211    
082827 -       Time       1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113    2308     
082828 -       Hours         6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10       9     
082829 -       HR AVG       72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64      59     
082830 -       HR MAX      115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     114     
082831 -       HR Min       39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42      36     
082832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082834 -              https://flow.polar.com/training/analysis/7823079793                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082837 -               ..
082839 -   
082840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082844 -  ..
082845 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082846 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082847 - Dinner - steak eggs onion brocolli cauliflower mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082849 -  ..
082850 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082874 -         ..
082875 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082876 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082877 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082878 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082879 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082880 -   52.  240221 0250............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082881 -               0305....BP HR..................................................... 130  73  51  Kardia ECG reports HR status, see below. ref SDS 0 R4HS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082882 -               0310....BP HR..................................................... 145  84  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082883 -               0315....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082884 -               0315....80 383900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082885 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082886 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082887 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082888 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082889 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082890 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082891 -               1700... 40 106860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
082892 -               1830............ 10 19360  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082893 -               1830............ 10 19730  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082894 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082895 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082896 -               2130... 40 82960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082897 -               2150... 1000 2046000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082898 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082899 -               2300... 80 383980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082900 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082901 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082902 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082905 -  ..
082906 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082907 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082909 -  ..
082910 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082911 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082916 -  ..
082917 - Kardia recorded HR 61 at 0312 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082918 - lengths with p-wave and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082919 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082920 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082921 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082922 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082923 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082926 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082927 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240221-ecg-031246_mile_00_061_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082933 -  ..
082934 - Post hike HR profile beginning 2005 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082935 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082936 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082937 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082938 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082941 -        ..
082942 -       Date      240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213  231212    
082943 -       Time       2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729    2113     
082944 -       Hours        12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10      10     
082945 -       HR AVG       67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67      64     
082946 -       HR MAX      104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     128     
082947 -       HR Min       43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45      42     
082948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082950 -              https://flow.polar.com/training/analysis/7823932839                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082953 -               ..
082955 -   
082956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082959 -  ..
082960 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082961 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082962 - Dinner - steak eggs onion brocolli cauliflower mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082964 -  ..
082965 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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082970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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082975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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082977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082991 -         ..
082992 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082993 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082994 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082995 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082996 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082997 -   53.  240222 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082998 -               0710....BP HR..................................................... 147  82  52  Kardia ECG reports HR status, see below. ref SDS 0 EKX6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082999 -               0715....BP HR..................................................... 142  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083000 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083001 -               0725....80 384060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083002 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083003 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083004 -               1130....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083005 -               1130....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083006 -               1130... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
083007 -  ..
083008 -               1201....miles...........  25.0  36.0  440   635 minutes  temp  62 wind 08  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083009 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083010 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083011 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
083012 -               1421....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083013 -               1421....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083014 -               1421... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083015 -               1421... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083016 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083017 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083018 -               1756....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083019 -               1756... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083020 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083021 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083022 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083023 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083024 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083025 -               1946... Hike ends mile 25... ref SDS 0 SVU8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083026 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083027 -               2005....weight.................................... 171  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083028 -               2010....BP HR..................................................... 118  78  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083029 -               2020....BP HR..................................................... 133  85  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083030 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083031 -               2020... 40 106900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
083032 -             1 0000............ 10 19360  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083033 -             1 0000............ 10 19730  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
083034 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083035 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083036 -               2130... 40 83000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083037 -               2150... 1000 2047000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083038 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083039 -               2300... 80 384140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083040 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083041 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083042 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083045 -  ..
083046 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083047 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083049 -  ..
083050 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083051 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083054 -  ..
083055 - Today, hiked 25 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083056 - including Treat, Turtle Creek Road past Newhall Community Park.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083057 - Ayers to Clayton Road, then Ygnacio Valley Road.  Hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083058 - 0.50 mile East.  Turned around and hiked back.  Continued West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083059 - on Campus Drive to college.  Hiked 1.5-mile loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083060 - Stopped mile 8 for hydration, nutrition, and pain meds.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083061 - Simethicone to relieve bloating.  Continued 3 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083062 - parking lots.  At mile 13, left college hiking 2 miles over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083063 - Ignacio Valley Road.  Continued 2 miles, then hiked 3 miles around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083064 - Safeway shopping complex.  Hiked 1 mile on Oak Grove, and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083065 - miles to Cuneo, another 2 miles through residential street; finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083066 - home.  Had no episodes severe, momentary pain left knee from straining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083067 - ACL, and knee did not seem to buckle, as occurred on 240205, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083068 - above. ref SDS 0 EZ4I  Tried Hoka Bondi 6 shoes.  After 5 miles began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083069 - noticing pain mostly left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083073 -         ..
083074 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083075 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083076 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 10 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
083077 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083078 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083079 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083080 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083081 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083082 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083083 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083084 -        Shoulder left myopathy statins...............   2         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083085 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083086 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                   
083087 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083088 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083089 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083090 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083091 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083092 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083093 -        Knee left meniscus...PRP 231121..............   1         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
083094 -        Knee left patalla...PRP 210705...............   1        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083095 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083096 -   ***  Knee left anterior cruciate ligament.........   0        100  no episodes - was careful turning left - also stepping down awkwardly                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083097 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083098 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083099 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083100 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083101 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083102 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083103 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083104 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083105 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
083106 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083107 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083108 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
083109 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
083110 -        Planarfaciitis right foot..240213.............  0        100  did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083111 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083112 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083113 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
083114 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
083115 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
083116 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083117 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
083118 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083119 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083120 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083121 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083122 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
083123 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
083124 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
083125 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083126 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
083127 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083128 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083129 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083130 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
083131 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083132 -        Burning sensation both feet..................   0        100  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083133 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083134 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083135 -        Peripheral neruopathy top left hand..........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083136 -        Peripheral neruopathy top right hand.........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083137 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083138 -        Veering right ...............................   0        100  veering today, after taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083139 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083140 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083141 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083142 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin at mile 10, got wobbly about mile 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083143 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083145 -  ..
083146 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083148 -  ..
083149 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083151 -  ..
083152 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083154 -  ..
083155 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083156 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083158 -  ..
083159 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083160 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083161 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083162 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083163 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083167 -  ..
083168 - Concord 25 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083169 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083170 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083171 - depleted by statins, which increases energy and HDL.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083172 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083173 - HDL; per above. ref SDS 0 PB1N  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083174 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083175 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083176 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083177 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083178 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083179 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083180 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Tried wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083181 - Hoka Bondi 6 wide shoes with only  1 pair dual-ply Wrightsocks socks -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083182 - able to complet hike with increased pressure across width of feet;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083183 - left foot #1 and #5 slight injuries.  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083184 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083185 - feeling like pins and needles - difficulty feeling ground - more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083186 - severe after not hiking since 240219 per above. ref SDS 0 NH6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083187 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083188 - 59, and reached 62.  West wind 08 mph and mostly 03 mph.  No rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083189 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083190 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083191 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083192 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083193 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083194 - road shoulder.  At mile 3, not feeling neuropathy top of both hands.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083195 - Turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083196 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083197 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083198 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083199 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083200 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083201 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083202 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083203 - Gas Station store mile __, time ___.  Turned left hiked 0.75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083204 - East on Pine Hollow.  At Camino Salono turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083205 - YV.  Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083206 - grade against wind 03 mph.  Mile 07 - reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083207 - California State University East Bay Concord Campus.  Hiked once                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083208 - around main campus buildings.  Since left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083209 - PRP injections on 231121 0700. ref SDS 27 G45J, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083210 - training station to do 20 half-pullups, 40 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083211 - using training equipment.  Hiked loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083212 - Parking.  Did not feel bloated symptom ischemic colitis - did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083213 - Simethicone.  Avoided turning left sharply or stepping awkwardly to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083214 - avoid left knee momentary PL 10.  Back at Visitor Parking Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083215 - Administration Building mile 08, time 1424, temp 61 and wind 05 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083216 - EKG looks uniform with no artifact, Kardia reported HR 112 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083217 - - see below. ref SDS 0 RW3R  Both feet PL 1, left foot outside edge #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083218 - PL 3 and #5 PL 2, right foot Tailor's Bunion PL 1, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083219 - PL 2, left knee ACL PL 1 episodic, left shoulder PL 2 (lifting), left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083220 - elbow PL 3 episodic.  Take Tramadol and Gabapentin for pain maagement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083221 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083222 - softdrink carried from home for hydration and swallowing pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083223 - and nutrition - peanut butter, margarine and chia seeds (with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083224 - magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083225 - electrolyte pill, per above. ref SDS 0 FR2T  Continued hiking 4 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083226 - mile loops through campus parking lots.  At mile 13, exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083227 - hiking North downhill on Campus Drive.  Going downhill, left knee did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083228 - not buckle, as occurred in hiking on 230205.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083229 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083230 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083231 - wind 05 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083232 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083233 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083234 - barriar mile 15, crossed back to South side to use wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083235 - Hiked West 2 miles downhill 3% grade; crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083236 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083237 - 1-mile loops around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083238 - Mod Pizza mile 20, time 1756, temp 58 and wind 05 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083239 - uniform with no artifact, Kardia reported HR 116 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083240 - below. ref SDS 0 PY6F  Both feet PL 1, left foot outside edge #1 PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083241 - and #5 PL 2, right foot Tailor's Bunion PL 1, left knee meniscus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083242 - left knee ACL PL 1 episodic, left shoulder PL 2 (lifting), left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083243 - PL 3 episodic.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083244 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083245 - swallowing nutrition - peanut butter, margarine and chia seeds (with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083246 - magnesium) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083247 - electrolyte pill, per above. ref SDS 0 FR2T  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083248 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083249 - hiking North .25 miles - turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083250 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083251 - shoulder.  Crossed Treat at street light.  Turned right and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083252 - mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083253 - .75 miles on Treat uphill 5% grade temp 60.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083254 - summit, mile 22, hiked another mile to Cuneo, then 2.0 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083255 - residential streets and back home.  Ended hike mile 25 time 1946 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083256 - 54, wind 04, feet PL 2, left foot #1 PL 2, #5 PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083257 - Tailor's Bunion PL 1, left knee PL 2 (swollen) - maybe anterior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083258 - cruciate ligament (ACL); right knee PL 0, left hip PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083259 - PL 1, neck and right shoulder PL 0 intermittantly, left elbow PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083260 - when lifting.  Lower legs (muscles, tendons, ligaments) PL 0.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083261 - looks uniform, with artifact, Kardia reported HR 110 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083262 - below. ref SDS 0 SVU8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083269 -  ..
083270 - Kardia recorded HR 55 at 0829 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083271 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083272 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083273 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083274 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083275 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083276 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083279 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083280 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240222-ecg-082946_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083286 -  ..
083287 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083288 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083289 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083291 -  ..
083292 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083293 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083294 -       Date       240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 231124 231203 2  
083295 -       Miles         25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0      0     26     
083296 -       HR AVG       117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     no    110     
083297 -         MAX        136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report report   134     
083298 -         Min         49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                                 57     
083299 -       El Climb Ft  495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                                715     
083300 -       Temp Max      62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                                 61     
083301 -       Wind Max       8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                                 09     
083302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083305 -              https://flow.polar.com/training/analysis/7824237769                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083308 -               ..
083310 -   
083311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083315 -  ..
083316 - EKG at mile 08 time 1424 HR 112 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083317 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083318 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083322 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240222-ecg-142431_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083327 -  ..
083328 - EKG at mile 20 time 1756 HR 116 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083329 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083330 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083333 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083334 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240222-ecg-175640_mile_20_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083338 -  ..
083339 - End hike EKG at mile 25 time 1946 HR 110 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083340 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083341 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083344 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083345 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240222-ecg-194624_mile_25_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083352 -  ..
083353 - Post hike HR profile beginning 0039 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083354 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083355 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083356 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083357 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083360 -        ..
083361 -       Date      240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214  231213    
083362 -       Time       0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112    1729     
083363 -       Hours         8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10      10     
083364 -       HR AVG       62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62      67     
083365 -       HR MAX       95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     121     
083366 -       HR Min       47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44      45     
083367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083369 -              https://flow.polar.com/training/analysis/7824574088                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083372 -               ..
083374 -   
083375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083378 -  ..
083379 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083380 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083381 - Dinner - rice steak eggs onion brocolli cauliflower mushrooms olives (few bites)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083383 -  ..
083384 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083411 -         ..
083412 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083413 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083414 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083415 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083416 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083417 -   54.  240223 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083418 -               0710....BP HR..................................................... 153  87  47  Kardia ECG reports HR status, see below. ref SDS 0 RX4V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083419 -               0715....BP HR..................................................... 145  82  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083420 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083421 -               0725....80 384220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083422 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083423 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083424 -               1030....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083425 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083426 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083427 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083428 -               1700... 40 106940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
083429 -               1830............ 10 19370  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083430 -               1830............ 10 19740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
083431 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083432 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083433 -               2130... 40 83040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083434 -               2150... 1000 2048000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083435 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083436 -               2300... 80 384300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083437 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083438 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083439 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083442 -  ..
083443 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083444 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083446 -  ..
083447 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083448 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083450 -  ..
083451 - Hiking - none today due to injury left knee and left foot #1 and #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083452 - and right foot Tailor's Bunion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083455 -  ..
083456 - Kardia recorded HR 58 at 1003 Bradycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083457 - lengths with p-wave and no artifact; no AFL after hiking 25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083458 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083459 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083460 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083461 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083462 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083465 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083466 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240223-ecg-100307_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083472 -  ..
083473 - Post hike HR profile beginning 2139 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083474 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083475 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083476 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083477 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083480 -        ..
083481 -       Date      240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215  231214    
083482 -       Time       0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009    2112     
083483 -       Hours         8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11      10     
083484 -       HR AVG       62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66      62     
083485 -       HR MAX       95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     105     
083486 -       HR Min       47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44     
083487 -       HR Min       47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48      44     
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083489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083490 -               https://flow.polar.com/training/analysis/7825259858                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
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083493 -               ..
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083499 -  ..
083500 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083501 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083502 - Dinner - rice tuna steak eggs onion brocolli cauliflower mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083504 -  ..
083505 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
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083534 -         ..
083535 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083536 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083537 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083538 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083539 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083540 -   55.  240224 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083541 -               0710....BP HR..................................................... 152  77  50  Kardia ECG reports HR status, see below. ref SDS 0 7RVY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083542 -               0715....BP HR..................................................... 142  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083543 -               0725....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083544 -               0725....80 384380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083545 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083546 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083547 -               0950....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083548 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083549 -               0950... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
083550 -  ..
083551 -               1025....miles...........  30.0  67.0  502  1137 minutes  temp  73 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083552 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083553 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083554 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
083555 -               1416....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083556 -               1416....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083557 -               1416... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083558 -               1416... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083559 -               1755....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083560 -               1755....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083561 -               1755....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083562 -               1755... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083563 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083564 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083565 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083566 -               1926... Hike ends mile 30... ref SDS 0 D73H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083567 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083568 -               1940....weight.................................... 171  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083569 -               1950....BP HR..................................................... 110  69 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083570 -               1955....BP HR..................................................... 102  68  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083571 -               2000....BP HR.....................................................  97  67  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083572 -               2005....BP HR..................................................... 103  67  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083573 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083574 -               2030... 40 106980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
083575 -             1 0000............ 10 19370  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083576 -             1 0000............ 10 19740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
083577 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083578 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083579 -               2130... 40 83080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083580 -               2150... 1000 2049000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083581 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083582 -               2300... 80 384460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083583 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083584 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083585 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083588 -  ..
083589 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083590 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083592 -  ..
083593 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083594 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083597 -  ..
083598 - Today, hiked 30 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083599 - including Treat, Turtle Creek Road past Newhall Community Park.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083600 - Ayers to Clayton Road, then Ygnacio Valley Road.  Hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083601 - 0.50 mile East.  Turned around and hiked back.  Continued West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083602 - on Campus Drive to college.  Hiked 1.5-mile loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083603 - Stopped mile 8 for hydration, nutrition, and pain meds.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083604 - Simethicone to relieve bloating.  Continued 3 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083605 - parking lots.  At mile 13, left college hiking 2 miles over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083606 - Ignacio Valley Road.  Continued 2 miles, then hiked 3 miles around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083607 - Safeway shopping complex.  Hiked 1 mile on Oak Grove, and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083608 - miles to Cuneo, another 2 miles through residential street; finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083609 - home.  Had no episodes severe, momentary pain left knee from straining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083610 - ACL, and knee did not seem to buckle, as occurred on 240205, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083611 - above. ref SDS 0 EZ4I  Tried Hoka Bondi 6 shoes.  After 5 miles began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083612 - noticing pain mostly left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083616 -         ..
083617 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083618 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083619 -        Stomach pain ischemic colitis bloating.......   3          5  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 7 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                    
083620 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083621 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083622 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083623 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083624 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083625 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083626 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083627 -        Shoulder left myopathy statins...............   2         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083628 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083629 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                   
083630 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083631 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083632 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083633 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083634 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083635 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083636 -        Knee left meniscus...PRP 231121..............   1         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
083637 -        Knee left patalla...PRP 210705...............   1        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083638 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083639 -   ***  Knee left anterior cruciate ligament.........   2         20  episodes - was careful turning left - also stepping down awkwardly                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083640 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083641 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083642 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083643 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083644 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083645 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083646 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083647 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083648 -        Tailor's Bunion right foot..PRP 21 705.......   2         40  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
083649 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083650 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083651 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
083652 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
083653 -        Planarfaciitis right foot..240213.............  1         10  beginning about mile 20, ended mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083654 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083655 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083656 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
083657 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
083658 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
083659 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083660 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
083661 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083662 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083663 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083664 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083665 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
083666 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
083667 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
083668 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083669 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
083670 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083671 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083672 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083673 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
083674 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083675 -        Burning sensation both feet..................   2         30  have not had this lately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083676 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083677 -        Peripheral neruopathy both feet..............   0        100  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083678 -        Peripheral neruopathy top left hand..........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083679 -        Peripheral neruopathy top right hand.........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083680 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083681 -        Veering right ...............................   2         10  veering today, after taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083682 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083683 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083684 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083685 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 1 Gabapentin at mile 13, again mile 25 got wobbly about mile 25 but hurting so took 2nd Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                         
083686 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083688 -  ..
083689 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083691 -  ..
083692 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083694 -  ..
083695 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083697 -  ..
083698 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083699 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083701 -  ..
083702 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083703 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083704 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083705 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083706 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083710 -  ..
083711 - Concord 30 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083712 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083713 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083714 - depleted by statins, which increases energy and HDL.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083715 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083716 - HDL; per above. ref SDS 0 M6IG  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083717 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083718 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083719 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083720 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083721 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083722 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083723 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083724 - wearing Brooks Ghost x-wide shoes with 2 pair dual-ply Wrightsocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083725 - socks - less pain.  Took backpack to carry stuff.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083726 - miles and turned left, onto Treat.  Feet starting hike feeling like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083727 - pins and needles - difficulty feeling ground - more severe after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083728 - hiking since 240219 per above. ref SDS 0 NH6M  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083729 - entire hike without dyspnea.  Temp started at 63, and reached 73.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083730 - West wind 08 mph and mostly 03 mph.  No rain.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083731 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083732 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083733 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083734 - today.  Continued on Turtle Creek Road uphill 4% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083735 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083736 - not feeling neuropathy top of both hands.  Turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083737 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083738 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083739 - on concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083740 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083741 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083742 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083743 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083744 - Boulevard.  Did not stop at Union 76 Gas Station store mile __, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083745 - ___.  Turned left hiked 2.50 miles East on Pine Hollow.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083746 - Pine Hollow, turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083747 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083748 - mph.  Mile 11 - reached Visitor Parking at California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083749 - East Bay Concord Campus.  Hiked once around main campus buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083750 - Since left elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083751 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083752 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083753 - Hiked loop through Faculty and Student Parking.  Did not feel bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083754 - symptom ischemic colitis - did not need Simethicone.  Avoided turning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083755 - left sharply or stepping awkwardly to avoid left knee momentary PL 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083756 - Did 1 loop through parking lots.  Back at Visitor Parking Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083757 - Administration Building mile 13, time 1416, temp 69 and wind 07 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083758 - EKG looks uniform and raggedy with no artifact, Kardia reported HR 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083759 - Tachycardia - see below. ref SDS 0 S5Q1  Both feet PL 3, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083760 - outside edge #1 PL 2 and #5 PL 0, right foot Tailor's Bunion PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083761 - left knee meniscus PL 2, left knee ACL PL 1 episodic, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083762 - 2 (lifting), left elbow PL 3 episodic.  Take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083763 - for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083764 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083765 - swallow pain pills and nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083766 - seeds (with magnesium) for energy, and avocado for HDL, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083767 - Nuun electrolyte pill, per above. ref SDS 0 S72W  Continued hiking 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083768 - 1.5 mile loops through campus parking lots.  At mile 18, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083769 - college hiking North downhill on Campus Drive.  Going downhill, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083770 - knee did not buckle, as occurred in hiking on 230205.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083771 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083772 - 19, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083773 - wind 02 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083774 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083775 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083776 - barriar mile 20, crossed back to South side to use wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083777 - Hiked West 2 miles downhill 3% grade; crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083778 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083779 - 1-mile loops around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083780 - Mod Pizza mile 25, time 1755, temp 66 and wind 05 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083781 - variable with no artifact, Kardia reported HR 118 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083782 - below. ref SDS 0 NX8E  Both feet PL 2, left foot outside edge #1 PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083783 - and #5 PL 0, right foot Tailor's Bunion PL 1, left knee meniscus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083784 - left knee ACL PL 1 episodic, left shoulder PL 3 (lifting), left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083785 - PL 3 episodic.  Took another Tramadol and Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083786 - HDL and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083787 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083788 - seeds (with magnesium) for energy, and avocado for HDL; took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083789 - electrolyte pill, per above. ref SDS 0 S72W  Continued hiking 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083790 - loops around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083791 - hiking North .25 miles - turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083792 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083793 - shoulder.  Crossed Treat at street light.  Turned right and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083794 - mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083795 - .75 miles on Treat uphill 5% grade temp 60.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083796 - summit, mile 28, hiked another mile to Cuneo, then 1.0 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083797 - residential streets and back home.  Ended hike mile 30 time 1926 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083798 - 59, wind 01, feet PL 1, left foot #1 PL 0, #5 PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083799 - Tailor's Bunion PL 1, left knee PL 1 (swollen) - maybe anterior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083800 - cruciate ligament (ACL); right knee PL 0, left hip PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083801 - PL 1, neck and right shoulder PL 7 intermittantly, left elbow PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083802 - when lifting.  Lower legs (muscles, tendons, ligaments) PL 2 (feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083803 - wasted - weak), EKG looks variable, with artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083804 - 115 Tachycardia - see below. ref SDS 0 D73H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083811 -  ..
083812 - Kardia recorded HR 51 at 0753 Bradycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083813 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083814 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083815 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083816 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083817 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083818 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083821 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083822 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240224-ecg-075328_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083828 -  ..
083829 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083830 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083831 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083833 -  ..
083834 - Actually, failed to set Polat to GPS hiking, so the route was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083835 - recorded .                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083837 -  ..
083838 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083839 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083840 -       Date       240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 231135 2  
083841 -       Miles         30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0      0     
083842 -       HR AVG       120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     no     
083843 -         MAX        140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report report r  
083844 -         Min         78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                          
083845 -       El Climb Ft  495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                          
083846 -       Temp Max      73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                          
083847 -       Wind Max      10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                          
083848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083851 -              https://flow.polar.com/training/analysis/7825436062                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083854 -               ..
083856 -   
083857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083861 -  ..
083862 - EKG at mile 13 time 1416 HR 119 temp 69, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083863 - Qachycardia... looks uniform and raggedy with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083864 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083867 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083868 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240224-ecg-141614_mile_13_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083873 -  ..
083874 - EKG at mile 25 time 1755 HR 118 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083875 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083876 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083879 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083880 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240224-ecg-175501_mile_25_118_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083884 -  ..
083885 - End hike EKG at mile 30 time 1926 HR 115 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083886 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083887 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083890 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083891 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240224-ecg-192603_mile_30_115_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083898 -  ..
083899 - Post hike HR profile beginning 2037 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083900 - overnight after hiking 30 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083901 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083902 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083903 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083906 -        ..
083907 -       Date      240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216  231215    
083908 -       Time       2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004    2009     
083909 -       Hours        13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12      11     
083910 -       HR AVG       61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58      66     
083911 -       HR MAX      124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     102     
083912 -       HR Min       41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43      48     
083913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083915 -              https://flow.polar.com/training/analysis/7825995084                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083918 -               ..
083920 -   
083921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083924 -  ..
083925 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083926 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083927 - Dinner - tuna onion olives tomato avocado, cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083929 -  ..
083930 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083958 -         ..
083959 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083960 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083961 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083962 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083963 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083964 -   56.  240225 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083965 -               0730....BP HR..................................................... 144  84  51  Kardia ECG reports HR status, see below. ref SDS 0 6NE9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083966 -               0735....BP HR..................................................... 138  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083967 -               0740....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083968 -               0740....80 384540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083969 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083970 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083971 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083972 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083973 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
083974 -  ..
083975 -               1125....miles...........  25.0  92.0  435  1572 minutes  temp  67 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083976 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083977 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083978 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
083979 -               1340....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083980 -               1340....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083981 -               1340... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083982 -               1340... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083983 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083984 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083985 -               1658....mile 18 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083986 -               1658....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083987 -               1658... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083988 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083989 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083990 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083991 -               1816... Hike ends mile 25... ref SDS 0 P4MQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083992 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083993 -               1920....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083994 -               1930....BP HR..................................................... 103  71  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083995 -               1945....BP HR..................................................... 112  74  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083996 -               1950....BP HR..................................................... 115  75  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083997 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083998 -               1950... 40 107020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
083999 -               2030............ 10 19380  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084000 -               2030............ 10 19750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084001 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084002 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084003 -               2130... 40 83120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084004 -               2150... 1000 2050000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084005 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084006 -               2300... 80 384620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084007 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084008 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084009 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084012 -  ..
084013 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084014 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084016 -  ..
084017 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084018 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084021 -  ..
084022 - Today, hiked 25 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084023 - including Treat, Turtle Creek Road past Newhall Community Park.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084024 - Ayers to Clayton Road, then Ygnacio Valley Road.  Hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084025 - 0.50 mile East.  Turned around and hiked back.  Continued West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084026 - on Campus Drive to college.  Hiked 1.5-mile loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084027 - Stopped mile 8 for hydration, nutrition, and pain meds.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084028 - Simethicone to relieve bloating.  Continued 3 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084029 - parking lots.  At mile 13, left college hiking 2 miles over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084030 - Ignacio Valley Road.  Continued 2 miles, then hiked 3 miles around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084031 - Safeway shopping complex.  Hiked 1 mile on Oak Grove, and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084032 - miles to Cuneo, another 2 miles through residential street; finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084033 - home.  Had no episodes severe, momentary pain left knee from straining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084034 - ACL, and knee did not seem to buckle, as occurred on 240205, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084035 - above. ref SDS 0 EZ4I  Switched back to Brooks Ghost shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084039 -         ..
084040 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084041 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084042 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating feeling today - did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                   
084043 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084044 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084045 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084046 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084047 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084048 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084049 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084050 -        Shoulder left myopathy statins...............   2         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084051 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084052 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                   
084053 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084054 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084055 -        Back.........................................   0        100  lower middle hurting noticed at mile 8, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084056 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084057 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084058 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084059 -        Knee left meniscus...PRP 231121..............   2         30  did take Tramadol and Gabapentin today - knee not hurting beginning of hike, but mostly went away 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                   
084060 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084061 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084062 -   ***  Knee left anterior cruciate ligament.........   0        100  episodes - was careful turning left - also stepping down awkwardly                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084063 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084064 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084065 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084066 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084067 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084068 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084069 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084070 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084071 -        Tailor's Bunion right foot..PRP 21 705.......   2         40  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
084072 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084073 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084074 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
084075 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                            
084076 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084077 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084078 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084079 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
084080 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
084081 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
084082 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084083 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
084084 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084085 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084086 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084087 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084088 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
084089 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
084090 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
084091 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084092 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
084093 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084094 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084095 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084096 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
084097 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084098 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084099 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084100 -        Peripheral neruopathy both feet..............   2         40  stronger today feet numb - goes away 2nd half of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084101 -        Peripheral neruopathy top left hand..........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084102 -        Peripheral neruopathy top right hand.........   0         10  during hike hand numb and shaking about mile 3 to mile 4 then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084103 -        Veering left.................................   0        100  after taking Tramadol and Gabapentin at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084104 -        Veering right ...............................   3         10  veering today, after taking Tramadol and Gabapentin at mile 8 and 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084105 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084106 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084107 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084108 -        Wobbly disoriented staggering dizzy..........   4         15  took 2 Tramadol and 1 Gabapentin at mile 08, again mile 18 got wobbly about mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084109 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084111 -  ..
084112 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084114 -  ..
084115 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084117 -  ..
084118 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084120 -  ..
084121 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084122 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084124 -  ..
084125 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084126 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084127 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084128 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084129 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084133 -  ..
084134 - Concord 25 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084135 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084136 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084137 - depleted by statins, which increases energy and HDL.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084138 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084139 - HDL; per above. ref SDS 0 RD4M  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084140 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084141 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084142 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084143 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084144 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084145 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084146 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084147 - wearing Brooks Ghost x-wide shoes with 2 pair dual-ply Wrightsocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084148 - socks - less pain.  Took backpack to carry stuff.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084149 - miles and turned left, onto Treat.  Feet starting hike feeling like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084150 - pins and needles - difficulty feeling ground - more severe after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084151 - hiking since 240219 per above. ref SDS 0 NH6M  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084152 - entire hike without dyspnea.  Temp started at 58, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084153 - West wind 10 mph and mostly 03 mph.  No rain.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084154 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084155 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084156 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084157 - today.  Continued on Turtle Creek Road uphill 4% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084158 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084159 - not feeling neuropathy top of both hands.  Turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084160 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084161 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084162 - on concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084163 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084164 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084165 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084166 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084167 - Boulevard.  Did not stop at Union 76 Gas Station store mile __, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084168 - ___.  Turned left hiked 0.25 miles East on Pine Hollow.  At Discovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084169 - Way, turned around and hiked back to YV.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084170 - Drive hiking West 1 mile uphill 3% - 4% grade against wind 01 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084171 - Mile 07 - reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084172 - Bay Concord Campus.  Hiked once around main campus buildings.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084173 - left elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084174 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084175 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084176 - Hiked loop through Faculty and Student Parking.  Did not feel bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084177 - symptom ischemic colitis - did not need Simethicone.  Avoided turning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084178 - left sharply or stepping awkwardly to avoid left knee momentary PL 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084179 - Did 1 loop through parking lots.  Back at Visitor Parking Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084180 - Administration Building mile 08, time 1340, temp 67 and wind 10 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084181 - EKG looks variable with no artifact, Kardia reported HR 099 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084182 - Sinus Rhythm - see below. ref SDS 0 4SJ2  Both feet PL 3, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084183 - outside edge #1 PL 1 and #5 PL 0, right foot Tailor's Bunion PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084184 - left knee meniscus PL 2, left knee ACL PL 1 episodic, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084185 - 2 (lifting), left elbow PL 3 episodic.  Take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084186 - for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084187 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084188 - swallow pain pills and nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084189 - seeds (with magnesium) for energy, and avocado for HDL, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084190 - Nuun electrolyte pill, per above. ref SDS 0 SQSS  Continued hiking 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084191 - 1.5 mile loops through campus parking lots.  At mile 12, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084192 - college hiking North downhill on Campus Drive.  Going downhill, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084193 - knee did not buckle, as occurred in hiking on 230205.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084194 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084195 - 13, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084196 - wind 02 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084197 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084198 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084199 - barriar mile 14, crossed back to South side to use wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084200 - Hiked West 2 miles downhill 3% grade; crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084201 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084202 - 1-mile loops around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084203 - Mod Pizza mile 18, time 1658, temp 58 and wind 05 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084204 - uniform with no artifact, Kardia reported HR 110 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084205 - below. ref SDS 0 SJ3Z  Both feet PL 2, left foot outside edge #1 PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084206 - and #5 PL 0, right foot Tailor's Bunion PL 1, left knee meniscus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084207 - left knee ACL PL 1 episodic, left shoulder PL 3 (lifting), left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084208 - PL 3 episodic.  Took another Tramadol and Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084209 - HDL and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084210 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084211 - seeds (with magnesium) for energy, and avocado for HDL; did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084212 - Nuun electrolyte pill, per above. ref SDS 0 SQSS  Continued hiking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084213 - 1-mile loops around the block - turned right onto path parallel to Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084214 - Monte hiking North .25 miles - turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084215 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084216 - shoulder.  Crossed Treat at street light.  Turned right and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084217 - mile East on flat grade concrete sidewalk.  Noticably wobbly PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084218 - veering right.  At San Miguel continued .75 miles on Treat uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084219 - grade temp 60.  Handled this well.  At summit, mile 22, hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084220 - mile to Cuneo, then 2.0 miles through residential streets and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084221 - home.  Ended hike mile 25 time 1910 temp 57, wind 09, feet PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084222 - foot #1 PL 0, #5 PL 0, right foot Tailor's Bunion PL 1, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084223 - (swollen) - maybe anterior cruciate ligament (ACL); right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084224 - left hip PL 0, left shoulder PL 2, neck and right shoulder PL 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084225 - intermittantly, left elbow PL 3, when lifting.  Lower legs (muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084226 - tendons, ligaments) PL 0, EKG looks variable, with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084227 - reported HR 115 Tachycardia - see below. ref SDS 0 STWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084234 -  ..
084235 - Kardia recorded HR 48 at 0926 Bradycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084236 - lengths with p-wave and no artifact; no AFL after hiking 30 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084237 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084238 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084239 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084240 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084241 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084244 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084245 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240225-ecg-092607_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084251 -  ..
084252 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084253 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084254 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084256 -  ..
084257 - Polar failed and ended session with message "out of memory" about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084258 - mile 22.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084260 -  ..
084261 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084262 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084263 -       Date       240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 231206 2  
084264 -       Miles         25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0      0     
084265 -       HR AVG       112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     no     
084266 -         MAX        159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report report r  
084267 -         Min         59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55                   
084268 -       El Climb Ft  495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367                   
084269 -       Temp Max      67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61                   
084270 -       Wind Max      10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09                   
084271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084274 -              https://flow.polar.com/training/analysis/7826169143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084277 -               ..
084279 -   
084280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084284 -  ..
084285 - EKG at mile 08 time 1340 HR 099 temp 67, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084286 - Rhythm... looks variable with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084287 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084290 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084291 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240225-ecg-134055_mile_08_099_nsr_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084296 -  ..
084297 - EKG at mile 18 time 1758 HR 110 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084298 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084299 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084302 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084303 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240225-ecg-165854_mile_18_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084307 -  ..
084308 - End hike EKG at mile 25 time 1910 HR 105 temp 57 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084309 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084310 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084313 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084314 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240225-ecg-191038_mile_25_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084321 -  ..
084322 - Post hike HR profile beginning 2148 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084323 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084324 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084325 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084326 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084329 -        ..
084330 -       Date      240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217  231216    
084331 -       Time       2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114    2004     
084332 -       Hours         8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10      12     
084333 -       HR AVG       66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55      58     
084334 -       HR MAX      105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     113     
084335 -       HR Min       48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40      43     
084336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084338 -              https://flow.polar.com/training/analysis/7826430953                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084341 -               ..
084343 -   
084344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084347 -  ..
084348 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084349 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084350 - Dinner - tuna onion broccoli cauliflower tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084352 -  ..
084353 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084381 -         ..
084382 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084383 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084384 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084385 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084386 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084387 -   57.  240226 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084388 -               0720....BP HR..................................................... 131  74  51  Kardia ECG reports HR status, see below. ref SDS 0 S5B2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084389 -               0725....BP HR..................................................... 136  79  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084390 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084391 -               0730....80 384700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084392 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084393 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084394 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084395 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084396 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
084397 -  ..
084398 -               1237....miles...........  12.0  12.0  202   202 minutes  temp  64 wind 12  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084399 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084400 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084401 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
084402 -               1421....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084403 -               1421....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084404 -               1421... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084405 -               1421... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084406 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084407 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084408 -               1756....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084409 -               1756... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084410 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084411 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084412 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084413 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084414 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084415 -               1606... Hike ends mile 12... ref SDS 0 UF39                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084416 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084417 -               1620....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084418 -               1625....BP HR..................................................... 113  75 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084419 -               1635....BP HR..................................................... 122  72  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084420 -               1640....BP HR..................................................... 115  75  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084421 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084422 -               1700... 40 107060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
084423 -             1 0000............ 10 19380  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084424 -             1 0000............ 10 19750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084425 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084426 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084427 -               2130... 40 83160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084428 -               2150... 1000 2051000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084429 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084430 -               2300... 80 384780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084431 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084432 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084433 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084436 -  ..
084437 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084438 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084440 -  ..
084441 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084442 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084445 -  ..
084446 - Today, hiked 12 miles - seemed sick so changed route - multiple loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084447 - in neighborhood hills on asphalt streets.  Steep 12% grades.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084448 - stop for hydration nor nutrition, and took no pain meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084452 -         ..
084453 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084454 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084455 -        Stomach pain ischemic colitis bloating.......   3          5  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - feel bloating about mile 3 today - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                    
084456 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084457 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084458 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084459 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084460 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084461 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084462 -        Neck turning head/chest left or right........   0        100  no episodic pain flashes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084463 -        Shoulder left myopathy statins...............   2         60  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin today at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084464 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084465 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                           
084466 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084467 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084468 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084469 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084470 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084471 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084472 -        Knee left meniscus...PRP 231121..............   1         30  did not take Tramadol and Gabapentin today - knee not hurting beginning of hike, and minimal rest of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
084473 -        Knee left patalla...PRP 210705...............   1        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084474 -   ***  Knee buckling left..PRP 191209.240108........   0        100  knee did not seem to buckle today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084475 -   ***  Knee left anterior cruciate ligament.........   1         20  very minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084476 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084477 -        Knee right..PRP 190816.......................   0        100  did take Tramadol and Gabapentin today - knee hurting last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084478 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084479 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084480 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084481 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084482 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084483 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084484 -        Tailor's Bunion right foot..PRP 21 705.......   2         40  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles - tried shaving callus in evening difficult to reach                                                                                                                                                                                                                                                                                                                                                             
084485 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084486 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084487 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
084488 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                        
084489 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084490 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084491 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084492 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
084493 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
084494 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
084495 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084496 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                       
084497 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084498 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084499 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084500 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084501 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
084502 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
084503 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
084504 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084505 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
084506 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084507 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084508 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084509 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
084510 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084511 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084512 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084513 -        Peripheral neruopathy both feet..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084514 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084515 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084516 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084517 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084518 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084519 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084520 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084521 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084522 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084524 -  ..
084525 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084527 -  ..
084528 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084530 -  ..
084531 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084533 -  ..
084534 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084535 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084537 -  ..
084538 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084539 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084540 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084541 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084542 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084546 -  ..
084547 - Concord 12 mile route - took more Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084548 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084549 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084550 - depleted by statins, which increases energy and HDL.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084551 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084552 - HDL; per above. ref SDS 0 IQ7J  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084553 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084554 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084555 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084556 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084557 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084558 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084559 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084560 - wearing Brooks Ghost x-wide shoes with 2 pair dual-ply Wrightsocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084561 - socks - less pain.  Took backpack to carry stuff.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084562 - miles.  Did not feel well with continuing symptoms of reflux from last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084563 - night.  Decided to try 1-mile loop around block - turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084564 - Kaski, then right onto Cowell, then Treat and back to Cuneo. seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084565 - better, so continued to end of Cuneo and crossed street at Kaski onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084566 - Hitchcock Road.  Continued 1 mile and turned left onto Court Lane                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084567 - hiking up steep hill 7% grade .25 mile.  At summit, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084568 - Emery Court going .25 mile uphill 8% grade and right again onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084569 - Peppermill Court steeper 8% grade.  At top of hill, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084570 - hiked back to Court Lane.  Turned right hiking past Irwin Court (looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084571 - very steep).  Continued West to end of Court Lane.  Crossed onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084572 - for Lime Ridge trail.  Hiked about .25 mile South on dirt surface,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084573 - still muddy from rains.  Turned around and hiked back turning right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084574 - onto Court Lane.  Continued East on Court Lane .5 mile.  Decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084575 - try Irwin Court - went uphill 9% grade then down.  Went up and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084576 - again on Emery Court and to end of Peppermill Court 8% grade.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084577 - Court Lane hiked 1 mile to end at Cowell.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084578 - back.  Turned left hiking South on Hitchcock .5 mile.  At Rhoda Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084579 - noticed very steep hill.  Decided "Why not!".  Turned left hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084580 - mile up 12% grade, like doing Half Dome.  At summit Rhoda Way bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084581 - and goes straight 300 yards for so, then bends again making a U shape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084582 - and goes downhill back to Hitchcock.  Hiked this once before on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084583 - 180905, reported in case study on 180101 0820. ref SDS 10 YSRY  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084584 - Hitchcock turned left onto Kaski.  Hiked 1 mile to end of road at Lime                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084585 - Ridge Trail.  Turned around going 1.25 mile past Cuneo to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084586 - Turned around went back and turned North again on Hitchcock.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084587 - about 1 mile and turned right again onto Court Lane hiking out ot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084588 - Cowell.  Turned around hiking back to Hitchcock.  Hiked 4 .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084589 - court roads that deadend.  Crossed Hitchcok continuing again on Court                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084590 - Lane up hill 6% grade to end of road.  Did not hike Emory and Irwin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084591 - off streets again, and did not go onto Lime Ridge Trail again.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084592 - around and hiked back past Hitchcock to Cowell, then back still on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084593 - Court Lane past Hitchcock again.  Turned around where Court Lane                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084594 - starts uphill.  Hiked back and turned onto Hitchcock.  Took this back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084595 - to Cuneo and home.  Ended hike mile 12 time 1606 temp 64, wind 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084596 - feet PL 4, left foot #1 PL 1, #5 PL 0, right foot Tailor's Bunion PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084597 - 4, left knee PL 2 (swollen) - maybe anterior cruciate ligament (ACL);                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084598 - right knee PL 0, left hip PL 0, left shoulder PL 2, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084599 - shoulder PL 7 intermittantly, left elbow PL 3, when lifting.  Lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084600 - legs (muscles, tendons, ligaments) PL 0.  EKG looks uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084601 - artifact, Kardia reported HR 106 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084602 - UF39                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084608 -  ..
084609 - Kardia not recorded....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084613 -  ..
084614 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084615 - hike 12 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084616 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084618 -  ..
084619 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084620 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084621 -       Date       240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 231207 2  
084622 -       Miles         12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14      0     
084623 -       HR AVG       107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     no     
084624 -         MAX        136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  report r  
084625 -         Min         59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55            
084626 -       El Climb Ft  245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367            
084627 -       Temp Max      63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61            
084628 -       Wind Max      10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09            
084629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084632 -              https://flow.polar.com/training/analysis/7826809404                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084635 -               ..
084637 -   
084638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084642 -  ..
084643 - End hike EKG at mile 12 time 1606 HR 106 temp 64 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084644 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084645 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084648 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084649 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240226-ecg-160651_mile_12_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084656 -  ..
084657 - Post hike HR profile beginning 2121 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084658 - overnight after hiking 12 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084659 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084660 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084661 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084664 -        ..
084665 -       Date      240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218  231217    
084666 -       Time       2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330    2114     
084667 -       Hours        10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8      10     
084668 -       HR AVG       66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60      55     
084669 -       HR MAX      107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     112     
084670 -       HR Min       43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43      40     
084671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084673 -              https://flow.polar.com/training/analysis/7827160994                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084676 -               ..
084678 -   
084679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084682 -  ..
084683 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084684 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084685 - Dinner - tuna onion broccoli cauliflower cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084687 -  ..
084688 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084717 -         ..
084718 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084719 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084720 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084721 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084722 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084723 -   58.  240227 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084724 -               0740....BP HR..................................................... 147  76  51  Kardia ECG reports HR status, see below. ref SDS 0 9BLZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084725 -               0745....BP HR..................................................... 150  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084726 -               0750....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084727 -               0750....80 384860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084728 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084729 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084730 -               1200....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084731 -               1200....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084732 -               1200... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
084733 -  ..
084734 -               1226....miles...........  18.0  30.0  308   510 minutes  temp  65 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084735 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084736 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084737 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
084738 -               1449....mile 08 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084739 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084740 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084741 -               1449... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084742 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084743 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084744 -               0000....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084745 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084746 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084747 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084748 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084749 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084750 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084751 -               1809... Hike ends mile 19... ref SDS 0 YD2T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084752 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084753 -               1830....weight.................................... 172  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084754 -               1840....BP HR..................................................... 109  69 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084755 -               1845....BP HR..................................................... 114  72  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084756 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084757 -               1900... 40 107100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
084758 -               1930............ 10 19390  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084759 -               1930............ 10 19740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084760 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084761 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084762 -               2130... 40 83200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084763 -               2150... 1000 2052000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084764 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084765 -               2300... 80 384940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084766 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084767 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084768 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084771 -  ..
084772 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084773 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084775 -  ..
084776 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084777 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084780 -  ..
084781 - Today, hiked 19 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084782 - including Treat, Turtle Creek Road past Newhall Community Park.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084783 - Ayers to Clayton Road, then Ygnacio Valley Road.  Hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084784 - 0.50 miles East.  Turned around and hiked back.  Continued 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084785 - Campus Drive to college.  Hiked 5 1.5-mile loops through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084786 - Mile 08 stopped for hydration, nutrition.  At mile 14, left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084787 - hiking 2 miles over summit Ignacio Valley Road.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084788 - hiked back to Cowell, then another mile to Teat and Cuneo, finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084789 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084793 -         ..
084794 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084795 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084796 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
084797 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084798 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084799 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084800 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084801 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084802 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084803 -        Neck turning head/chest left or right........   7          5  numerous episodes but only momentary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084804 -        Shoulder left myopathy statins...............   2         60  episodic pain when lifting arm to end hike - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                                                                                                           
084805 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084806 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                                                                                
084807 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084808 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084809 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084810 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084811 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084812 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084813 -        Knee left meniscus...PRP 231121..............   3         20  did not take Tramadol and Gabapentin today - knee not hurting beginning of hike, increased - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                                                           
084814 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084815 -   ***  Knee buckling left..PRP 191209.240108........   0         10  several episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084816 -   ***  Knee left anterior cruciate ligament.........   1         20  several episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084817 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084818 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084819 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084820 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084821 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084822 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084823 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084824 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084825 -        Tailor's Bunion right foot..PRP 21 705.......   3         40  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles - tried shaving callus in evening difficult to reach - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                     
084826 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084827 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084828 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                     
084829 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                     
084830 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084831 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084832 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084833 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
084834 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
084835 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
084836 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084837 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
084838 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084839 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084840 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084841 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084842 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
084843 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
084844 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
084845 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084846 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                
084847 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084848 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084849 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084850 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 231128 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
084851 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084852 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084853 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084854 -        Peripheral neruopathy both feet..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084855 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084856 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084857 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084858 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084859 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084860 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084861 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084862 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084863 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084865 -  ..
084866 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084868 -  ..
084869 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084871 -  ..
084872 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084874 -  ..
084875 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084876 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084878 -  ..
084879 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084880 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084881 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084882 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084883 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084887 -  ..
084888 - Concord 18 mile route - took more Glucosamine Chondroitin (...but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084889 - enough - forgot to bring pain meds) for OA protection, mainly left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084890 - knee, aiding left knee treated with PRP intra articular injection on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084891 - 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 depleted by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084892 - statins, which increases energy and HDL.  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084893 - butter and margarine and chia seeds for energy, and avocado for HDL;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084894 - per above. ref SDS 0 EF5N  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084895 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084896 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084897 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084898 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084899 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084900 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084901 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084902 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084903 - starting hike feeling like pins and needles - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084904 - ground - more severe after not hiking since 240205 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084905 - ref SDS 0 QW3G  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084906 - Temp started at 58, and reached 65.  West wind 10 mph and mostly 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084907 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084908 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084909 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084910 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084911 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084912 - .75 miles on asphalt road shoulder.  At mile 3, feeling neuropathy top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084913 - of both hands.  Turned right onto Clayton Road hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084914 - on asphalt pavement in parking lots of shopping complex.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084915 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084916 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084917 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084918 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084919 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084920 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084921 - not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084922 - Continued hiking on Ygnacio Valley Road; turned left hiked 0.50 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084923 - East on Pine Hollow.  Halfway between Discovery Way and Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084924 - Way, turned around hiking back to YV.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084925 - hiking West 1 mile uphill 3% - 4% grade against wind 06 mph.  Mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084926 - - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084927 - Concord Campus.  Hiked once around main campus buildings.  Since left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084928 - elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084929 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084930 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084931 - Hiked 1.0-mile loop through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084932 - Visitor Parking stopped at Administration Building mile 08, time 1449                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084933 - temp 54 and wind 07 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084934 - HR 111 Tachycardia - see below. ref SDS 0 Z73J  Both feet PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084935 - knee meniscus PL 2, left knee ACL PL 2 episodic, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084936 - left elbow PL 3 intermitant.  Planned to hike over YV summit.  Forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084937 - to bring Tramadol and Gabapentin - could not take for pain management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084938 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084939 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084940 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084941 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 SYPT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084942 - Hiked 4 more 1.5 mile loops through parking lots,  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084943 - Parking at mile 15, exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084944 - Drive.  Going downhill, left knee did not buckle, as occurred during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084945 - hike on 230205.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084946 - flat grade .5 miles.  At mile 16, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084947 - uphill 3% grade .5 miles against wind 03 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084948 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084949 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084950 - end of concrete traffic barriar mile 17, turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084951 - .5 mile.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084952 - grade.  Continued .5 miles flat grade.  Hiked another .25 miles narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084953 - path with no shoulder against heavy afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084954 - left onto Treat heading West .25 miles.  Crossed street at break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084955 - traffic.  Turned right onto Cuneo and hiked home.  Ended hike mile 19,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084956 - time 1809 temp 59, wind 03 mph, feet PL 3, right foot Tailor's Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084957 - PL 2, left knee PL 2, ACL PL 1, left shoulder PL 1; neck to right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084958 - shoulder PL 10 momentarily when twistng shoulders/neck left or right;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084959 - otherwise entire body feels okay after 18 miles.  EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084960 - with no artifact, Kardia reported HR 111 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084961 - ref SDS 0 YD2T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084968 -  ..
084969 - Kardia not recorded....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084973 -  ..
084974 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084975 - hike 18 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084976 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084978 -  ..
084979 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084980 -                                                                          x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084981 -       Date       240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 231208 2  
084982 -       Miles         18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     14     
084983 -       HR AVG       113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117    114     
084984 -         MAX        131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134    143  r  
084985 -         Min         50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     55     
084986 -       El Climb Ft  495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367    367     
084987 -       Temp Max      65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     61     
084988 -       Wind Max      10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     09     
084989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084992 -              https://flow.polar.com/training/analysis/7827520283                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084995 -               ..
084997 -   
084998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085002 -  ..
085003 - EKG at mile 08 time 1449 HR 111 temp 64, Kardia reported HR 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085004 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085005 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085008 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085009 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240227-ecg-144941_mile_08_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085014 -  ..
085015 - End hike EKG at mile 19 time 1809 HR 111 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085016 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085017 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085020 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085021 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240227-ecg-180910_mile_19_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085028 -  ..
085029 - Post hike HR profile beginning 2137 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085030 - overnight after hiking 18 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085031 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085032 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085033 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085036 -        ..
085037 -       Date      240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219  231218    
085038 -       Time       2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138    2330     
085039 -       Hours         7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12       8     
085040 -       HR AVG       71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59      60     
085041 -       HR MAX      117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     121     
085042 -       HR Min       47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43      43     
085043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085046 -              https://flow.polar.com/training/analysis/7827769024                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085049 -               ..
085051 -   
085052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085055 -  ..
085056 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085057 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085058 - Dinner - eggs broccoli potato onion cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085060 -  ..
085061 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
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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 -   59.  240228 0505............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085097 -               0540....BP HR..................................................... 147  83  48  Kardia ECG reports HR status, see below. ref SDS 0 9BLZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085098 -               0545....BP HR..................................................... 156  91  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085099 -               0550....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085100 -               0550....80 385020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085101 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085102 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085103 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085104 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085105 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
085106 -  ..
085107 -         * cr  1216....miles...........  26.0  56.0  466   976 minutes  temp  68 wind 10  rain  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085108 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085109 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085110 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
085111 -               1418....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085112 -               1418....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085113 -               1418... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085114 -               1418... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085115 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085116 -               1542....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085117 -               1840....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085118 -               1857....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085119 -               1857... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085120 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085121 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085122 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085123 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085124 -               2043... Hike ends mile 26... ref SDS 0 J48E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085125 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085126 -               2055....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085127 -               2100....BP HR..................................................... 116  79 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085128 -               2105....BP HR..................................................... 122  81  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085129 -               2115....BP HR..................................................... 115  75  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085130 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085131 -               2100... 40 107140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
085132 -             1 0000............ 10 19390  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085133 -             1 0000............ 10 19740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085134 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085135 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085136 -               2130... 40 83240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085137 -               2150... 1000 2053000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085138 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085139 -               2300... 80 385100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085140 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085141 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085142 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085144 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085145 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085146 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085147 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085148 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085149 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085150 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085151 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085153 -  ..
085154 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085155 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085157 -  ..
085158 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085159 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085162 -  ..
085163 - Today, hiked 26 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085164 - including Treat, Turtle Creek Road past Newhall Community Park.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085165 - Ayers to Clayton Road, then Ygnacio Valley Road.  Hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085166 - 0.25 miles East.  Turned around and hiked back.  Continued 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085167 - Campus Drive to college.  Hiked 1 mile loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085168 - Mile 07 stopped for hydration, nutrition.  Exited college and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085169 - 8-mile loop through Crystal Ranch hills and residential area; returned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085170 - to college hiking more loops through parking lots.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085171 - hiking over summit Ygnacio Valley Road down to Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085172 - complex.  Hiked around the block and continued North on Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085173 - Turned East hiking 2 miles back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085177 -         ..
085178 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085179 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085180 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
085181 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085182 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085183 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085184 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085185 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085186 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085187 -        Neck turning head/chest left or right........   7          5  numerous episodes but only momentary - took Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                
085188 -        Shoulder left myopathy statins...............   1         20  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085189 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085190 -        Elbow left arm...............................   3         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                         
085191 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085192 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085193 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085194 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085195 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085196 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085197 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased until took Tramadol and Gabapentin today mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                
085198 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085199 -   ***  Knee buckling left..PRP 191209.240108........   0         10  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085200 -   ***  Knee left anterior cruciate ligament.........   1         20  knee not hurting beginning of hike, increased until took Tramadol and Gabapentin today mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                
085201 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085202 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085203 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085204 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085205 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085206 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085207 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085208 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085209 -        Tailor's Bunion right foot..PRP 21 705.......   1         30  Doctor Tang shaved calluses 240118 - concentrate press #1 with foot forward rather on edge gradually got worse last 3 miles - tried shaving callus in evening difficult to reach - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                              
085210 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085211 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085212 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                              
085213 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240118 and provided new orthotic inserts on 230831 - these helped - flared about mile 08 wearing X-wide Brooks Ghost - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                              
085214 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085215 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085216 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085217 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
085218 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
085219 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
085220 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085221 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
085222 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085223 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085224 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085225 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085226 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
085227 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
085228 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
085229 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085230 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
085231 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085232 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085233 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085234 -        Callus bottom right foot below little toe....   2         20  Doctor Tang cut out core of callus again on 231128 - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085235 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085236 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085237 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085238 -        Peripheral neruopathy both feet..............   3          0  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085239 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085240 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085241 -        Veering left.................................   3         20  noticed coming down Ygnacio Valley Road and gradually got worse on Treat last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085242 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085243 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085244 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085245 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085246 -        Wobbly disoriented staggering dizzy..........   3         10  took 1 Tramadol and 1 Gabapentin - wanted to take 2nd Tramadol mile 22 at Mod Pizza stop, but held off because too wobbly                                                                                                                                                                                                                                                                                                                                                                                                                    
085247 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085249 -  ..
085250 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085252 -  ..
085253 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085255 -  ..
085256 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085258 -  ..
085259 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085260 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085262 -  ..
085263 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085264 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085265 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085266 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085267 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085271 -  ..
085272 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085273 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085274 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085275 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085276 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085277 - avocado for HDL; per above. ref SDS 0 EF5N  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085278 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085279 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085280 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085281 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085282 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085283 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085284 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085285 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085286 - left, onto Treat.  Feet starting hike feeling like pins and needles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085287 - numb - difficulty feeling ground - less severe after hiking last 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085288 - days.  Breathed through nose entire hike without dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085289 - started at 62, and reached 68.  West wind 10 mph and mostly 05 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085290 - No rain.  Hiked East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085291 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085292 - some places 2% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085293 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085294 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085295 - asphalt road shoulder.  At mile 3, no neuropathy top of both hands.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085296 - Turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085297 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085298 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085299 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085300 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085301 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085302 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085303 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085304 - Texaco Gas Station store mile 5, time ____.  Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085305 - Ygnacio Valley Road; turned left hiked 0.25 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085306 - Turned around hiking back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085307 - West 1 mile uphill 3% - 4% grade against wind 04 mph.  Mile 07 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085308 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085309 - Concord Campus.  Hiked once around main campus buildings.  Since left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085310 - elbow still recoverying from PRP injections on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085311 - ref SDS 27 G45J, did not stop at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085312 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085313 - Hiked 1.0-mile loop through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085314 - Visitor Parking stopped at Administration Building mile 07, time 1418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085315 - temp 67 and wind 05 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085316 - HR 093 Normal Sinus Rhythm - see below. ref SDS 0 7UTP  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085317 - 2, left knee meniscus PL 2, left patella PL 1, left knee ACL PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085318 - episodic, left shoulder PL 1, left elbow PL 2 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085319 - Tramadol and Gabapentin for pain management.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085320 - ml for HDL and energy to complete hike.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085321 - home for hydration and swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085322 - margarine and chia seeds for energy, and avocado for HDL, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085323 - Nuun electrolyte pill, per above. ref SDS 0 TRWW  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085324 - around main building, then exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085325 - Campus Drive.  Going downhill, left knee did not buckle, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085326 - in hike on 230205.  Turned left onto Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085327 - on flat grade .5 miles.  At mile 08, turned left onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085328 - Road.  Hiked South 1 mile uphill 5% grade with 04 mph wind.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085329 - this well breathing through nose without dyspnea nor stopping.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085330 - summit continued flat grade .5 miles.  Continued downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085331 - grade.  At Rolling Woods Way continued uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085332 - miles 6% grade against wind 03 mph.  Road ends at top of hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085333 - Stopped mile 11 time 1542, temp 68, wind 00 mph; EKG variable with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085334 - artifact, Kardia reported HR 116 (HR - no wait to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085335 - connection) Tachycardia - see below. ref SDS 0 FX7A  Feet PL 1, PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085336 - calves PL 0 left knee PL 1, left shoulder PL 0, left elbow PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085337 - nothing to eat nor drink (NPO), per above. ref SDS 0 TRWW  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085338 - downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom of hill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085339 - turned right onto Rolling Woods Way hiking East .5 miles uphill 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085340 - grade against 7 mph wind.  At summit continued downhill .66 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085341 - Turned left onto Pine Hollow.  Hiked 1 mile North and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085342 - Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against wind 02                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085343 - mph.  At mile 14, reached Visitor Parking again at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085344 - University East Bay Concord Campus.  Hiked loop around campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085345 - buildings, and then 2 loops through parking lots, and exited campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085346 - from Student parking downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085347 - Ygnacio Valley Road. on flat grade .5 miles.  At mile 18, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085348 - past Crystal Ranch Road uphill 3% grade .5 miles against wind 04 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085349 - Crossed Cowell at stop light, rather than turn and head home.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085350 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085351 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085352 - concrete barriar mile 19, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085353 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085354 - traffic light.  Stopped near Mod Pizza in Safeway shopping complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085355 - mile 21, time 1857, temp 60 and wind 06 mph; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085356 - artifact, Kardia reported HR 105 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085357 - KB6N  Both feet PL 2, right foot Tailor's bunions PL 2, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085358 - 3, right knee PL 1, left shoulder PL 1, neck to right shoulder PL 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085359 - imtermittantly, left elbow PL 0 intermittantly.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085360 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085361 - butter, margarine and chia seeds for energy, and avocado for HDL, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085362 - more CoQ10, per above. ref SDS 0 TRWW  Totally dark, noticably wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085363 - loopy, staggering.  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085364 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085365 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085366 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085367 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085368 - San Miguel continued .75 miles on Treat uphill 5% grade temp 59.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085369 - Handled this well - more difficult on 3' shoulder narrowed by tree                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085370 - debris from storm winds in dark against commute traffic.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085371 - mile 25, hiked another mile to Cuneo and home.  Ended hike mile 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085372 - time 2043 temp 54, wind 07, feet PL 2 (PL5 when standing), lower legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085373 - PL 2, left knee PL 2 (swollen) - patella PL 1 at times - right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085374 - 1, left shoulder PL 1, neck and right shoulder PL 4 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085375 - lower back left side PL 2, left elbow PL 0, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085376 - uniform, with no artifact, Kardia reported HR 099 Normal Sinus Rhythm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085377 - - see below. ref SDS 0 J48E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085385 -  ..
085386 - Kardia EKG not recorded this morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085390 -  ..
085391 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085392 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085393 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085395 -  ..
085396 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085398 -       Date       240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 231215 231214 231213 231212 231211 231210 231209 2  
085399 -       Miles         26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0      0      0      0     18     19     21     17     
085400 -       HR AVG       110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     no     no     no    113    113    109    117     
085401 -         MAX        140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report report report report   147    143    130    134     
085402 -         Min         56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                                        60     64     41     51     
085403 -       El Climb Ft  715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                                       367    715    367    367     
085404 -       Temp Max      68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                                        64     65     58     59     
085405 -       Wind Max      10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                                        06     05     08     07     
085406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085409 -              https://flow.polar.com/training/analysis/7828218466                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085412 -               ..
085414 -   
085415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085419 -  ..
085420 - EKG at mile 07 time 1418 HR 093 temp 67, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085421 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085422 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085425 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085426 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240228-ecg-141823_mile_07_093_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085430 -  ..
085431 - EKG at mile 11 time 1532 HR 116 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085432 - Tachycardia...  looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085433 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085436 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085437 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240228-ecg-154206_mile_11_116_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085441 -  ..
085442 - EKG at mile 21 time 1857 HR 105 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085443 - Tachycardia...  looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085444 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085447 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085448 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240228-ecg-185729_mile_21_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085453 -  ..
085454 - End hike EKG at mile 26 time 2043 HR 099 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085455 - Normal Sinus Rhythm... looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085456 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085459 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085460 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240228-ecg-204341_mile_26_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085467 -  ..
085468 - Post hike HR profile beginning 0005 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085469 - overnight after hiking 26 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085470 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085471 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085472 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085475 -        ..
085476 -       Date      240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220  231219    
085477 -       Time       0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942    2138     
085478 -       Hours         9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12      12     
085479 -       HR AVG       68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61      59     
085480 -       HR MAX      107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     107     
085481 -       HR Min       47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43      43     
085482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085485 -              https://flow.polar.com/training/analysis/7829202235                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085488 -               ..
085490 -   
085491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085494 -  ..
085495 - Breakfast - eggs avocado about 0600, peanut butter margarine avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085496 - chia seeds Ubiquinol CoQ10 before leaving on hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085497 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085498 - Dinner - eggs broccoli potato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085500 -  ..
085501 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085530 -         ..
085531 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085532 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085533 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085534 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085535 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085536 -   60.  240229 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085537 -               0710....BP HR..................................................... 137  74  50  Kardia ECG reports HR status, see below. ref SDS 0 74D9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085538 -               0715....BP HR..................................................... 137  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085539 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085540 -               0720....80 385180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085541 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085542 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085543 -               0050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085544 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085545 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085546 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085547 -               1700... 40 107180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
085548 -               1830............ 10 19400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085549 -               1830............ 10 19750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085550 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085551 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085552 -               2130... 40 83280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085553 -               2150... 1000 2054000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085554 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085555 -               2300... 80 385260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085556 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085557 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085558 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085561 -  ..
085562 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085563 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085565 -  ..
085566 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085567 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085572 -  ..
085573 - Kardia EKG not recorded this morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085578 -  ..
085579 - Post hike HR profile beginning 2201 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085580 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085581 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085582 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085583 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085586 -        ..
085587 -       Date      240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221  231220    
085588 -       Time       2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035    1942     
085589 -       Hours        10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13      12     
085590 -       HR AVG       68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63      61     
085591 -       HR MAX      110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     108     
085592 -       HR Min       45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39      43     
085593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085596 -              https://flow.polar.com/training/analysis/7829202287                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085599 -               ..
085601 -   
085602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085605 -  ..
085606 - Breakfast - eggs avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085607 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085608 - Dinner - steak macaroni cheese broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085610 -  ..
085611 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085639 -         ..
085640 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085641 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085642 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085643 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085644 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085645 -   61.  240301 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085646 -               0710....BP HR..................................................... 142  81  50  Kardia ECG reports HR status, see below. ref SDS 0 8F3T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085647 -               0715....BP HR..................................................... 147  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085648 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085649 -               0720....80 385340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085650 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085651 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085652 -               0050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085653 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085654 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085655 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085656 -               1700... 40 107220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
085657 -             1 0000............ 10 19400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085658 -             1 0000............ 10 19750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085659 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085660 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085661 -               2130... 40 83320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085662 -               2150... 1000 2055000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085663 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085664 -               2300... 80 385420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085665 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085666 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085667 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085670 -  ..
085671 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085672 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085674 -  ..
085675 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085676 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085680 -  ..
085681 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085685 -  ..
085686 - Post hike HR profile beginning 2129 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085687 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085688 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085689 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085690 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085693 -        ..
085694 -       Date      240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222  231221    
085695 -       Time       2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313    2035     
085696 -       Hours        11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11      13     
085697 -       HR AVG       67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60      63     
085698 -       HR MAX      108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     110     
085699 -       HR Min       43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40      39     
085700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085702 -              https://flow.polar.com/training/analysis/7829844408                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085706 -               ..
085708 -   
085709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085712 -  ..
085713 - Breakfast - eggs avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085714 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085715 - Dinner - steak macaroni cheese broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085717 -  ..
085718 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085745 -         ..
085746 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085747 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085748 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085749 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085750 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085751 -   62.  240302 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085752 -               0715....BP HR..................................................... 147  83  48  Kardia ECG reports HR status, see below. ref SDS 0 A63G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085753 -               0720....BP HR..................................................... 144  80  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085754 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085755 -               0725....80 385500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085756 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085757 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085758 -               0050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085759 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085760 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085761 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085762 -               1700... 40 107260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
085763 -               1830............ 10 19410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085764 -               1830............ 10 19760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085765 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085766 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085767 -               2130... 40 83360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085768 -               2150... 1000 2056000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085769 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085770 -               2300... 80 385580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085771 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085772 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085773 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085775 -  ..
085776 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085777 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085779 -  ..
085780 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085781 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085784 -  ..
085785 - Kardia EKG not recorded this morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085788 -  ..
085789 - Post hike HR profile beginning 2154 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085790 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085791 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085792 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085793 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085796 -        ..
085797 -       Date      240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223  231222    
085798 -       Time       2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108    2313     
085799 -       Hours        10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11      11     
085800 -       HR AVG       65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60      60     
085801 -       HR MAX      118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     123     
085802 -       HR Min       42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40      40     
085803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085806 -              https://flow.polar.com/training/analysis/7830601030                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085809 -               ..
085811 -   
085812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085816 -  ..
085817 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085818 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085819 - Dinner - steak macaroni cheese broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085821 -  ..
085822 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085849 -         ..
085850 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085851 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085852 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085853 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085854 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085855 -   63.  240303 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085856 -               0715....BP HR..................................................... 151  80  52  Kardia ECG reports HR status, see below. ref SDS 0 HE7U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085857 -               0720....BP HR..................................................... 155  83  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085858 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085859 -               0725....80 385660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085860 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085861 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085862 -               0050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085863 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085864 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085865 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085866 -               1700... 40 107300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
085867 -             1 0000............ 10 19410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085868 -             1 0000............ 10 19760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085869 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085870 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085871 -               2130... 40 83460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085872 -               2150... 1000 2057000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085873 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085874 -               2300... 80 385740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085875 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085876 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085877 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085880 -  ..
085881 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085882 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085884 -  ..
085885 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085886 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085889 -  ..
085890 - Kardia EKG not recorded this morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085893 -  ..
085894 - Post hike HR profile beginning 2002 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085895 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085896 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085897 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085898 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085901 -        ..
085902 -       Date      240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224  231223    
085903 -       Time       2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150    2108     
085904 -       Hours         7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12      11     
085905 -       HR AVG       70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69      60     
085906 -       HR MAX      105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     116     
085907 -       HR Min       40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41      40     
085908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085911 -              https://flow.polar.com/training/analysis/7830997598                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085914 -               ..
085916 -   
085917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085920 -  ..
085921 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085922 - Lunch - tuna avocado onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085923 - Dinner - eggs potato mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085925 -  ..
085926 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085953 -         ..
085954 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085955 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085956 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085957 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085958 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085959 -   64.  240304 0310............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085960 -               0310....BP HR..................................................... 145  77  50  Kardia ECG reports HR status, see below. ref SDS 0 F8S7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085961 -               0315....BP HR..................................................... 138  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085962 -               0320....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085963 -               0320....80 385820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085964 -               0410....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085965 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085966 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085967 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085968 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085969 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085970 -               1700... 40 107340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
085971 -               1830............ 10 19420  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085972 -               1830............ 10 19770  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085973 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085974 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085975 -               2130... 40 83540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085976 -               2150... 1000 2058000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085977 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085978 -               2300... 80 385900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085979 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085980 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085981 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085985 -  ..
085986 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085987 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085989 -  ..
085990 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085991 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085996 -  ..
085997 - Kardia recorded HR 48 at 0341 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085998 - lengths with p-wave and no artifact; no AFL after hiking 30 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085999 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086000 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086001 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086002 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086003 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086006 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086007 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240304-ecg-034108_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086012 -  ..
086013 - Post hike HR profile beginning 2247 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086014 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086015 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086016 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086017 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086020 -        ..
086021 -       Date      240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225  231224    
086022 -       Time       2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259    2150     
086023 -       Hours        11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8      12     
086024 -       HR AVG       63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62      69     
086025 -       HR MAX       98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     127     
086026 -       HR Min       33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43      41     
086027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086030 -              https://flow.polar.com/training/analysis/7831991529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086033 -               ..
086035 -   
086036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086039 -  ..
086040 - Breakfast - eggs cheese sausage hash brown at VA for Podiatry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086041 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086042 - Dinner - rice tuna broccoli onion potato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086044 -  ..
086045 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086074 -         ..
086075 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086076 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086077 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086078 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086079 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086080 -   65.  240305 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086081 -               0720....BP HR..................................................... 142  81  49  Kardia ECG reports HR status, see below. ref SDS 0 6EI3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086082 -               0725....BP HR..................................................... 147  90  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086083 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086084 -               0730....80 385980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086085 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086086 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086087 -               0050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086088 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086089 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086090 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086091 -               1700... 40 107380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
086092 -             1 0000............ 10 19420  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086093 -             1 0000............ 10 19770  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086094 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086095 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086096 -               2130... 40 83580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086097 -               2150... 1000 2059000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086098 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086099 -               2300... 80 386060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086100 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086101 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086102 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086105 -  ..
086106 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086107 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086109 -  ..
086110 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086111 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086116 -  ..
086117 - Kardia recorded HR 51 at 1040 Normal Sinus RHythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086118 - lengths with p-wave and artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086119 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086120 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086121 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086122 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086123 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086126 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086127 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240305-ecg-104021_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086133 -  ..
086134 - Post hike HR profile beginning 1959 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086135 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086136 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086137 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086138 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086141 -        ..
086142 -       Date      240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226  231225    
086143 -       Time       1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933    2259     
086144 -       Hours         7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11       8     
086145 -       HR AVG       73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67      62     
086146 -       HR MAX      146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     107     
086147 -       HR Min       50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44      43     
086148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086151 -              https://flow.polar.com/training/analysis/7832394470                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086154 -               ..
086156 -   
086157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086160 -  ..
086161 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086162 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086163 - Dinner - eggs broccoli onion potato cheese, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086165 -  ..
086166 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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086184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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086187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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086190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086195 -         ..
086196 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086197 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086198 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086199 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086200 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086201 -   66.  240306 0300............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086202 -               0300....BP HR..................................................... 156  78  70  Kardia ECG reports HR status, see below. ref SDS 0 BCY2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086203 -               0305....BP HR..................................................... 139  82  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086204 -               0310....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086205 -               0310....80 386140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086206 -               0350....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086207 -               0430....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086208 -               0430....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086209 -               0430....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086210 -               0430... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
086211 -  ..
086212 -         * cr  0452....miles...........  11.0  11.0  181   181 minutes  temp  53 wind 02  rain 80%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086213 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086214 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086215 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
086216 -               1418....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086217 -               1418....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086218 -               1418... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086219 -               1418... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086220 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086221 -               1542....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086222 -               1840....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086223 -               1857....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086224 -               1857... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086225 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086226 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086227 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086228 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086229 -               2043... Hike ends mile 26... ref SDS 0 J48E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086230 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086231 -               2055....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086232 -               2100....BP HR..................................................... 116  79 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086233 -               2105....BP HR..................................................... 122  81  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086234 -               2115....BP HR..................................................... 115  75  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086235 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086236 -               1700... 40 107420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
086237 -               1830............ 10 19430  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086238 -               1830............ 10 19780  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086239 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086240 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086241 -               2130... 40 83620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086242 -               2150... 1000 2060000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086243 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086244 -               2300... 80 386220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086245 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086246 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086247 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086250 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086251 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086252 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086253 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086254 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086255 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086256 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086257 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086260 -  ..
086261 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086262 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086264 -  ..
086265 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086266 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086269 -  ..
086270 - Today, hiked 11 miles - in San Francisco Golden Gate Park, with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086271 - 53 and wind 2, rain 80%; begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086272 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086273 - Hike South 1 mile on Great Highway.  Noticed forgot to start Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086274 - GPS, so did this.  Turn East onto JFK - rain started about mile 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086275 - Hiked through Golden Gate Park past De Young Museum.  Halfway to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086276 - Stanyon turned around at mile 5.5 and hiked back to Great Highway, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086277 - Point Lobos, then 42nd to the hospital.  No EKG and NPO, no pain meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086278 - Fast pace entire hike, including uphill last 2 miles, and with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086279 - Ubiquinol CoQ10.  Feet, legs, back hurt after hike, did not take pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086280 - meds to avoid falling asleep driving home later.  Walked through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086281 - hospital going to cafeteria and back to Module 1 for meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086282 - Cardiology, and then parking lot, extending hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086286 -         ..
086287 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086288 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086289 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
086290 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086291 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086292 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086293 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086294 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086295 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086296 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086297 -        Shoulder left myopathy statins...............   1         20  episodic pain when lifting arm to end hike - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086298 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086299 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                 
086300 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086301 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086302 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086303 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086304 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086305 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086306 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                               
086307 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086308 -   ***  Knee buckling left..PRP 191209.240108........   0         10  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086309 -   ***  Knee left anterior cruciate ligament.........   1         20  knee not hurting beginning of hike, increased later did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                               
086310 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086311 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086312 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086313 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086314 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086315 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086316 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086317 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086318 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086319 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086320 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086321 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
086322 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
086323 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086324 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086325 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086326 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
086327 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
086328 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
086329 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086330 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
086331 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086332 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086333 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086334 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086335 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
086336 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
086337 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
086338 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086339 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
086340 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086341 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086342 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086343 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
086344 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086345 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086346 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086347 -        Peripheral neruopathy both feet..............   3          0  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086348 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086349 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086350 -        Veering left.................................   3         20  noticed coming down Ygnacio Valley Road and gradually got worse on Treat last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086351 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086352 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086353 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086354 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086355 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086356 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086358 -  ..
086359 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086361 -  ..
086362 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086364 -  ..
086365 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086367 -  ..
086368 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086369 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086371 -  ..
086372 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086373 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086374 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086375 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086376 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086380 -  ..
086381 - San Francisco 11 mile route, reported on 170519, ref SDS 6 WTRS  At VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086382 - time 0345, before starting hike at the VA, took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086383 - Chondroitin for OA.  Took few sips of Coca Cola and few bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086384 - peanut butter with margarine and chia seeds for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086385 - for HDL and energy (magnesium), and took Ubiquinol CoQ10 for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086386 - and HDL, per above. ref SDS 0 1F3E  Weather overcast, temperature 54,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086387 - wind 2 mph.  Started hike leaving parking lot at VAMCSF at 0452.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086388 - Forgot to start Polar GPS heart rate monitor.  Hiked slowly downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086389 - on 42nd Street to warm up.  Turned corner heading downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086390 - Point Lobos to Cliff House at mile 1.  Too dark to see anything.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086391 - not wear headlight.  Road bends and changes to "Great Highway" going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086392 - South along ocean beach.  About mile1.5, noticed Polar not running, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086393 - started Polar.  At mile 2 turned onto John F Kennedy (JFK) Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086394 - entering Golden Gate Park.  Maintained pace going slightly uphill into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086395 - the park for .5 miles.  Turned corner and continued East on JFK.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086396 - dark, few widely spaced street lights, cannot see the road.  Passing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086397 - Buffalo compound started raining.  Passed Spreckles Lake.  Said hello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086398 - to early morning jogger (actually, he seems to be walking now) going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086399 - West this morning, hiking past Lindley Meadow.  Continued past Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086400 - Hollow.  Both feet pain level 1.  Continued hiking under bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086401 - Crossover Drive (part of highway 1 that goes to Golden Gate Bridge) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086402 - JFK is blocked to vehicle traffic the rest of the way through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086403 - park, limiting attendance to keep people separated that minimizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086404 - spreading coronavirus.  Now that the epidemic has been delcared over,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086405 - the park continues to deny access to drivers on JFK.  About mile 4 At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086406 - mile 5 past De Young Museum, have passed a few bikers and joggers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086407 - heading West.  Actually, there are fewer today, because of rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086408 - Halfway to Stanyon at mile 5.5, turned around and headed back to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086409 - hospital to leave enough time for entering the record and preparing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086410 - for meeting with Doctor Pellegrini in Cardiology at 0930.  Took CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086411 - for energy and HDL.  Heading West through the park toward the ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086412 - Stayed on South side against traffic (no actual vehicle traffic in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086413 - park) going Eest.  Passing De Young Museum most everything pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086414 - 1.  Increased pace with endorphins rising.  Noticed Waterfall not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086415 - running at 0700 this morning, before hiking under Crossover Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086416 - bridge and past Hellman Hollow.  Hiked past Lindley Meadow, where 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086417 - years ago, a truck backed up because missed a turn, and damaged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086418 - Kathy's car; this got her a new car, reported on 150729 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086419 - ref SDS 4 0001  Continued hiking past Spreckles Lake, the Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086420 - compound.  Crossed over to North side of JFK going with traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086421 - Turned corner and headed toward the ocean.  Turned North onto Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086422 - Highway.  Hiked parallel to ocean toward the Cliff House and the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086423 - hospital.  Halfway to Cliff House drank rest of liquid CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086424 - energy.  Maintained pace hiking up steep hill - 5% - 6% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086425 - Breathing through nose for 1.5 miles uphill all the way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086426 - hospital.  At the Cliff House, turned onto Point Lobos going East;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086427 - hiked uphill for 1 mile.  Turned onto 42nd street and maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086428 - going up final steep hill to the VA campus, then walked through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086429 - hospital to cafeteria and then to Module 1 on ground floor - ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086430 - hike 11 miles - time 0752 temp 52 wind 1, feet PL 0, left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086431 - neck and left shoulder PL 1, left shoulder PL 0 - getting better.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086432 - looks variable with p-wave and no artifact, reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086433 - Unclassified - see below. ref SDS 0 VP5A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086442 -  ..
086443 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086444 - Kardia recorded HR 51 at 1040 Normal Sinus RHythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086445 - lengths with p-wave and artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086446 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086447 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086448 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086449 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086450 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086453 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086454 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240305-ecg-104021_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086460 -  ..
086461 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086462 - hike 11 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086463 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086465 -  ..
086466 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086468 -       Date       240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 231217 231216 2  
086469 -       Miles         11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3      0      0     
086470 -       HR AVG       125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     no     no     
086471 -         MAX        140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  report report r  
086472 -         Min         84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81                   
086473 -       El Climb Ft  495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226                   
086474 -       Temp Max      54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58                   
086475 -       Wind Max       2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09                   
086476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086478 -              https://flow.polar.com/training/analysis/7832589130                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086481 -               ..
086483 -   
086484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086489 -  ..
086490 - End hike EKG at mile 11 time 0752 HR 116 temp 52 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086491 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086492 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086495 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086496 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240306-ecg-075254_mile_11_116_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086503 -  ..
086504 - Post hike HR profile beginning 1959 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086505 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086506 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086507 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086508 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086511 -        ..
086512 -       Date      240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227  231226    
086513 -       Time       1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229    1933     
086514 -       Hours        12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9      11     
086515 -       HR AVG       63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67      67     
086516 -       HR MAX      140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     113     
086517 -       HR Min       41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45      44     
086518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086521 -              https://flow.polar.com/training/analysis/7833245921                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086524 -               ..
086526 -   
086527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086530 -  ..
086531 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086532 - Lunch - half sandwich balona cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086533 - Dinner - eggs broccoli onion potato cheese, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086535 -  ..
086536 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086565 -         ..
086566 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086567 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086568 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086569 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086570 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086571 -   67.  240307 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086572 -               0720....BP HR..................................................... 155  82  68  Kardia ECG reports HR status, see below. ref SDS 0 8BEZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086573 -               0725....BP HR..................................................... 138  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086574 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086575 -               0730....80 386300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086576 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086577 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086578 -               1130....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086579 -               1130....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086580 -               1130... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086581 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086582 -               1700... 40 107460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
086583 -             1 0000............ 10 19430  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086584 -             1 0000............ 10 19780  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086585 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086586 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086587 -               2130... 40 83660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086588 -               2150... 1000 2061000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086589 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086590 -               2300... 80 386380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086591 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086592 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086593 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086597 -  ..
086598 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086599 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086601 -  ..
086602 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086603 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086608 -  ..
086609 - Post hike HR profile beginning 2027 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086610 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086611 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086612 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086613 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086616 -        ..
086617 -       Date      240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228  231227    
086618 -       Time       2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207    2229     
086619 -       Hours        11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8       9     
086620 -       HR AVG       67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66      67     
086621 -       HR MAX      129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     115     
086622 -       HR Min       45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46      45     
086623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086626 -              https://flow.polar.com/training/analysis/7833915161                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086629 -               ..
086631 -   
086632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086635 -  ..
086636 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086637 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086638 - Dinner - eggs broccoli onion potato cheese mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086640 -  ..
086641 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086670 -         ..
086671 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086672 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086673 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086674 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086675 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086676 -   68.  240308 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086677 -               0720....BP HR..................................................... 145  77  51  Kardia ECG reports HR status, see below. ref SDS 0 LS9V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086678 -               0725....BP HR..................................................... 138  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086679 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086680 -               0730....80 386460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086681 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086682 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086683 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086684 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086685 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
086686 -  ..
086687 -               1013....miles...........  25.0  36.0  420   601 minutes  temp  57 wind 08  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086688 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086689 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086690 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
086691 -               1253....mile 07 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086692 -               1253....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086693 -               1253... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086694 -               1253... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086695 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086696 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086697 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086698 -               1606....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086699 -               1606... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086700 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086701 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086702 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086703 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086704 -               2043... Hike ends mile 25... ref SDS 0 J48E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086705 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086706 -               1750....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086707 -               1800....BP HR..................................................... 111  74 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086708 -               1810....BP HR..................................................... 111  72 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086709 -               1825....BP HR..................................................... 102  69  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086710 -               1850....BP HR..................................................... 115  73  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086711 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086712 -               1800... 40 107500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
086713 -               1930............ 10 19440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086714 -               1930............ 10 19790  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086715 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086716 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086717 -               2130... 40 83700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086718 -               2150... 1000 2062000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086719 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086720 -               2300... 80 386540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086721 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086722 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086723 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086727 -  ..
086728 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086729 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086731 -  ..
086732 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086733 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086736 -  ..
086737 - Today, hiked 25 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086738 - including Treat, Turtle Creek Road past Newhall Community Park.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086739 - Ayers to Clayton Road, then Ygnacio Valley Road.  Hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086740 - 0.50 mile East.  Turned around and hiked back.  Continued West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086741 - on Campus Drive to college.  Hiked 1.5-mile loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086742 - Stopped mile 9 for hydration, nutrition, and pain meds.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086743 - Simethicone to relieve bloating.  Continued another 1.5 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086744 - through parking lots.  Left college hiking 1 mile to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086745 - Road.  Went uphill on Crystal Ranch Road 1.5 miles, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086746 - hiked back and turned left on Ygnacio Valley Road.  Hiked West over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086747 - summit Ignacio Valley Road.  Continued 2 miles, then hiked 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086748 - around Safeway shopping complex.  Hiked 1 mile on Oak Grove, and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086749 - 2 miles to Cuneo, another 2 miles through residential street; finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086750 - home.  On this hike tried soaking Chia Seeds in Coca Cola bottle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086751 - overnight.  May have had more energy - will continue experimenting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086752 - Pain management with Tramadol and Gabapentin mile 10, and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086753 - another Tramadol mile 20.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086757 -         ..
086758 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086759 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086760 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
086761 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086762 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086763 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086764 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086765 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086766 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086767 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086768 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086769 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086770 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                            
086771 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086772 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086773 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086774 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086775 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086776 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086777 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
086778 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086779 -   ***  Knee buckling left..PRP 191209.240108........   0         10  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086780 -   ***  Knee left anterior cruciate ligament.........   1         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
086781 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086782 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086783 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086784 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086785 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086786 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086787 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086788 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086789 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086790 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086791 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086792 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
086793 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
086794 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086795 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086796 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086797 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
086798 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
086799 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
086800 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086801 -        Cut big right foot...........................   2         50  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
086802 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
086803 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086804 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086805 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086806 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086807 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
086808 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
086809 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
086810 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086811 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
086812 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086813 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086814 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086815 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
086816 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086817 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086818 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086819 -        Peripheral neruopathy both feet..............   3          0  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086820 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086821 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086822 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086823 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086824 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086825 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086826 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086827 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol and 1 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086828 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086830 -  ..
086831 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086833 -  ..
086834 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086836 -  ..
086837 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086839 -  ..
086840 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086841 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086843 -  ..
086844 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086845 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086846 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086847 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086848 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086852 -  ..
086853 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086854 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086855 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086856 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086857 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086858 - avocado for HDL, per above. above. ref SDS 0 2H3M  This morning tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086859 - soaking Chia seeds in water, and in Coca Cola, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086860 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086861 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086862 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086863 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086864 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086865 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086866 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086867 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086868 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086869 - starting hike feeling like pins and needles - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086870 - ground - more severe after hiking only once since 240228 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086871 - ref SDS 0 7S3M  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086872 - Temp started at 59, and reached 67.  West wind 08 mph and mostly 03                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086873 - mph.  No rain.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086874 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086875 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086876 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086877 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086878 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086879 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086880 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086881 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086882 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086883 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086884 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086885 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086886 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086887 - store mile 5 time ____.  Continued hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086888 - turned left hiked 0.50 miles East on Pine Hollow.  Beyond Discovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086889 - Way.  Halfway to Rolling Woods Way turned around and hiked back to YV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086890 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086891 - against wind 08 mph.  Mile 07 - reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086892 - State University East Bay Concord Campus.  Hiked once around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086893 - campus buildings.  Since left elbow still recoverying from PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086894 - injections on 231121 0700. ref SDS 27 G45J, did not stop at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086895 - station to do 20 half-pullups, 40 half-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086896 - training equipment.  Hiked 1.5-mile loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086897 - Parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086898 - mile 09, time 1253 temp 63 and wind 04 mph; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086899 - artifact, Kardia reported HR 113 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086900 - 2E5I  Both feet PL 2, left knee meniscus PL 1, left knee patella PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086901 - left shoulder PL 2, left elbow PL 2 intermitant.  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086902 - Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086903 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086904 - hydration and swallowing pain pills and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086905 - margarine and chia seeds for energy, and avocado for HDL, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086906 - Nuun electrolyte pill, per above. ref SDS 0 VQRS  Drinking liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086907 - mixed with chia seeds is messy, will do this ohly at home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086908 - another loop through parking lots,  Back at Visitor Parking, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086909 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086910 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086911 - turned left hiked 1 mile North on Crystal Ranch Road uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086912 - with wind 5 mph.  At Autumn Oak Circle turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086913 - Turned left onto Ygnacio Valley Road hiking uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086914 - against wind 05 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086915 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086916 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086917 - traffic barriar mile 14, hiked West 2 miles downhill 3% grade; crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086918 - back to North side Ygnacio Valley Road.  Crossed Oak Grove at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086919 - light.  Hiked 4 1-mile loops around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086920 - Stopped near Mod Pizza mile 20, time 1606, temp 67 and wind 00 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086921 - EKG uniform with no artifact, Kardia reported HR 127 Tachycardia (HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086922 - noticably higher today after hiking only once past 6 days) - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086923 - below. ref SDS 0 S36O  Both feet PL 2, left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086924 - knee patella PL 0, left shoulder PL 1, left elbow PL 2 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086925 - Took another Tramadol for pain management to end of hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086926 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086927 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086928 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086929 - HDL, per above. ref SDS 0 VQRS  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086930 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086931 - .25 miles - left knee did not buckle with severe momentary pain, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086932 - occurred on 240205; was careful to walk straight, though not veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086933 - nor stumbling, which often occurs 2+ hours after taking Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086934 - causes severe pain - turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086935 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086936 - shoulder.  Crossed Treat at street light.  Left knee did not buckle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086937 - with severe pain, as occurred on 240205.  Turned right and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086938 - mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086939 - .75 miles on Treat uphill 5% grade temp 64.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086940 - summit, mile 22, hiked another mile to Cuneo.  Hiked 2 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086941 - residential area and then back home.  Ended hike mile 25 time 1746                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086942 - temp 63, wind 03, feet PL 2, left knee PL 1 (slightly swollen) - maybe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086943 - anterior cruciate ligament (ACL); right knee PL 0, left hip PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086944 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086945 - PL 2, when lifting.  Lower legs (muscles, tendons, ligaments) PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086946 - EKG looks uniform, with no artifact, Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086947 - Tachycardia - see below. ref SDS 0 VT81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086956 -  ..
086957 - Kardia recorded HR 53 at 0818 Normal Sinus RHythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086958 - lengths with p-wave and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086959 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086960 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086961 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086962 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086963 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086966 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086967 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240308-ecg-081859_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086973 -  ..
086974 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086975 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086976 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086978 -  ..
086979 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086981 -       Date       240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 231218 2  
086982 -       Miles         25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13      3     
086983 -       HR AVG       125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117    106     
086984 -         MAX        146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136    123  r  
086985 -         Min         42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     81     
086986 -       El Climb Ft  495           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440    226     
086987 -       Temp Max      54            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     58     
086988 -       Wind Max       2             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     09     
086989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086991 -              https://flow.polar.com/training/analysis/7834168740                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086994 -               ..
086996 -   
086997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087001 -  ..
087002 - EKG at mile 09 time 1253 HR 113 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087003 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087004 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087007 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087008 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240308-ecg-125337_mile_09_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087012 -  ..
087013 - EKG at mile 20 time 1606 HR 127 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087014 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087015 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087018 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087019 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240308-ecg-160612_mile_20_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087024 -  ..
087025 - End hike EKG at mile 25 time 1746 HR 122 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087026 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087027 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087030 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087031 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240308-ecg-174627_mile_25_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087038 -  ..
087039 - Post hike HR profile beginning 2033 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087040 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087041 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087042 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087043 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087046 -        ..
087047 -       Date      240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229  231228    
087048 -       Time       2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058    2207     
087049 -       Hours        13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9       8     
087050 -       HR AVG       63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65      66     
087051 -       HR MAX      102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     104     
087052 -       HR Min       45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44      46     
087053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087056 -              https://flow.polar.com/training/analysis/7834669167                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087059 -               ..
087061 -   
087062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087065 -  ..
087066 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087067 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087068 - Dinner - eggs hot dog broccoli onion potato cheese mushrooms  (ate few bites)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087069 - half donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087071 -  ..
087072 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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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 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087106 -   69.  240309 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087107 -               0720....BP HR..................................................... 137  78  53  Kardia ECG reports HR status, see below. ref SDS 0 V182                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087108 -               0725....BP HR..................................................... 135  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087109 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087110 -               0730....80 386620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087111 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087112 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087113 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087114 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087115 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
087116 -  ..
087117 -               1237....miles...........  25.0  61.0  423  1032 minutes  temp  62 wind 11  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087118 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087119 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087120 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
087121 -               1613....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087122 -               1613....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087123 -               1613... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087124 -               1613... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087125 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087126 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087127 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087128 -               1841....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087129 -               1841... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087130 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087131 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087132 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087133 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087134 -               2015... Hike ends mile 25... ref SDS 0 GV3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087135 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087136 -               2020....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087137 -               2035....BP HR..................................................... 118  74  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087138 -               2040....BP HR..................................................... 108  76  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087139 -               2045....BP HR..................................................... 103  65  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087140 -               2050....BP HR..................................................... 112  76  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087141 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087142 -               2030... 40 107540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
087143 -             1 0000............ 10 19440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087144 -             1 0000............ 10 19790  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
087145 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087146 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087147 -               2130... 40 83740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087148 -               2150... 1000 2063000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087149 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087150 -               2300... 80 386700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087151 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087152 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087153 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087156 -  ..
087157 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087158 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087160 -  ..
087161 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087162 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087165 -  ..
087166 - Today, hiked 25 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087167 - including Treat, Turtle Creek Road, Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087168 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087169 - around and hiked back.  Continued West 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087170 - college.  Hiked around main buildings.  Stopped mile 8 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087171 - nutrition, and Tramadol for pain.  Left college hiking 8-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087172 - through Crystal Ranch Road, Rolling Woods Way and Pine Hollow, back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087173 - college.  Stopped again for hydration and nutrition.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087174 - continued West 4 miles over summit Ignacio Valley Road.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087175 - hiked around Safeway shopping complex.  Hiked 1 mile North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087176 - Grove, and 2 miles East to Cuneo, did another mile through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087177 - street; finally home.  Did not take second Tramadol today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087181 -         ..
087182 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087183 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087184 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
087185 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087186 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087187 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087188 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087189 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087190 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087191 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087192 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087193 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087194 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 10, did 20 partial pullups and pushups twice - no evident pain                                                                                                                                                                                                                                                                                                                                                                     
087195 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087196 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087197 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087198 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087199 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087200 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087201 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
087202 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087203 -   ***  Knee buckling left..PRP 191209.240108........   0        100  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087204 -   ***  Knee left anterior cruciate ligament.........   0        100  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
087205 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087206 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087207 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087208 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087209 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087210 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087211 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087212 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087213 -        Tailor's Bunion right foot..PRP 21 705.......   3         10  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087214 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087215 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087216 -        Metatarsalgia left foot...PRP 210705.........   3          5  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
087217 -        Metatarsalgia right foot..PRP 210705.........   3          5  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
087218 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087219 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087220 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087221 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
087222 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
087223 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
087224 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087225 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
087226 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
087227 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087228 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087229 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087230 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087231 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
087232 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
087233 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
087234 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087235 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
087236 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087237 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087238 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087239 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
087240 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087241 -        Burning sensation both feet..................   3          5  noticable about mile 2 to mile 16, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087242 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087243 -        Peripheral neruopathy both feet..............   3         10  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087244 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087245 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087246 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087247 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087248 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087249 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087250 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087251 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087252 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087254 -  ..
087255 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087257 -  ..
087258 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087260 -  ..
087261 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087263 -  ..
087264 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087265 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087267 -  ..
087268 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087269 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087270 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087271 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087272 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087276 -  ..
087277 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087278 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087279 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087280 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087281 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087282 - avocado for HDL, per above. above. ref SDS 0 2H3M  This morning tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087283 - soaking Chia seeds in water, and in Coca Cola, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087284 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087285 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087286 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087287 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087288 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087289 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087290 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087291 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087292 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087293 - starting hike feeling like pins and needles - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087294 - ground - less severe after hiking past few days.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087295 - nose entire hike without dyspnea.  Temp started at 58, and reached 62.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087296 - West wind 10 mph and mostly 05 mph.  No rain.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087297 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087298 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087299 - light traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087300 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087301 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087302 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087303 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087304 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087305 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087306 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087307 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087308 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087309 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087310 - Texaco Gas Station store mile 5 time ____.  Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087311 - Ygnacio Valley Road; turned left hiked 0.50 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087312 - Beyond Discovery Way.  Halfway to Rolling Woods Way turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087313 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087314 - uphill 3% - 4% grade against wind 08 mph.  Mile 07 - reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087315 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087316 - once around main campus buildings.  Left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087317 - PRP injections on 231121 0700, ref SDS 27 G45J; stopped at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087318 - station to do 20 1/4-pullups, 20 1/4-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087319 - training equipment.  Did not notice increased strain on left elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087320 - Hiked 1.5-mile loops through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087321 - Visitor Parking stopped at Administration Building mile 12, time 1613                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087322 - temp 61 and wind 11 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087323 - HR 112 Tachycardia - see below. ref SDS 0 7A38  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087324 - burning sensation, left knee meniscus PL 2, left knee patella PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087325 - left shoulder PL 1, left elbow PL 2 intermitant.  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087326 - Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087327 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087328 - hydration and swallowing pain meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087329 - margarine and chia seeds (soaked in water) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087330 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 6RJY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087331 - Drinking liquid mixed with chia seeds is messy, will do this ohly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087332 - home.  Did not hike another loop through parking lots.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087333 - hiking North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087334 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087335 - continued uphill 3% grade .5 miles against wind 08 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087336 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087337 - Ygnacio Valley Road to avoid severe camber.  Noticed pointed pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087338 - bottom left foot.  Assumbed small pebble got wedged in the ridges of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087339 - shoe.  Tried to relieve this by scrapping shoe on street surface.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087340 - to sit down on curb at edge of fast moving traffic Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087341 - Road.  Found sheetmetal screw was lodged deep into bottom of shoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087342 - Penetration end was sharply pointed.  Had hex head with standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087343 - screwdriver slot.  Without tools tried turning the screw with thumb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087344 - and index finger.  This was difficult.  After several tries screw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087345 - began to back out.  Eventually removed it.  The opening seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087346 - close - got up and continued.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087347 - summit.  At end of concrete traffic barriar mile 14, hiked West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087348 - miles downhill 3% grade; crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087349 - Road.  Crossed Oak Grove at traffic light.  Hiked 4 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087350 - around block at Safeway shopping complex.  Stopped near Mod Pizza mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087351 - 20, time 1841, temp 56 and wind 02 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087352 - Kardia reported HR 112 Tachycardia (HR normal after elevated at same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087353 - mile in hike, after hiking yesterday) - see below. ref SDS 0 DK27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087354 - Both feet PL 1, left knee meniscus PL 1, left knee patella PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087355 - shoulder PL 1, left elbow PL 2 intermitant.  Did not take another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087356 - Tramadol for pain management to end of hike, as was done yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087357 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087358 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087359 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087360 - HDL, per above. ref SDS 0 6RJY  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087361 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087362 - .25 miles - left knee did not buckle with severe momentary pain, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087363 - occurred on 240205; was careful to walk straight, though not veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087364 - nor stumbling, which often occurs 2+ hours after taking Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087365 - causes severe pain - turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087366 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087367 - shoulder - totally dark against high traffic.  Crossed Treat at street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087368 - light.  Left knee did not buckle with severe pain, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087369 - 240205.  Turned right and hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087370 - sidewalk.  At San Miguel continued .75 miles on Treat uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087371 - temp 64.  Handled this well.  At summit, mile 23, hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087372 - to Cuneo.  Hiked 1 mile through residential area and then back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087373 - Ended hike mile 25 time 2015 temp 53, wind 08, feet PL 2, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087374 - 2 (slightly swollen) - maybe anterior cruciate ligament (ACL); right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087375 - knee PL 0, left hip PL 0, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087376 - PL 0 intermittantly, left elbow PL 3, when lifting.  Lower legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087377 - (muscles, tendons, ligaments) PL 2.  EKG looks mostly uniform, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087378 - minor artifact, Kardia reported HR 110 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087379 - ref SDS 0 GV3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087388 -  ..
087389 - Kardia recorded HR 52 at 1104 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087390 - lengths with p-wave and some artifact; no AFL after hiking 25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087391 - yesterday, ending Apixaban on 240110, and not taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087392 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087393 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087394 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087395 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087398 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087399 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240309-ecg-110421_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087405 -  ..
087406 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087407 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087408 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087410 -  ..
087411 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087413 -       Date       240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 231219 2  
087414 -       Miles         25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     13     
087415 -       HR AVG       113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no    117     
087416 -         MAX        146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report   136     
087417 -         Min         40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            58     
087418 -       El Climb Ft  495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490           440     
087419 -       Temp Max      62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            64     
087420 -       Wind Max      11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            09     
087421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087423 -              https://flow.polar.com/training/analysis/7834819958                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087426 -               ..
087428 -   
087429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087433 -  ..
087434 - EKG at mile 12 time 1613 HR 112 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087435 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087436 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087439 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087440 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240309-ecg-161346_mile_12_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087444 -  ..
087445 - EKG at mile 20 time 1841 HR 112 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087446 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087447 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087450 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087451 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240309-ecg-184116_mile_20_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087456 -  ..
087457 - End hike EKG at mile 25 time 2015 HR 110 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087458 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087459 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087462 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087463 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240309-ecg-201549_mile_25_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087470 -  ..
087471 - Post hike HR profile beginning 2227 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087472 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087473 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087474 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087475 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087478 -        ..
087479 -       Date      240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230  231229    
087480 -       Time       2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951    2058     
087481 -       Hours        10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13       9     
087482 -       HR AVG       68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64      65     
087483 -       HR MAX      155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     126     
087484 -       HR Min       46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43      44     
087485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087488 -              https://flow.polar.com/training/analysis/7835377140                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087491 -               ..
087493 -   
087494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087497 -  ..
087498 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087499 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087500 - Dinner - eggs macaroni cheese broccoli cauliflower onion mushrooms onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087502 -  ..
087503 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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087527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087532 -         ..
087533 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087534 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087535 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087536 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087537 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087538 -   70.  240310 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087539 -               0650....BP HR..................................................... 144  74  48  Kardia ECG reports HR status, see below. ref SDS 0 3WR5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087540 -               0655....BP HR..................................................... 144  87  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087541 -               0700....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087542 -               0700....80 386780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087543 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087544 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087545 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087546 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087547 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
087548 -  ..
087549 -               1202....miles...........  21.0  82.0  360  1384 minutes  temp  63 wind 12  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087550 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087551 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087552 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
087553 -               1539....mile 12 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087554 -               1539....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087555 -               1539... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087556 -               1539... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087557 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087558 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087559 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087560 -               0000....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087561 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087562 -               0000....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087563 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087564 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087565 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087566 -               1825... Hike ends mile 21... ref SDS 0 W6KC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087567 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087568 -               1840....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087569 -               1850....BP HR..................................................... 128  77  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087570 -               1855....BP HR..................................................... 116  76  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087571 -               1900....BP HR..................................................... 110  74  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087572 -               1905....BP HR..................................................... 113  75  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087573 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087574 -               2030... 40 107580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
087575 -               1830............ 10 19450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087576 -               1830............ 10 19800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
087577 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087578 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087579 -               2130... 40 83780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087580 -               2150... 1000 2063000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087581 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087582 -               2300... 80 386860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087583 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087584 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087585 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087589 -  ..
087590 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087591 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087593 -  ..
087594 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087595 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087598 -  ..
087599 - Today, hiked 21 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087600 - including Treat, Turtle Creek Road, today hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087601 - Community Park, and back.  Took Ayers to Clayton Road, then Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087602 - Valley Road.  Hiked on Pine Hollow 1.00 mile East to Camino Salano.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087603 - Turned around and hiked back.  Continued West 1 mile on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087604 - to college.  Hiked 2 1.5-mile loops through parking lots.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087605 - mile 12 for hydration, nutrition, and pain meds.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087606 - Simethicone to relieve bloating.  Left college hiking North 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087607 - Turtle Creek Road.  Continued North 2 miles turning left onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087608 - Hiked 1 mile West and turned left onto Cuneo.  Hiked 5 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087609 - residential streets; finally home.  On this hike soaked Chia Seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087610 - with water in small container.  Carried Chia seeds in separate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087611 - container from peanut butter, avocado and margarine.  May have had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087612 - more energy - will continue experimenting.  Pain management with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087613 - Tramadol and Gabapentin mile 12.  Did not take a second Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087614 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087618 -         ..
087619 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087620 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087621 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
087622 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087623 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087624 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087625 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087626 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087627 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087628 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087629 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087630 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087631 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 10, did 20 partial pullups and pushups twice - no evident pain                                                                                                                                                                                                                                                                                                                                                                     
087632 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087633 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087634 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087635 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087636 -        Shin splint pain both legs...................   2         10  last few miles - continued after hike into evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087637 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087638 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
087639 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087640 -   ***  Knee buckling left..PRP 191209.240108........   0         10  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087641 -   ***  Knee left anterior cruciate ligament.........   1         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
087642 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087643 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087644 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087645 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087646 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087647 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087648 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087649 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087650 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087651 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087652 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087653 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
087654 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
087655 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087656 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087657 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087658 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
087659 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
087660 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
087661 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087662 -        Cut big right foot...........................   1         50  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
087663 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
087664 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087665 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087666 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087667 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087668 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
087669 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
087670 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
087671 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087672 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
087673 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087674 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087675 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087676 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
087677 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087678 -        Burning sensation both feet..................   1        100  noticable about mile 2 to mile 16, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087679 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087680 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087681 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087682 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087683 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087684 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087685 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087686 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087687 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087688 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087689 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087691 -  ..
087692 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087694 -  ..
087695 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087697 -  ..
087698 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087700 -  ..
087701 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087702 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087704 -  ..
087705 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087706 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087707 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087708 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087709 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087713 -  ..
087714 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087715 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087716 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087717 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087718 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087719 - avocado for HDL, per above. above. ref SDS 0 2H3M  This morning tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087720 - soaking Chia seeds in water, and in Coca Cola, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087721 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087722 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087723 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087724 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087725 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087726 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087727 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087728 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087729 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087730 - starting hike feeling like pins and needles - difficulty feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087731 - ground - less severe after hiking past few days.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087732 - nose entire hike without dyspnea.  Temp started at 58, and reached 62.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087733 - West wind 12 mph and mostly 05 mph.  No rain.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087734 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087735 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087736 - light traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087737 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087738 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087739 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087740 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087741 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087742 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087743 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087744 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087745 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087746 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087747 - Texaco Gas Station store mile 5 time ____.  Continued hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087748 - Ygnacio Valley Road; turned left hiked 0.50 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087749 - Beyond Discovery Way.  Halfway to Rolling Woods Way turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087750 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087751 - uphill 3% - 4% grade against wind 08 mph.  Mile 07 - reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087752 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087753 - once around main campus buildings.  Left elbow still recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087754 - PRP injections on 231121 0700, ref SDS 27 G45J; stopped at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087755 - station to do 20 1/4-pullups, 20 1/4-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087756 - training equipment.  Did not notice increased strain on left elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087757 - Hiked 1.5-mile loops through Faculty and Student Parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087758 - Visitor Parking stopped at Administration Building mile 12, time 1539                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087759 - temp 63 and wind 07 mph; EKG variable with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087760 - reported HR 099 Unclassified, - see below. ref SDS 0 9PB3  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087761 - PL 3, no burning sensation, lower legs PL 2, left knee meniscus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087762 - left knee patella PL 0, left shoulder PL 2, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087763 - intermitant.  Took Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087764 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087765 - softdrink carried from home for hydration and swallowing pain meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087766 - nutrition - peanut butter, margarine and chia seeds (soaked in water)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087767 - for energy, and avocado for HDL, did not take Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087768 - per above. ref SDS 0 VWSV  Carried chia seeds in separate container                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087769 - and ate with spoon to avoid mess yesterday.  Did not hike another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087770 - through parking lots.  Exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087771 - Drive.  Crossed Ygnacio Valley Road and contineud downhill on Ayers,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087772 - bending right heading East.  At mile 13 turned left hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087773 - North on Turtle Creek Road, bending left and merges with Treat heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087774 - West 1 mile.  Turned right onto Cuneo and hiked 5 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087775 - residential streets Kaski, Hancock, Court Lane.  Ended hike mile 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087776 - time 1825 temp 58, wind 12, feet PL 2, lower legs (tendons, ligaments)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087777 - PL 2, left knee PL 2 (swelled) - maybe anterior cruciate ligament                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087778 - (ACL); right knee PL 0, left hip PL 0, left shoulder PL 2, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087779 - right shoulder PL 3 intermittantly, left elbow PL 3, when lifting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087780 - EKG looks uniform, with no artifact, Kardia reported HR 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087781 - Tachycardia - see below. ref SDS 0 W6KC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087790 -  ..
087791 - Kardia recorded HR 48 at 0850 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087792 - with p-wave and no artifact; no AFL after hiking 25 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087793 - ending Apixaban on 240110, and taking Tramadol nor Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087794 - after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087795 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087796 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087799 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087800 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240310-ecg-085026_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087806 -  ..
087807 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087808 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087809 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087811 -  ..
087812 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087814 -       Date       240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 231220 2  
087815 -       Miles         21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18      0     
087816 -       HR AVG       110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     no     
087817 -         MAX        127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  report    
087818 -         Min         70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57            
087819 -       El Climb Ft  495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490            
087820 -       Temp Max      63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65            
087821 -       Wind Max      12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06            
087822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087824 -              https://flow.polar.com/training/analysis/7835603529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087827 -               ..
087829 -   
087830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087834 -  ..
087835 - EKG at mile 12 time 1539 HR 099 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087836 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087837 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087840 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087841 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240310-ecg-153954_mile_12_099_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087846 -  ..
087847 - End hike EKG at mile 21 time 1825 HR 102 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087848 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087849 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087852 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087853 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240310-ecg-182557_mile_21_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087860 -  ..
087861 - Post hike HR profile beginning 2125 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087862 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087863 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087864 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087865 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087868 -        ..
087869 -       Date      240309  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231  231230    
087870 -       Time       2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046    1951     
087871 -       Hours        11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12      13     
087872 -       HR AVG       67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64      64     
087873 -       HR MAX      120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     114     
087874 -       HR Min       48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42      43     
087875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087878 -              https://flow.polar.com/training/analysis/7835932434                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087881 -               ..
087883 -   
087884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087887 -  ..
087888 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087889 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087890 - Dinner - eggs hot dog broccoli onion potato cheese mushrooms, half donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087892 -  ..
087893 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087921 -         ..
087922 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087923 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087924 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087925 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087926 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087927 -   71.  240311 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087928 -               0730....BP HR..................................................... 143  81  52  Kardia ECG reports HR status, see below. ref SDS 0 WSDT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087929 -               0735....BP HR..................................................... 141  83  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087930 -               0740....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087931 -               0740....80 386940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087932 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087933 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087934 -               0940....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087935 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087936 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
087937 -  ..
087938 -         * cr  1017....miles...........  31.0  31.0  536   536 minutes  temp  62 wind 15  rain 05%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087939 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087940 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087941 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
087942 -               1313....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087943 -               1313....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087944 -               1313... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087945 -               1313... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087946 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087947 -               1432....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087948 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087949 -               1708....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087950 -               1708... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087951 -               1851....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087952 -               1851....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087953 -               1851... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087954 -               1851... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087955 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087956 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087957 -               2011... Hike ends mile 31... ref SDS 0 W62P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087958 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087959 -               2025....weight.................................... 173  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087960 -               2030....BP HR..................................................... 129  82  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087961 -               2042....BP HR..................................................... 116  76  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087962 -               2048....BP HR..................................................... 110  74  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087963 -               2055....BP HR..................................................... 113  75  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087964 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087965 -               2035... 40 107620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
087966 -             1 0000............ 10 19450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087967 -             1 0000............ 10 19800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
087968 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087969 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087970 -               2130... 40 83820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087971 -               2150... 1000 2064000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087972 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087973 -               2300... 80 387020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087974 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087975 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087976 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087979 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087980 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087981 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087982 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087983 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087984 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087985 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087986 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087989 -  ..
087990 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087991 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087993 -  ..
087994 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087995 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087998 -  ..
087999 - Mile 31 - usual loop through South streets then loops through Cal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088000 - State college parking lots.  Mile 9 stopped for hydration, nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088001 - and pain meds. Then hiked 8 mile loop through hills of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088002 - road housing development.  Back to college and more loops in parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088003 - lots at mile 22, hiking 4 miles over summit on Ignacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088004 - At Oak Grove hiked 1-mile loop around Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088005 - Stopped for hydration and nutrition and pain meds near Mod Pizza.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088006 - Hiked another 1 mile loop around shoppng complex, then 1 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088007 - Oak Grove, and 2 miles East on Treat to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088011 -         ..
088012 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088013 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088014 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
088015 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088016 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088017 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088018 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088019 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088020 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088021 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088022 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088023 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088024 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 10, did 20 partial pullups and pushups twice - no evident pain                                                                                                                                                                                                                                                                                                                                                                     
088025 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088026 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088027 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088028 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088029 -        Shin splint pain both legs...................   2         10  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088030 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088031 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
088032 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088033 -   ***  Knee buckling left..PRP 191209.240108........   0         10  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088034 -   ***  Knee left anterior cruciate ligament.........   1         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
088035 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088036 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088037 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088038 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088039 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088040 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088041 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088042 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088043 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088044 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088045 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088046 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
088047 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
088048 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088049 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088050 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088051 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
088052 -        Ankle right pain on 200407 and 231203........   2         20  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
088053 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
088054 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088055 -        Cut big right foot...........................   1         50  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
088056 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
088057 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088058 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088059 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088060 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088061 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
088062 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
088063 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
088064 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088065 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
088066 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088067 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088068 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088069 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
088070 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088071 -        Burning sensation both feet..................   0        100  not noticable today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088072 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088073 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088074 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088075 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088076 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088077 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088078 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088079 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088080 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088081 -        Wobbly disoriented staggering dizzy..........   0        100  twice took 1 Tramadol and 1 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088082 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088084 -  ..
088085 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088087 -  ..
088088 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088090 -  ..
088091 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088093 -  ..
088094 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088095 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088097 -  ..
088098 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088099 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088100 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088101 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088102 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088106 -  ..
088107 - Concord 31 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088108 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088109 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088110 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088111 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088112 - avocado for HDL, per above. above. ref SDS 0 W73N  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088113 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088114 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088115 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088116 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088117 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088118 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088119 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088120 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088121 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088122 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088123 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088124 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088125 - entire hike without dyspnea.  Temp started at 59, and reached 62.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088126 - West wind 15 mph and mostly 08 mph.  Light rain last 2 miles.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088127 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088128 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088129 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088130 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088131 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088132 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088133 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088134 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088135 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088136 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088137 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088138 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088139 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088140 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088141 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088142 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088143 - West 1 mile uphill 3% - 4% grade with wind 03 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088144 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088145 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088146 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088147 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088148 - half-pushups and 00 situps using training equipment.  Hiked 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088149 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088150 - stopped at Administration Building mile 09 time 1313 temp 60 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088151 - 07 mph; EKG uniform with no artifact, Kardia reported HR 088 (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088152 - unusual for level of effort... ) Normal Sinus Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088153 - ref SDS 0 5TQX  Both feet PL 3, right foot Tailor's bunions PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088154 - knee meniscus PL 2, left knee patella PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088155 - elbow PL 2 intermitant.  Took Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088156 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088157 - hike.  Sips softdrink carried from home for hydration, swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088158 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088159 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088160 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 WQRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088161 - Exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088162 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088163 - 10, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088164 - grade against 05 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088165 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088166 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088167 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088168 - 03 mph.  Road ends at top of hill.  Hiked back down hill about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088169 - mile and then back to top.  Stopped mile 13 time 1432, temp 62, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088170 - 12 mph; EKG uniform with some artifact, Kardia reported HR 107 (HR -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088171 - no wait to get cellphone connection... unusually low for level of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088172 - effort at this station) Tachycardia - see below. ref SDS 0 Y27A  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088173 - PL 1, right foot tailor's bunion PL 1, calves PL 0 left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088174 - left shoulder PL 0, left elbow PL 2, nothing to eat nor drink (NPO),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088175 - per above. ref SDS 0 WQRT  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088176 - grade .5 miles.  At bottom of hill, hiked uphill .50 miles 5% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088177 - Autumn Oak Circle.  Turned around hiking back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088178 - Rolling Woods Way hiking East .5 miles uphill 6% grade with 6 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088179 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088180 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088181 - mile uphill 3% - 4% grade against wind 05 mph.  At mile 17, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088182 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088183 - Campus.  Hiked loop around campus buildings, and then 2 loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088184 - parking lots.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088185 - Building mile 21, time 1708 temp 58 and wind 13 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088186 - artifact, Kardia reported HR 104 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088187 - GRU2 Both feet PL 2, shin splints PL 1, left knee PL 1, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088188 - PL 1, neck to right shoulder PL 0 imtermittantly, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088189 - intermittantly.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088190 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088191 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088192 - more CoQ10, per above. ref SDS 0 WQRT  Hiked another loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088193 - parking lots.  At mile 22, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088194 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088195 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088196 - grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088197 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088198 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088199 - concrete barriar mile 24, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088200 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088201 - traffic light.  Hiked 1-mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088202 - complex.  Stopped at Mod Pizza mile 27, time 1851, temp 55 and wind 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088203 - mph; EKG uniform with artifact, Kardia reported HR 104 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088204 - see below. ref SDS 0 K7SZ  Both feet PL 3, right foot both Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088205 - bunions PL 2, right leg shin splint PL 3 left knee PL 2, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088206 - PL 1, neck to right shoulder PL 0 imtermittantly, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088207 - intermittantly.  Took Tramadol and Gabapentin again for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088208 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088209 - hike.  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088210 - nutrition - peanut butter, margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088211 - avocado for HDL, took more CoQ10, per above. ref SDS 0 WQRT  Totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088212 - dark, fortunately not noticably wobbly, loopy, staggering.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088213 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088214 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088215 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088216 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088217 - East on flat grade concrete sidewalk.  Light rain falling.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088218 - Miguel continued .75 miles on Treat uphill 5% grade temp 59.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088219 - this well.  At summit, mile 30, hiked another mile to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088220 - Ended hike mile 31 time 2011 temp 54, wind 05, light rain, feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088221 - shin splints PL 3, left knee PL 3 (swollen), right knee PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088222 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088223 - left side PL 0, left elbow PL 2, when lifting.  EKG looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088224 - with no artifact, Kardia reported HR 105 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088225 - ref SDS 0 W62P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088234 -  ..
088235 - Kardia recorded HR 51 at 0912 Unclassified, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088236 - lengths with p-wave and minor artifact; no AFL after hiking 21 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088237 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088238 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088239 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088240 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088241 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088244 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088245 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-091246_mile_00_051_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088251 -  ..
088252 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088253 - hike 31 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088254 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088256 -  ..
088257 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088259 -       Date       240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 231221 2  
088260 -       Miles         31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     18     
088261 -       HR AVG       108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115    115     
088262 -         MAX        134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137    135  r  
088263 -         Min         65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     57     
088264 -       El Climb Ft  715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490    490     
088265 -       Temp Max      62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     65     
088266 -       Wind Max      15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     06     
088267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088269 -              https://flow.polar.com/training/analysis/7836300422                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088272 -               ..
088274 -   
088275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088279 -  ..
088280 - EKG at mile 09 time 1313 HR 088 temp 60, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088281 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088282 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088285 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088286 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-131316_mile_09_088_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088290 -  ..
088291 - EKG at mile 13 time 1432 HR 107 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088292 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088293 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088296 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088297 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-143228_mile_13_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088301 -  ..
088302 - EKG at mile 21 time 1708 HR 104 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088303 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088304 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088307 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088308 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-170834_mile_21_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088313 -  ..
088314 - EKG at mile 27 time 1851 HR 104 temp 55, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088315 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088316 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088319 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088320 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-185135_mile_27_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088325 -  ..
088326 - End hike EKG at mile 31 time 2011 HR 105 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088327 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088328 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088331 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088332 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-201109_mile_31_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088339 -  ..
088340 - Post hike HR profile beginning 2208 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088341 - overnight after hiking 31 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088342 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088343 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088344 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088347 -        ..
088348 -       Date      240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101  231231    
088349 -       Time       2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009    2046     
088350 -       Hours        10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12      12     
088351 -       HR AVG       63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68      64     
088352 -       HR MAX      130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     108     
088353 -       HR Min       44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45      42     
088354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088357 -              https://flow.polar.com/training/analysis/7836714501                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088360 -               ..
088362 -   
088363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088366 -  ..
088367 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088368 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088369 - Dinner - hamburger tomato onion potato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088371 -  ..
088372 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088400 -         ..
088401 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088402 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088403 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088404 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088405 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088406 -   72.  240312 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088407 -               0715....BP HR..................................................... 155  84  48  Kardia ECG reports HR status, see below. ref SDS 0 57G3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088408 -               0720....BP HR..................................................... 148  83  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088409 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088410 -               0725....80 387100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088411 -               1240....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088412 -               1240....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088413 -               1240....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088414 -               1240....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088415 -               1240... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
088416 -  ..
088417 -         * cr  1302....miles...........  25.0  56.0  431   967 minutes  temp  62 wind 12  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088418 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088419 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088420 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
088421 -               1537....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088422 -               1537....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088423 -               1537... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088424 -               1537... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088425 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088426 -               1704....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088427 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088428 -               1835....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088429 -               1835... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088430 -               0000....mile 27 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088431 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088432 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088433 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088434 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088435 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088436 -               2053... Hike ends mile 25... ref SDS 0 LQF6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088437 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088438 -               2125....weight.................................... 172  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088439 -               2130....BP HR..................................................... 130  86  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088440 -               2135....BP HR..................................................... 121  84  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088441 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088442 -               2035... 40 107660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
088443 -               1850............ 10 19460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088444 -               1850............ 10 19810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088445 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088446 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088447 -               2130... 40 83860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088448 -               2150... 1000 2065000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088449 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088450 -               2300... 80 387180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088451 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088452 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088453 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088456 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088457 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088458 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088459 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088460 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088461 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088462 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088463 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088466 -  ..
088467 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088468 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088470 -  ..
088471 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088472 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088475 -  ..
088476 - Mile 25 - usual loop through South streets then loops through Cal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088477 - State college parking lots.  Mile 9 stopped for hydration, nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088478 - and pain meds.  Then hiked 8 mile loop through hills of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088479 - road housing development.  Back to college and more loops in parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088480 - lots at mile 18, stopped again for hydration, nutrition and pain meds;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088481 - hiked 2 miles through parking lots, then 4 miles back to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088482 - Terrace via Turtle Creek Road and Treat, and 2 more miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088483 - residential streets then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088487 -         ..
088488 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088489 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088490 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
088491 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088492 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088493 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088494 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088495 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088496 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088497 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088498 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088499 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088500 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 10, did 20 partial pullups and pushups twice - no evident pain                                                                                                                                                                                                                                                                                                                                                                     
088501 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088502 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088503 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088504 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088505 -        Shin splint pain both legs...................   2         10  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088506 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088507 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
088508 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088509 -   ***  Knee buckling left..PRP 191209.240108........   0         10  no episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088510 -   ***  Knee left anterior cruciate ligament.........   1         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
088511 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088512 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088513 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088514 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088515 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088516 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088517 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088518 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088519 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088520 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088521 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088522 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
088523 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
088524 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088525 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088526 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088527 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
088528 -        Ankle right pain on 200407 and 231203........   2         20  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
088529 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
088530 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088531 -        Cut big right foot...........................   1         50  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
088532 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
088533 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088534 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088535 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088536 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088537 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
088538 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
088539 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
088540 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088541 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
088542 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088543 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088544 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088545 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
088546 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088547 -        Burning sensation both feet..................   2         30  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088548 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088549 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088550 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088551 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088552 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088553 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088554 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088555 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088556 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088557 -        Wobbly disoriented staggering dizzy..........   0        100  twice took 1 Tramadol and 1 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088558 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088560 -  ..
088561 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088563 -  ..
088564 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088566 -  ..
088567 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088569 -  ..
088570 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088571 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088573 -  ..
088574 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088575 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088576 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088577 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088578 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088582 -  ..
088583 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088584 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088585 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088586 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088587 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088588 - avocado for HDL, per above. above. ref SDS 0 1G4O  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088589 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088590 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088591 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088592 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088593 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088594 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088595 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088596 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088597 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088598 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088599 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088600 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088601 - entire hike without dyspnea.  Temp started at 60, and reached 62.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088602 - West wind 12 mph and mostly 08 mph, no rain.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088603 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088604 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088605 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088606 - today.  Continued on Turtle Creek Road uphill 4% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088607 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088608 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088609 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088610 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088611 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088612 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088613 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088614 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088615 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088616 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088617 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088618 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088619 - West 1 mile uphill 3% - 4% grade with wind 03 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088620 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088621 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088622 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088623 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088624 - half-pushups and 00 situps using training equipment.  Hiked 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088625 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088626 - stopped at Administration Building mile 09 time 1537 temp 61 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088627 - 09 mph; EKG uniform with minor artifact, Kardia reported HR 098 (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088628 - unusual for level of effort... ) Normal Sinus Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088629 - ref SDS 0 W58L  Both feet PL 2, burning sensation PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088630 - Tailor's bunions PL 0 after shaving callus last night, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088631 - meniscus PL 2, left knee patella PL 0, left shoulder PL 1, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088632 - PL 2 intermitant.  Took Tramadol and Gabapentin for pain maagement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088633 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088634 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088635 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088636 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088637 - not take Nuun electrolyte pill, per above. ref SDS 0 WUYU  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088638 - another loop around main buildings.  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088639 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088640 - Hiked West on flat grade .5 miles.  At mile 10, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088641 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade against 05 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088642 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088643 - stopping.  At summit continued flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088644 - downhill .25 miles 5% grade.  At Rolling Woods Way continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088645 - Crystal Ranch Road .5 miles 6% grade against wind 03 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088646 - at top of hill.  Hiked back down hill about .25 mile and then back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088647 - top.  Stopped mile 13 time 1704, temp 61, wind 12 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088648 - uniform with some artifact, Kardia reported HR 109 (HR - no wait to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088649 - get cellphone connection... unusually low for level of effort at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088650 - station) Tachycardia - see below. ref SDS 0 WY2F  Feet PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088651 - foot tailor's bunion PL 0, calves PL 0 left knee PL 2, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088652 - PL 1, left elbow PL 2, nothing to eat nor drink (NPO), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088653 - ref SDS 0 WUYU  Continued downhill on Crystal Ranch Road 6% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088654 - miles.  At bottom of hill, hiked uphill .50 miles 5% grade to Autumn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088655 - Oak Circle.  Turned around hiking back.  Turned left onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088656 - Woods Way hiking East .5 miles uphill 6% grade with 4 mph wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088657 - summit continued downhill .66 miles.  Turned left onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088658 - Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088659 - uphill 3% - 4% grade against wind 04 mph.  At mile 17, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088660 - Parking again at California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088661 - Hiked loop through parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088662 - Administration Building mile 18, time 1835 temp 59 and wind 13 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088663 - EKG uniform with no artifact, Kardia reported HR 101 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088664 - below. ref SDS 0 GZ3B  Both feet PL 2, shin splints PL 1, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088665 - 2, left shoulder PL 1, neck to right shoulder PL 0 imtermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088666 - left elbow PL 2 intermittantly.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088667 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088668 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088669 - pill, took more CoQ10, per above. ref SDS 0 WUYU  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088670 - through parking lots.  At mile 20, exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088671 - downhill on Campus Drive.  Crossed Ygnacio Valley Road at stop light,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088672 - heading North downhill on Ayers.  Road bends East, at mile 21, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088673 - left onto Ayers.  Hiked 2 miles North on Turtle Creek Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088674 - 23, turned left onto Treat heading West.  Continued 1 mile and crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088675 - Cowell at stop light.  Turned onto Cuneo.  Hiked another mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088676 - residential streets.  Ended hike mile 25 time 2053 temp 53, wind 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088677 - feet PL 3, left knee PL 2, right knee PL 0, left shoulder PL 1, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088678 - and right shoulder PL 0 intermittantly, left elbow PL 2, when lifting,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088679 - EKG looks uniform, with minor artifact, Kardia reported HR 098 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088680 - Sinus Rhythm - see below. ref SDS 0 LQF6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088688 -  ..
088689 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088690 - Kardia recorded HR 51 at 0912 Unclassified, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088691 - lengths with p-wave and minor artifact; no AFL after hiking 21 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088692 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088693 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088694 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088695 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088696 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088699 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088700 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240311-ecg-091246_mile_00_051_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088706 -  ..
088707 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088708 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088709 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088711 -  ..
088712 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088714 -       Date       240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 231222 2  
088715 -       Miles         25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     20     
088716 -       HR AVG       108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114    115     
088717 -         MAX        136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135    137     
088718 -         Min         36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     60     
088719 -       El Climb Ft  715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490    490     
088720 -       Temp Max      62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     67     
088721 -       Wind Max      12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     09     
088722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088724 -              https://flow.polar.com/training/analysis/7837010006                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088727 -               ..
088729 -   
088730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088734 -  ..
088735 - EKG at mile 09 time 1537 HR 098 temp 61, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088736 - Rhythm... looks uniform with minor artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088737 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088740 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088741 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240312-ecg-153725_mile_09_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088745 -  ..
088746 - EKG at mile 13 time 1704 HR 109 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088747 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088748 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088751 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088752 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240312-ecg-170414_mile_13_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088756 -  ..
088757 - EKG at mile 18 time 1835 HR 101 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088758 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088759 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088762 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088763 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240312-ecg-183553_mile_18_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088768 -  ..
088769 - End hike EKG at mile 25 time 2053 HR 098 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088770 - Normal Sinus Rhythm... looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088771 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088774 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088775 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240312-ecg-205310_mile_25_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088782 -  ..
088783 - Post hike HR profile beginning 2308 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088784 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088785 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088786 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088787 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088790 -        ..
088791 -       Date      240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102  240101    
088792 -       Time       2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254    2009     
088793 -       Hours         9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4      12     
088794 -       HR AVG       62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74      68     
088795 -       HR MAX      121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     114     
088796 -       HR Min       44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47      45     
088797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088800 -              https://flow.polar.com/training/analysis/7837310380                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088803 -               ..
088805 -   
088806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088809 -  ..
088810 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088811 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088812 - Dinner - rice hamburger tomato onion potato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088814 -  ..
088815 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088842 -         ..
088843 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088844 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088845 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088846 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088847 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088848 -   73.  240313 0655............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088849 -               0655....BP HR..................................................... 151  85  46  Kardia ECG reports HR status, see below. ref SDS 0 GX3S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088850 -               0700....BP HR..................................................... 152  87  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088851 -               0705....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088852 -               0705....80 387260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088853 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088854 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088855 -               1110....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088856 -               1110....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088857 -               1110... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
088858 -  ..
088859 -         * cr  1140....miles...........  30.0  86.0  510  1477 minutes  temp  67 wind 11  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088860 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088861 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088862 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
088863 -               1410....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088864 -               1410....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088865 -               1410... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088866 -               1410... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088867 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088868 -               1524....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088869 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088870 -               1746....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088871 -               1746....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088872 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088873 -               1746... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088874 -               1939....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088875 -               1939... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088876 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088877 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088878 -               2053... Hike ends mile 30... ref SDS 0 LQF6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088879 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088880 -               2105....weight.................................... 172  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088881 -               2110....BP HR..................................................... 121  79  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088882 -               2130....BP HR..................................................... 125  79  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088883 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088884 -               2110... 40 107700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
088885 -             1 0000............ 10 19460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088886 -             1 0000............ 10 19810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088887 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088888 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088889 -               2130... 40 83900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088890 -               2150... 1000 2066000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088891 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088892 -               2300... 80 387340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088893 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088894 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088895 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088898 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088899 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088900 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088901 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088902 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088903 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088904 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088905 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088908 -  ..
088909 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088910 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088912 -  ..
088913 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088914 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088917 -  ..
088918 - Mile 30 - usual loop through South streets then loops through Cal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088919 - State college parking lots.  Mile 8 stopped for hydration, nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088920 - and pain meds.  Then hiked 8 mile loop through hills of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088921 - road housing development.  Back to college and more loops in parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088922 - lots at mile 19, hiking 4 miles over summit on Ignacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088923 - At Oak Grove hiked 2 1-mile loops around Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088924 - Stopped for hydration and nutrition and pain meds near Mod Pizza.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088925 - Hiked another 1 mile loop around shoppng complex, then 1 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088926 - Oak Grove, and 2 miles East on Treat to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088930 -         ..
088931 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088932 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088933 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
088934 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088935 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088936 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088937 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088938 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088939 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088940 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088941 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088942 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088943 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 10, did 20 partial pullups and pushups twice - no evident pain                                                                                                                                                                                                                                                                                                                                                                     
088944 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088945 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088946 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088947 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088948 -        Shin splint pain both legs...................   2         15  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088949 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088950 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
088951 -        Knee left patalla...PRP 210705...............   1         30  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088952 -   ***  Knee buckling left..PRP 191209.240108........   2         20  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088953 -   ***  Knee left anterior cruciate ligament.........   1         20  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088954 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088955 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088956 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088957 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088958 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088959 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088960 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088961 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088962 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088963 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088964 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088965 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
088966 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
088967 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088968 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088969 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088970 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
088971 -        Ankle right pain on 200407 and 231203........   2         20  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
088972 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
088973 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088974 -        Cut big right foot...........................   1         50  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
088975 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
088976 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088977 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088978 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088979 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088980 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
088981 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
088982 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
088983 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088984 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
088985 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088986 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088987 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088988 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
088989 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088990 -        Burning sensation both feet..................   2         30  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088991 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088992 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088993 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088994 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088995 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088996 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088997 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088998 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088999 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089000 -        Wobbly disoriented staggering dizzy..........   0        100  twice took 1 Tramadol and 1 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089001 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089003 -  ..
089004 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089006 -  ..
089007 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089009 -  ..
089010 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089012 -  ..
089013 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089014 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089016 -  ..
089017 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089018 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089019 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089020 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089021 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089025 -  ..
089026 - Concord 30 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089027 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089028 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089029 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089030 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089031 - avocado for HDL, per above. above. ref SDS 0 195G  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089032 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089033 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089034 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089035 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089036 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089037 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089038 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089039 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089040 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089041 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089042 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089043 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089044 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089045 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089046 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089047 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089048 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089049 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089050 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089051 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089052 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089053 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089054 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089055 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089056 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089057 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089058 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089059 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089060 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089061 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089062 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089063 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089064 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089065 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089066 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089067 - half-pushups and 00 situps using training equipment.  Hiked 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089068 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089069 - stopped at Administration Building mile 08 time 1410 temp 64 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089070 - 07 mph; EKG uniform with no artifact, Kardia reported HR 091 (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089071 - unusual for level of effort... ) Normal Sinus Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089072 - ref SDS 0 ES3U  Both feet PL 3, right foot Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089073 - knee meniscus PL 2, left knee patella PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089074 - elbow PL 2 intermitant.  Took Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089075 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089076 - hike.  Sips softdrink carried from home for hydration, swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089077 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089078 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089079 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 XPSW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089080 - Exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089081 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089082 - 09, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089083 - grade with 07 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089084 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089085 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089086 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089087 - 11 mph.  Road ends at top of hill.  Did not hiked back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089088 - .25 mile and then back to top.  Stopped mile 12 time 1524, temp 67,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089089 - wind 11 mph; EKG uniform with some significant artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089090 - reported HR 109 (HR - no wait to get cellphone connection... unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089091 - low for level of effort at this station) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089092 - ref SDS 0 1S4F  Feet PL 1, left foot tailor's bunion PL 2, calves PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089093 - left knee PL 2, left shoulder PL 2, left elbow PL 2, nothing to eat or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089094 - drink (NPO), per above. ref SDS 0 XPSW  Continued downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089095 - Ranch Road 6% grade .5 miles.  At bottom of hill, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089096 - Rolling Woods Way hiking East .5 miles uphill 6% grade with 6 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089097 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089098 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089099 - mile uphill 3% - 4% grade against wind 05 mph.  At mile 15, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089100 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089101 - Campus.  Hiked 3 loops through parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089102 - stopped at Administration Building mile 19, time 1746 temp 66 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089103 - 11 mph; EKG mostly uniform with no artifact, Kardia reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089104 - Tachycardia - see below. ref SDS 0 TMG8  Both feet PL 2, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089105 - PL 1, left knee PL 2, left shoulder PL 2, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089106 - imtermittantly, left elbow PL 2 intermittantly.  Took Tramadol again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089107 - but did not take another Gabapentin.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089108 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089109 - chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089110 - electrolyte pill, took more CoQ10, per above. ref SDS 0 XPSW  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089111 - 19, exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089112 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089113 - Continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089114 - wind 04 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089115 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089116 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089117 - mile 22, hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089118 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089119 - 2 1-mile loops around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089120 - Mod Pizza mile 25, time 1939, temp 62 and wind 08 mph; EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089121 - with no artifact, Kardia reported HR 105 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089122 - ref SDS 0 WF72  Both feet PL 2, right foot both Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089123 - right leg shin splint PL 0 left knee PL 2, ACL PL 2, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089124 - 1, neck to right shoulder PL 0 imtermittantly, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089125 - intermittantly.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089126 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089127 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089128 - energy, and avocado for HDL, per above. ref SDS 0 XPSW  Totally dark,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089129 - fortunately not noticably wobbly, loopy, staggering.  Continued hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089130 - 1-mile loop around the block - turned right onto path parallel to Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089131 - Monte hiking North .25 miles, turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089132 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089133 - shoulder.  Crossed Treat at street light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089134 - grade concrete sidewalk.  At San Miguel continued .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089135 - uphill 5% grade temp 59.  Handled this well.  At summit, mile 28,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089136 - hiked another mile to Cuneo.  Continued .25 mile to Cowell and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089137 - Cuneo and home.  Ended hike mile 30 time 2105 temp 58, wind 09, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089138 - PL 3, shin splints PL 2, left knee PL 2 (swollen), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089139 - left shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089140 - back left side PL 0, left elbow PL 2, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089141 - variable, with no artifact, Kardia reported HR 097 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089142 - below. ref SDS 0 738N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089150 -  ..
089151 - Kardia recorded HR 47 at 0758 Bradycardia, seems variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089152 - lengths with p-wave and no artifact; no AFL after hiking 21 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089153 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089154 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089155 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089156 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089157 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089160 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089161 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240313-ecg-075820_mile_00_047_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089166 -  ..
089167 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089168 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089169 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089171 -  ..
089172 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089174 -       Date       240312 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 231223 2  
089175 -       Miles         30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     22     
089176 -       HR AVG       109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111    114     
089177 -         MAX        135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128    135     
089178 -         Min         72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     69     
089179 -       El Climb Ft  715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490    490     
089180 -       Temp Max      67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     60     
089181 -       Wind Max      11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     06     
089182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089184 -              https://flow.polar.com/training/analysis/7837698751                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089187 -               ..
089189 -   
089190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089194 -  ..
089195 - EKG at mile 08 time 1410 HR 091 temp 64, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089196 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089197 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089200 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089201 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240313-ecg-141018_mile_08_091_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089205 -  ..
089206 - EKG at mile 13 time 1524 HR 109 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089207 - Tachycardia... looks mostly uniform with some significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089208 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089211 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089212 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240313-ecg-152427_mile_12_109_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089216 -  ..
089217 - EKG at mile 19 time 1746 HR 108 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089218 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089219 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089222 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089223 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240313-ecg-174600_mile_19_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089228 -  ..
089229 - EKG at mile 25 time 1939 HR 105 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089230 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089231 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089234 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089235 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240313-ecg-193921_mile_25_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089240 -  ..
089241 - End hike EKG at mile 30 time 2105 HR 097 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089242 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089243 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089246 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089247 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240313-ecg-210503_mile_30_097_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089254 -  ..
089255 - Post hike HR profile beginning 2342 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089256 - overnight after hiking 30 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089257 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089258 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089259 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089262 -        ..
089263 -       Date      240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103  240102    
089264 -       Time       2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046    0254     
089265 -       Hours         9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7       4     
089266 -       HR AVG       63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64      74     
089267 -       HR MAX      127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     104     
089268 -       HR Min       43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46      47     
089269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089272 -              https://flow.polar.com/training/analysis/7838203326                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089275 -               ..
089277 -   
089278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089281 -  ..
089282 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089283 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089284 - Dinner - pancake eggs milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089286 -  ..
089287 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089316 -         ..
089317 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089318 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089319 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089320 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089321 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089322 -   74.  240314 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089323 -               0725....BP HR..................................................... 144  82  50  Kardia ECG reports HR status, see below. ref SDS 0 X5PS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089324 -               0730....BP HR..................................................... 138  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089325 -               0735....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089326 -               0735....80 387420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089327 -               1240....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089328 -               1240....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089329 -               1240....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089330 -               1240....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089331 -               1240... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
089332 -  ..
089333 -               1311....miles...........   8.0  94.0  128  1605 minutes  temp  68 wind 16  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089334 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089335 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089336 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
089337 -               0000....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089338 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089339 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089340 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089341 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089342 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089343 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089344 -               0000....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089345 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089346 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089347 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089348 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089349 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089350 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089351 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089352 -               1546... Hike ends mile 08... ref SDS 0 7RW2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089353 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089354 -               1610....weight.................................... 172  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089355 -               1620....BP HR..................................................... 127  81  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089356 -               1630....BP HR..................................................... 124  80  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089357 -               1640....BP HR..................................................... 120  79  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089358 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089359 -               1700... 40 107740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
089360 -               1850............ 10 19470  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089361 -               1850............ 10 19820  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089362 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089363 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089364 -               2130... 40 83940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089365 -               2150... 1000 2067000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089366 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089367 -               2300... 80 387500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089368 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089369 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089370 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089373 -  ..
089374 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089375 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089377 -  ..
089378 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089379 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089382 -  ..
089383 - Mile 08 - usual loop through South Concord streets taking Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089384 - Turtle Creek Road, then Ayers to Clayton, and back to Treat then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089385 - home.  Stopped for haircut and at grocery store along Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089389 -         ..
089390 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089391 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089392 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
089393 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089394 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089395 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089396 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089397 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089398 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089399 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089400 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089401 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089402 -        Elbow left arm...............................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 10, did 20 partial pullups and pushups twice - no evident pain                                                                                                                                                                                                                                                                                                                                                                     
089403 -        Hands sunburned itching rash.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089404 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089405 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089406 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089407 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089408 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089409 -        Knee left meniscus...PRP 231121..............   1         10  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin and another Tramadol mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                
089410 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089411 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089412 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089413 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089414 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089415 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089416 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089417 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089418 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089419 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089420 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089421 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089422 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089423 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089424 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
089425 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                         
089426 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089427 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089428 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089429 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
089430 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
089431 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
089432 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089433 -        Cut big right foot...........................   1         50  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today felt slight pain after hike wound did not appear to have bled                                                                                                                                                                                                                                                                                                                                                                                                
089434 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118 - intended to take Tramadol and Gabapentin, forgot meds                                                                                                                                                                                                                                                                                                                                                            
089435 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089436 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089437 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089438 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089439 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
089440 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
089441 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
089442 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089443 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
089444 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089445 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089446 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089447 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
089448 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089449 -        Burning sensation both feet..................   0        100  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089450 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089451 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089452 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089453 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089454 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089455 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089456 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089457 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089458 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089459 -        Wobbly disoriented staggering dizzy..........   0        100  twice took 0 Tramadol and 0 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089460 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089462 -  ..
089463 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089465 -  ..
089466 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089468 -  ..
089469 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089471 -  ..
089472 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089473 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089475 -  ..
089476 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089477 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089478 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089479 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089480 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089484 -  ..
089485 - Concord 08 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089486 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089487 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089488 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089489 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089490 - avocado for HDL, per above. above. ref SDS 0 346K  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089491 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089492 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089493 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089494 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089495 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089496 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089497 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089498 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089499 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089500 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089501 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089502 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089503 - entire hike without dyspnea.  Temp started at 61, and reached 68.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089504 - West wind 16 mph and mostly 16 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089505 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089506 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089507 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089508 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089509 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089510 - turned left onto Clayton Road hiking North 1 mile on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089511 - sidewalk.  Near Baily Road stopped for haircut, reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089512 - record on 240314 1411. ref SDS 33 0001  After this, continued North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089513 - Clayton.  Stopped at Wells Fargo to deposit refund check from AAA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089514 - Crossed the street and bought groceries at Food_4_Less.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089515 - hike .5 mile and turned left onto Treat.  Hiked back to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089516 - home.  Ended hike mile 08 time 1546 temp 66, wind 16, feet PL 2, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089517 - splints PL 0, left knee PL 2 (swollen), right knee PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089518 - PL 2, neck and right shoulder PL 0 intermittantly, lower back left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089519 - side PL 0, left elbow PL 2, when lifting.  EKG looks uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089520 - artifact, Kardia reported HR 090 Normal Sinsu Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089521 - ref SDS 0 7RW2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089529 -  ..
089530 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089534 -  ..
089535 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089536 - hike 08 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089537 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089539 -  ..
089540 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089542 -       Date       240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 231225 231224 2  
089543 -       Miles          8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17      0     25     
089544 -       HR AVG       0977   109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     no    111     
089545 -         MAX        112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  report   128     
089546 -         Min         60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49            61     
089547 -       El Climb Ft  275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490           490     
089548 -       Temp Max      68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57            58     
089549 -       Wind Max      16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08            09     
089550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089552 -              https://flow.polar.com/training/analysis/7838321094                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089555 -               ..
089557 -   
089558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089563 -  ..
089564 - End hike EKG at mile 08 time 1546 HR 090 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089565 - Normal Sinus Rhythm... looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089566 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089569 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089570 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240314-ecg-154645_mile_08_090_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089575 -  ..
089576 - Post hike HR profile beginning 2349 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089577 - overnight after hiking 08 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089578 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089579 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089580 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089583 -        ..
089584 -       Date      240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104  240103    
089585 -       Time       2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141    0046     
089586 -       Hours         8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8       7     
089587 -       HR AVG       67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58      64     
089588 -       HR MAX      109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     104     
089589 -       HR Min       43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35      46     
089590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089593 -              https://flow.polar.com/training/analysis/7838717616                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089596 -               ..
089598 -   
089599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089602 -  ..
089603 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089604 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089605 - Dinner - eggs potato eggs broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089607 -  ..
089608 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089633 -         ..
089634 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089635 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089636 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089637 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089638 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089639 -   75.  240315 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089640 -               0730....BP HR..................................................... 145  82  49  Kardia ECG reports HR status, see below. ref SDS 0 YPUX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089641 -               0735....BP HR..................................................... 152  90  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089642 -               0740....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089643 -               0740....80 387580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089644 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089645 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089646 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089647 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089648 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089649 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089650 -               2110... 40 107780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
089651 -             1 0000............ 10 19470  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089652 -             1 0000............ 10 19820  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089653 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089654 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089655 -               2130... 40 83980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089656 -               2150... 1000 2068000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089657 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089658 -               2300... 80 387660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089659 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089660 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089661 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089664 -  ..
089665 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089666 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089668 -  ..
089669 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089670 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089674 -  ..
089675 - Post hike HR profile beginning 2146 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089676 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089677 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089678 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089679 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089682 -        ..
089683 -       Date      240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105  240104    
089684 -       Time       2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323    2141     
089685 -       Hours        12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9       8     
089686 -       HR AVG       61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63      58     
089687 -       HR MAX      117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     103     
089688 -       HR Min       43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45      35     
089689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089692 -              https://flow.polar.com/training/analysis/7839380540                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089695 -               ..
089697 -   
089698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089701 -  ..
089702 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089703 - Lunch - salmon rice avocado broccoli cottage cheese soaked chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089704 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089706 -  ..
089707 - Vomitting:  100% lunch eventually cleared with Coca Cola - problem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089708 - could be either/both salmon and swelled (soaked) chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089735 -         ..
089736 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089737 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089738 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089739 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089740 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089741 -   76.  240316 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089742 -               0730....BP HR..................................................... 141  88  53  Kardia ECG reports HR status, see below. ref SDS 0 YS3P                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089743 -               0735....BP HR..................................................... 124  81  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089744 -               0740....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089745 -               0740....80 387740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089746 -               1240....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089747 -               1240....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089748 -               1240....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089749 -               1240....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089750 -               1240... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
089751 -  ..
089752 -         * cr  1300....miles...........  26.0 120.0  456  2061 minutes  temp  72 wind 12  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089753 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089754 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089755 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
089756 -               1534....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089757 -               1534....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089758 -               1534... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089759 -               1534... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089760 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089761 -               1648....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089762 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089763 -               1850....mile 18 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089764 -               1850... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089765 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089766 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089767 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089768 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089769 -               2108... Hike ends mile 26... ref SDS 0 X5WN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089770 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089771 -               2129....weight.................................... 170  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089772 -               2130....BP HR..................................................... 111  81 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089773 -               2140....BP HR..................................................... 114  81  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089774 -               1640....BP HR..................................................... 120  79  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089775 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089776 -               2120... 40 107820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
089777 -               2150............ 10 19480  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089778 -               2150............ 10 19830  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089779 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089780 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089781 -               2230... 40 84020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089782 -               2250... 1000 2069000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089783 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089784 -               2300... 80 387820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089785 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089786 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089787 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089790 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089791 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089792 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089793 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089794 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089795 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089796 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089797 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089800 -  ..
089801 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089802 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089804 -  ..
089805 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089806 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089809 -  ..
089810 - Mile 26 - usual 5 mile loop through South Concord streets then loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089811 - through Cal State college parking lots.  Mile 9 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089812 - nutrition and pain meds.  Then hiked 8 mile loop through hills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089813 - Crystal Ranch road housing development.  Back to college and more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089814 - loops in parking lots at mile 18, hiking 2 miles over summit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089815 - Ignacio Valley Road.  Turned around hiked back to Cowell, then to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089816 - Treat, at mile 22, hiked 4 miles through residential streets Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089817 - Kaski, Hancock, Court Lane, then Cuneo again and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089821 -         ..
089822 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089823 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089824 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
089825 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089826 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089827 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089828 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089829 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089830 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089831 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089832 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089833 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089834 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took Tramadol and Gabapentin mile 09, did not do 20 partial pullups and pushups twice                                                                                                                                                                                                                                                                                                                                                                                
089835 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089836 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089837 -        Back.........................................   3          5  back spine at hip line stinging pain last mile or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                      
089838 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089839 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089840 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089841 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took Tramadol and Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089842 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089843 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089844 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089845 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089846 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089847 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089848 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089849 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089850 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089851 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089852 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089853 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - did not take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089854 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089855 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089856 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                 
089857 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                 
089858 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089859 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089860 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089861 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
089862 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
089863 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
089864 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089865 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
089866 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
089867 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089868 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089869 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089870 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089871 -        Callus little toe right foot..top of toe.....   0        100  after hike yesterday #5 seemed crimped against #4, so today use new pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                           
089872 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
089873 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
089874 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089875 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                        
089876 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089877 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089878 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089879 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - did not take Tramadol and Gabapentin today                                                                                                                                                                                                                                                                                                                                                                                                                                              
089880 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089881 -        Burning sensation both feet..................   0        100  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089882 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089883 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089884 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089885 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089886 -        Veering left.................................   0        100  unusual no veering after 2 Tramadol at mile 10 and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089887 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089888 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089889 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089890 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089891 -        Wobbly disoriented staggering dizzy..........   0        100  twice took 0 Tramadol and 0 Gabapentin - did not notice any balance/veering effects                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089892 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089894 -  ..
089895 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089897 -  ..
089898 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089900 -  ..
089901 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089903 -  ..
089904 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089905 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089907 -  ..
089908 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089909 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089910 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089911 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089912 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089916 -  ..
089917 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089918 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089919 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089920 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089921 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089922 - avocado for HDL, per above. above. ref SDS 0 3V9M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089923 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089924 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089925 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089926 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089927 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089928 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089929 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089930 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089931 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089932 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089933 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089934 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089935 - entire hike without dyspnea.  Temp started at 66, and reached 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089936 - West wind 12 mph and mostly 08 mph, no rain.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089937 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089938 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089939 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089940 - today.  Continued on Turtle Creek Road uphill 4% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089941 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089942 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089943 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089944 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089945 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089946 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089947 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089948 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089949 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089950 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089951 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089952 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089953 - West 1 mile uphill 3% - 4% grade with wind 03 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089954 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089955 - Concord Campus.  Hiked around main campus buildings.  Left elbow has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089956 - made some recovery with PRP injections on 231121 0700. ref SDS 27 G45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089957 - Did not stop at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089958 - half-pushups and 00 situps using training equipment.  Hiked 2 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089959 - loops through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089960 - stopped at Administration Building mile 09 time 1534 temp 72 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089961 - 10 mph; EKG uniform with minor artifact, Kardia reported HR 122 (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089962 - unusual for level of effort... ) Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089963 - FL9K  Both feet PL 2, burning sensation PL 2, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089964 - bunions PL 0 after shaving callus last night, left knee meniscus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089965 - left knee patella PL 0, left shoulder PL 2, left elbow PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089966 - intermitant.  Took Tramadol and Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089967 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089968 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089969 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089970 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089971 - not take Nuun electrolyte pill, per above. ref SDS 0 E8SJ  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089972 - another loop around main buildings.  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089973 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089974 - Hiked West on flat grade .5 miles.  At mile 10, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089975 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade against 05 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089976 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089977 - stopping.  At summit continued flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089978 - downhill .25 miles 5% grade.  At Rolling Woods Way continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089979 - Crystal Ranch Road .5 miles 6% grade against wind 03 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089980 - at top of hill.  Hiked back down hill about .25 mile and then back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089981 - top.  Stopped mile 12 time 1648, temp 72, wind 06 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089982 - uniform with no artifact, Kardia reported HR 133 (HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089983 - cellphone connection... unusually high for level of effort at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089984 - station - reflects higher temperature) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089985 - ref SDS 0 3RW6  Feet PL 2, right foot tailor's bunion PL 1, calves PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089986 - 0 left knee PL 2, left shoulder PL 1, left elbow PL 3, nothing to eat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089987 - nor drink (NPO), per above. ref SDS 0 E8SJ  Continued downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089988 - Crystal Ranch Road 6% grade .5 miles.  At bottom of hill, hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089989 - .50 miles 5% grade to Autumn Oak Circle.  Turned around hiking back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089990 - Turned left onto Rolling Woods Way hiking East .5 miles uphill 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089991 - grade with 4 mph wind.  At summit continued downhill .66 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089992 - Turned left onto Pine Hollow.  Hiked 1 mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089993 - Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against wind 04                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089994 - mph.  At mile 17, reached Visitor Parking again at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089995 - University East Bay Concord Campus.  Hiked loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089996 - Back at Visitor Parking stopped at Administration Building mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089997 - time 1850 temp 65 and wind 10 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089998 - Kardia reported HR 123 Tachycardia - see below. ref SDS 0 PM6G  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089999 - feet PL 2, shin splints PL 0, left knee PL 1, left shoulder PL 1, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090000 - to right shoulder PL 0 imtermittantly, left elbow PL 2 intermittantly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090001 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090002 - nutrition - peanut butter, margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090003 - avocado for HDL, did not take Nuun electrolyte pill, took more CoQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090004 - per above. ref SDS 0 E8SJ  Hiked another loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090005 - At mile 20, exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090006 - Crossed Ygnacio Valley Road at stop light, heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090007 - Ayers.  Road bends East, at mile 21, turned left onto Ayers.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090008 - miles North on Turtle Creek Road.  At mile 23, turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090009 - heading West.  Continued 1 mile and crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090010 - Turned onto Cuneo.  Hiked another 2 miles through residential streets.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090011 - Ended hike mile 26 time 2108 temp 58, wind 10, feet PL 2, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090012 - 2, right knee PL 0, left shoulder PL 1, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090013 - intermittantly, left elbow PL 1, when lifting, mid-back at hip line PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090014 - 3 - seems new.  EKG looks uniform, with artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090015 - 110 Tachycardia - see below. ref SDS 0 X5WN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090023 -  ..
090024 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090028 -  ..
090029 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090030 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090031 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090033 -  ..
090034 - Started Polar GPS/HR monitor after mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090036 -  ..
090037 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090039 -       Date       240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 231226 2  
090040 -       Miles         26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     17     
090041 -       HR AVG       123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no    114     
090042 -         MAX        152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report   142  r  
090043 -         Min         70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             49     
090044 -       El Climb Ft  715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                            490     
090045 -       Temp Max      72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             57     
090046 -       Wind Max      12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             08     
090047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090049 -              https://flow.polar.com/training/analysis/7839573948                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090052 -               ..
090054 -   
090055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090058 -  ..
090059 - EKG at mile 09 time 1534 HR 122 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090060 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090061 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090064 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090065 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240316-ecg-153401_mile_09_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090069 -  ..
090070 - EKG at mile 12 time 1648 HR 133 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090071 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090072 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090075 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090076 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240316-ecg-164840_mile_12_133_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090081 -  ..
090082 - EKG at mile 18 time 1850 HR 123 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090083 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090084 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090087 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090088 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240316-ecg-185051_mile_18_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090093 -  ..
090094 - End hike EKG at mile 26 time 2108 HR 110 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090095 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090096 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090099 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090100 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240316-ecg-210821_mile_26_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090105 -  ..
090106 - Post hike HR profile beginning 0010 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090107 - overnight after hiking 26 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090108 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090109 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090110 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090113 -        ..
090114 -       Date      240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106  240105    
090115 -       Time       0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001    2323     
090116 -       Hours        11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13       9     
090117 -       HR AVG       72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67      63     
090118 -       HR MAX      158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     113     
090119 -       HR Min       41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44      45     
090120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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090123 -              https://flow.polar.com/training/analysis/7840162856                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090126 -               ..
090128 -   
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090130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090132 -  ..
090133 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090134 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090135 - Dinner - rice hot dog broccoli onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090137 -  ..
090138 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
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090166 -         ..
090167 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090168 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090169 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090170 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090171 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090172 -   77.  240317 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090173 -               0730....BP HR..................................................... 150  87  55  Kardia ECG reports HR status, see below. ref SDS 0 YQJ4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090174 -               0735....BP HR..................................................... 146  86  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090175 -               0740....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090176 -               0740....80 387900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090177 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090178 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090179 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090180 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090181 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
090182 -  ..
090183 -         * cr  1216....miles...........  30.0 150.0  529  2590 minutes  temp  73 wind 10  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090184 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090185 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090186 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
090187 -               1501....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090188 -               1501....Tramadol 50 mg took 2 pills - trying alternate protocol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090189 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090190 -               1501... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090191 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090192 -               1612....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090193 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090194 -               1753....mile 18 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090195 -               1753... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090196 -               1939....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090197 -               1939... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090198 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090199 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090200 -               2140... Hike ends mile 30... ref SDS 0 ___6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090201 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090202 -               2155....weight.................................... 169  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090203 -               2200....BP HR..................................................... 118  85  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090204 -               2210....BP HR..................................................... 110  72  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090205 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090206 -               2200... 40 107860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
090207 -             1 1830............ 10 19480  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090208 -             1 1830............ 10 19830  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090209 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090210 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090211 -               2250... 40 84060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090212 -               2300... 1000 2070000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090213 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090214 -               2320... 80 387980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090215 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090216 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090217 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090220 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090221 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090222 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090223 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090224 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090225 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090226 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090227 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090230 -  ..
090231 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090232 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090234 -  ..
090235 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090236 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090239 -  ..
090240 - Mile 30 - usual loop through South Concord streets, then loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090241 - Cal State college parking lots.  Mile 9 stopped for EKG, hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090242 - nutrition and pain meds.  Continued hiking 8 mile loop through hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090243 - of Crystal Ranch road residential streets.  Back at college did more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090244 - loops in parking lots.  At mile 18, hiked 4 miles over summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090245 - Ignacio Valley Road.  At Oak Grove hiked 1-mile loop around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090246 - shopping complex.  Stopped for hydration and nutrition near Mod Pizza.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090247 - Hiked another 1 mile loop around shoppng complex, then 1 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090248 - Oak Grove, and 2 miles East on Treat to Cuneo; hiked 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090249 - residential streets Cuneo, Kaski, Hancock, Court Lane, then Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090250 - again and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090254 -         ..
090255 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090256 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090257 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
090258 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090259 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090260 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090261 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090262 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090263 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090264 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090265 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090266 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090267 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
090268 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090269 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090270 -        Back.........................................   3         10  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
090271 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090272 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090273 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090274 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
090275 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090276 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090277 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090278 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090279 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090280 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090281 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090282 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090283 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090284 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090285 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090286 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090287 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090288 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090289 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
090290 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
090291 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090292 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090293 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090294 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
090295 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
090296 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
090297 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090298 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
090299 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
090300 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090301 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090302 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090303 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090304 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090305 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
090306 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
090307 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090308 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
090309 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090310 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090311 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090312 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
090313 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090314 -        Burning sensation both feet..................   0        100  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090315 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090316 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090317 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090318 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090319 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090320 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090321 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090322 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090323 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090324 -        Wobbly disoriented staggering dizzy..........   3         15  took 2 Tramadol and 0 Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090325 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090327 -  ..
090328 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090330 -  ..
090331 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090333 -  ..
090334 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090336 -  ..
090337 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090338 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090340 -  ..
090341 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090342 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090343 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090344 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090345 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090349 -  ..
090350 - Concord 30 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090351 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090352 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090353 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090354 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090355 - avocado for HDL, per above. above. ref SDS 0 5Z4M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090356 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090357 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090358 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090359 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090360 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090361 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090362 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090363 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090364 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090365 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090366 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090367 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090368 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090369 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090370 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090371 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090372 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090373 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090374 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090375 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090376 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090377 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090378 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090379 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090380 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090381 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090382 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090383 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090384 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090385 - Discovery Way, turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090386 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090387 - mph.  At mile 07, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090388 - University East Bay Concord Campus.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090389 - buildings.  Since left elbow has made some recovery with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090390 - injections on 231121 0700. ref SDS 27 G45J, stopped at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090391 - station to do 20 half-pullups, 20 half-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090392 - training equipment.  Hiked 1.5-mile loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090393 - Parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090394 - mile 09 time 1501 temp 72 and wind 08 mph; EKG uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090395 - artifact, Kardia reported HR 109 Tachcardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090396 - HH5L Both feet PL 2, right foot Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090397 - meniscus PL 3, left knee patella PL 0, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090398 - PL 2 intermitant.  Took 2 Tramadol and no Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090399 - maagement - trying alternate protocol.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090400 - for HDL and energy to complete hike.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090401 - for hydration, swallowing meds and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090402 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090403 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090404 - pill, per above. ref SDS 0 YRYS  Exited college hiking North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090405 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090406 - flat grade .5 miles.  At mile 10, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090407 - Hiked South 1 mile uphill 5% grade with 07 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090408 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090409 - continued flat grade .5 miles.  Continued downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090410 - At Rolling Woods Way continued uphill on Crystal Ranch Road .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090411 - 6% grade against wind 11 mph.  Road ends at top of hill.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090412 - hiked back down hill about .25 mile and then back to top.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090413 - mile 13 time 1612, temp 73, wind 05 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090414 - Kardia reported HR 129 (HR - no wait to get cellphone connection...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090415 - unusually high for level of effort at this station - likely due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090416 - higher temperature) Tachycardia - see below. ref SDS 0 KH6N  Feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090417 - 2, left foot tailor's bunion PL 0, calves PL 0 left knee PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090418 - shoulder PL 0, left elbow PL 2, nothing to eat or drink (NPO), per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090419 - above. ref SDS 0 YRYS  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090420 - grade .5 miles.  At bottom of hill, turned right onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090421 - Way hiking East .5 miles uphill 6% grade with 6 mph wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090422 - continued downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090423 - mile and turned left onto Campus Drive.  Hiked West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090424 - 4% grade against wind 05 mph.  At mile 16, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090425 - again at California State University East Bay Concord Campus.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090426 - loop through parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090427 - Administration Building mile 18, time 1753 temp 68 and wind 09 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090428 - EKG uniform with no artifact, Kardia reported HR 120 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090429 - below. ref SDS 0 YWUP  Both feet PL 2, shin splints PL 1, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090430 - 1, left shoulder PL 2, neck to right shoulder PL 0 imtermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090431 - left elbow PL 2 intermittantly, lower back at hip PL 2.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090432 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090433 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090434 - HDL, did not take Nuun electrolyte pill, took more CoQ10, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090435 - ref SDS 0 YRYS  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090436 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090437 - miles.  Continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090438 - against wind 04 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090439 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090440 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090441 - barriar mile 20, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090442 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090443 - Hiked 3 1-mile loops around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090444 - Totally dark, noticably wobbly, loopy, staggering - turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090445 - path parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090446 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090447 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090448 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090449 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090450 - summit, mile 27, hiked another mile to Cuneo.  Continued .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090451 - Cowell and back to Cuneo, hiked another mile through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090452 - streets and home.  Ended hike mile 30 time 2140 temp 59, wind 07, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090453 - PL 4, shin splints PL 1, left knee PL 2 (swollen), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090454 - left shoulder PL 2, neck and right shoulder PL 5 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090455 - back left side PL 3, left elbow PL 3, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090456 - variable, with artifact, Kardia reported HR 098 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090457 - below. ref SDS 0 D8M2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090466 -  ..
090467 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090471 -  ..
090472 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090473 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090474 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090476 -  ..
090477 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090479 -       Date       240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 231227 2  
090480 -       Miles         30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0      0     
090481 -       HR AVG       114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     no     
090482 -         MAX        141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report report    
090483 -         Min         52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                             
090484 -       El Climb Ft  715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                             
090485 -       Temp Max      73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                             
090486 -       Wind Max      10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                             
090487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090489 -              https://flow.polar.com/training/analysis/7840338611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090492 -               ..
090494 -   
090495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090498 -  ..
090499 - EKG at mile 09 time 1501 HR 109 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090500 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090501 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090504 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090505 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240317-ecg-150142_mile_09_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090509 -  ..
090510 - EKG at mile 13 time 1612 HR 129 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090511 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090512 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090515 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090516 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240317-ecg-161230_mile_13_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090521 -  ..
090522 - EKG at mile 18 time 1753 HR 120 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090523 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090524 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090527 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090528 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240317-ecg-175345_mile_18_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090534 -  ..
090535 - End hike EKG at mile 30 time 2140 HR 098 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090536 - Unclassified... looks variable with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090537 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090540 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090541 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240317-ecg-214048_mile_30_098_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090546 -  ..
090547 - Post hike HR profile beginning 0017 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090548 - overnight after hiking 30 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090549 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090550 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090551 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090554 -        ..
090555 -       Date      240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107  240106    
090556 -       Time       0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009    2001     
090557 -       Hours         7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12      13     
090558 -       HR AVG       68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61      67     
090559 -       HR MAX      112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     110     
090560 -       HR Min       40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36      44     
090561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090564 -              https://flow.polar.com/training/analysis/7840621594                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090567 -               ..
090569 -   
090570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090573 -  ..
090574 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090575 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090576 - Dinner - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090578 -  ..
090579 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090608 -         ..
090609 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090610 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090611 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090612 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090613 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090614 -   78.  240318 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090615 -               0710....BP HR..................................................... 131  78  52  Kardia ECG reports HR status, see below. ref SDS 0 C4UW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090616 -               0715....BP HR..................................................... 137  79  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090617 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090618 -               0720....80 388060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090619 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090620 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090621 -               1000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090622 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090623 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
090624 -  ..
090625 -               1036....miles...........  12.0  12.0  211   211 minutes  temp  72 wind  8  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090626 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090627 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090628 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
090629 -               1302....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090630 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090631 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090632 -               1302... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090633 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090634 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090635 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090636 -               0000....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090637 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090638 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090639 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090640 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090641 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090642 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090643 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090644 -               2140... Hike ends mile 30... ref SDS 0 ___6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090645 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090646 -               1440....weight.................................... 170  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090647 -               1450....BP HR..................................................... 116  85  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090648 -               1500....BP HR..................................................... 113  76  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090649 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090650 -               2200... 40 107900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
090651 -               1830............ 10 19490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090652 -               1830............ 10 19840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090653 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090654 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090655 -               2250... 40 84100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090656 -               2300... 1000 2071000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090657 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090658 -               2320... 80 388140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090659 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090660 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090661 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090664 -  ..
090665 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090666 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090668 -  ..
090669 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090670 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090673 -  ..
090674 - Mile 12 - usual loop through South Concord streets, then loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090675 - Cal State college parking lots.  Mile 8 stopped for EKG, hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090676 - nutrition and pain meds.  Continued hiking downhill and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090677 - hiking West past Crystal Ranch road and uphill 1 mile to Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090678 - another mile home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090681 -         ..
090682 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090683 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090684 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
090685 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090686 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090687 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090688 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090689 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090690 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090691 -        Neck turning head/chest left or right........   0        100  no episodes - did not take Tramadol and Gababentin mile 7 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090692 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090693 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090694 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
090695 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090696 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090697 -        Back.........................................   3         10  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
090698 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090699 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090700 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090701 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
090702 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090703 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090704 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090705 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090706 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090707 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090708 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090709 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090710 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090711 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090712 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090713 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090714 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090715 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090716 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
090717 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
090718 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090719 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090720 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090721 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
090722 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
090723 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
090724 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090725 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
090726 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
090727 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090728 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090729 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090730 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090731 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090732 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
090733 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
090734 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090735 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
090736 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090737 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090738 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090739 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
090740 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090741 -        Burning sensation both feet..................   0        100  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090742 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090743 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090744 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090745 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090746 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090747 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090748 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090749 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090750 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090751 -        Wobbly disoriented staggering dizzy..........   3         15  took 2 Tramadol and 0 Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090752 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090754 -  ..
090755 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090757 -  ..
090758 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090760 -  ..
090761 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090763 -  ..
090764 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090765 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090767 -  ..
090768 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090769 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090770 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090771 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090772 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090776 -  ..
090777 - Concord 12 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090778 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090779 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090780 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090781 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090782 - avocado for HDL, per above. above. ref SDS 0 5Z4M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090783 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090784 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090785 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090786 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090787 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090788 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090789 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090790 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090791 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090792 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090793 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090794 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090795 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090796 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090797 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090798 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090799 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090800 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090801 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090802 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090803 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090804 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090805 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090806 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090807 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090808 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090809 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090810 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090811 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090812 - Discovery Way, turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090813 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090814 - mph.  At mile 07, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090815 - University East Bay Concord Campus.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090816 - buildings.  Left elbow has made some recovery with PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090817 - 231121 0700. ref SDS 27 G45J, but did not stop at training station to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090818 - do 20 half-pullups, 20 half-pushups and 00 situps using training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090819 - equipment.  Hiked 1.5-mile loop through Faculty and Student Parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090820 - Back at Visitor Parking stopped at Administration Building mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090821 - time 1302 temp 66 and wind 05 mph; EKG variable with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090822 - Kardia reported HR 097 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090823 - ref SDS 0 HF5F  Both feet PL 2, right foot Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090824 - knee meniscus PL 2, left knee patella PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090825 - elbow PL 3 intermitant.  Decided not to take Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090826 - for pain maagement - ending hike in 4 miles.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090827 - ml for HDL and energy to complete hike.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090828 - home for hydration, swallowing meds and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090829 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090830 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090831 - pill, per above. ref SDS 0 YVTS  Exited college hiking North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090832 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090833 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090834 - grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090835 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090836 - severe camber.  Took Cowell North hiking downhill .25 mile, then flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090837 - grade .25 mile and continue on narrow shoulder.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090838 - Treat .25 mile and home.  Ended hike mile 12 time 1427 temp 72, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090839 - 04, feet PL 3, shin splints PL 0, left knee PL 2, right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090840 - left shoulder PL 2, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090841 - back left side PL 0, left elbow PL 2, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090842 - variable, with no artifact, Kardia reported HR 097 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090843 - Fibrillation - see below. ref SDS 0 4YP7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090851 -  ..
090852 - Kardia recorded HR 54 at 0841 Unclassified, seems variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090853 - lengths with p-wave and no artifact; no AFL after hiking 30 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090854 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090855 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090856 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090857 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090858 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090861 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090862 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240318-ecg-084113_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090867 -  ..
090868 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090869 - hike 12 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090870 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090872 -  ..
090873 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090875 -       Date       240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 231228 2  
090876 -       Miles         12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0      0     
090877 -       HR AVG       108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     no     
090878 -         MAX        122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report report r  
090879 -         Min         73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                                      
090880 -       El Climb Ft  450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                                      
090881 -       Temp Max      72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                                      
090882 -       Wind Max       8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                                      
090883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090885 -              https://flow.polar.com/training/analysis/7840946114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090888 -               ..
090890 -   
090891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090893 -  ..
090894 - EKG at mile 08 time 1302 HR 097 temp 66, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090895 - Atrial Fibrillation... looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090896 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090899 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090900 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240318-ecg-130214_mile_08_097_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090906 -  ..
090907 - End hike EKG at mile 12 time 1427 HR 097 temp 72 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090908 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090909 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090912 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090913 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240318-ecg-142746_mile_12_097_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090918 -  ..
090919 - Post hike HR profile beginning 2013 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090920 - overnight after hiking 12 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090921 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090922 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090923 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090926 -        ..
090927 -       Date      240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108  240107    
090928 -       Time       2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232    2009     
090929 -       Hours        10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9      12     
090930 -       HR AVG       67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66      61     
090931 -       HR MAX      103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     127     
090932 -       HR Min       45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42      36     
090933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090935 -              https://flow.polar.com/training/analysis/7841284373                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090938 -               ..
090940 -   
090941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090944 -  ..
090945 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090946 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090947 - Dinner - rice hot dog broccoli onion mushroom potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090949 -  ..
090950 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090976 -         ..
090977 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090978 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090979 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090980 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090981 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090982 -   79.  240319 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090983 -               0640....BP HR..................................................... 137  80  52  Kardia ECG reports HR status, see below. ref SDS 0 P38U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090984 -               0645....BP HR..................................................... 150  88  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090985 -               0630....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090986 -               0630....80 388220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090987 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090988 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090989 -               1040....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090990 -               1040....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090991 -               1040... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
090992 -  ..
090993 -         * cr  1113....miles...........  25.0  37.0  431   642 minutes  temp  73 wind 14  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090994 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090995 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090996 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
090997 -               1335....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090998 -               1335....Tramadol 50 mg took 2 pills - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090999 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091000 -               1335... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091001 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091002 -               1445....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091003 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091004 -               1610....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091005 -               1745....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091006 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091007 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091008 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091009 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091010 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091011 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091012 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091013 -               1900... Hike ends mile 25... ref SDS 0 MZ9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091014 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091015 -               1915....weight.................................... 169  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091016 -               1920....BP HR..................................................... 118  79  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091017 -               1925....BP HR..................................................... 110  71  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091018 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091019 -               1920... 40 107940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
091020 -             1 0000............ 10 19490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091021 -             1 0000............ 10 19840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091022 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091023 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091024 -               2130... 40 84140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091025 -               2200... 1000 2072000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091026 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091027 -               2230... 80 388300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091028 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091029 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091030 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091033 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091034 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091035 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091036 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091037 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091038 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091039 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091040 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091043 -  ..
091044 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091045 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091047 -  ..
091048 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091049 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091052 -  ..
091053 - Mile 25 - usual 5 mile loop through South Concord streets then loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091054 - through Cal State college parking lots.  Mile 8 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091055 - nutrition and pain meds.  Then hiked 8 mile loop through hills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091056 - Crystal Ranch road residential area.  Back to college and more loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091057 - in parking lots; at mile 16, hiked 4 miles over summit on Ignacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091058 - Valley Road, and 1 mile loop around Safeway shopping complex.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091059 - for hydration and nutrition.  Hiked another 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091060 - complex, then 1 mile North on Oak Grove, and 2 miles East on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091061 - Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091064 -         ..
091065 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091066 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091067 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
091068 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091069 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091070 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091071 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091072 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091073 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091074 -        Neck turning head/chest left or right........   6          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
091075 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091076 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091077 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
091078 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091079 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091080 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
091081 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091082 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091083 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091084 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
091085 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091086 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091087 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091088 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091089 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091090 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091091 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091092 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091093 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091094 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091095 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091096 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091097 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091098 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091099 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
091100 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
091101 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091102 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091103 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091104 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
091105 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
091106 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
091107 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091108 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
091109 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
091110 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091111 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091112 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091113 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091114 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091115 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
091116 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
091117 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091118 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
091119 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091120 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091121 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091122 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
091123 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091124 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091125 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091126 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091127 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091128 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091129 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091130 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091131 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091132 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091133 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091134 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091135 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091137 -  ..
091138 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091140 -  ..
091141 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091143 -  ..
091144 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091146 -  ..
091147 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091148 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091150 -  ..
091151 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091152 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091153 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091154 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091155 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091159 -  ..
091160 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091161 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091162 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091163 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091164 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091165 - avocado for HDL, per above. above. ref SDS 0 SP3H  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091166 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091167 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091168 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091169 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091170 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091171 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091172 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091173 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091174 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091175 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091176 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091177 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091178 - entire hike without dyspnea.  Temp started at 58, and reached 73.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091179 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091180 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091181 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091182 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091183 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091184 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091185 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091186 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091187 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091188 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091189 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091190 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091191 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091192 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091193 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091194 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091195 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091196 - West 1 mile uphill 3% - 4% grade against wind 06 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091197 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091198 - Concord Campus.  Did not hike around main campus buildings; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091199 - despite left elbow having made some recovery with PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091200 - 231121 0700. ref SDS 27 G45J, did not stop at training station to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091201 - 20 half-pullups, 20 half-pushups and 00 situps using training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091202 - equipment.  Hiked 1.5-mile loop through Faculty and Student Parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091203 - Back at Visitor Parking stopped at Administration Building mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091204 - time 1335 temp 68 and wind 07 mph; EKG variable with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091205 - Kardia reported HR 103 Tachycardia - see below. ref SDS 0 PTYW  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091206 - this breif EKG stop, Polar reported HR 39, unsusually low for hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091207 - happened only once during this hike.  Both feet PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091208 - Tailor's bunions PL 0, left knee meniscus PL 2, left knee patella PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091209 - 0, left shoulder PL 2, left elbow PL 2 intermitant.  Took 2 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091210 - and 0 Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091211 - HDL and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091212 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091213 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091214 - and avocado for HDL, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091215 - ref SDS 0 PRQX  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091216 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091217 - miles.  At mile 09, turned left onto Crystal Ranch Road.  Hiked South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091218 - 1 mile uphill 5% grade with 07 mph wind.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091219 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091220 - grade .5 miles.  Continued downhill .25 miles 5% grade.  At Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091221 - Woods Way continued uphill on Crystal Ranch Road .5 miles 6% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091222 - against wind 11 mph.  Road ends at top of hill.  Did not hike back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091223 - down hill about .25 mile and then back to top.  Stopped mile 11 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091224 - 1445, temp 70, wind 11 mph; EKG uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091225 - reported HR 127 (HR - no wait to get cellphone connection... higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091226 - than normal even for this higher level of effort at this elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091227 - station) Tachycardia - see below. ref SDS 0 PUQP  Feet PL 1, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091228 - tailor's bunion PL 0, calves PL 0 left knee PL 1, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091229 - left elbow PL 2, nothing to eat or drink (NPO), per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091230 - PRQX Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091231 - bottom of hill, turned right onto Rolling Woods Way hiking East .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091232 - miles uphill 6% grade with 8 mph wind.  At summit continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091233 - .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091234 - left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091235 - against wind 05 mph.  At mile 14, reached Visitor Parking again at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091236 - California State University East Bay Concord Campus.  Hiked 1 loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091237 - through parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091238 - Administration Building mile 16, time 1610 temp 73 and wind 14 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091239 - EKG variable with no artifact, Kardia reported HR 110 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091240 - Fibrillation - see below. ref SDS 0 PC2J  Both feet PL 1, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091241 - PL 1, left knee PL 1, left shoulder PL 1, neck to right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091242 - imtermittantly, left elbow PL 2 intermittantly.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091243 - again, and did not take Gabapentin.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091244 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091245 - chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091246 - electrolyte pill, took more CoQ10, per above. ref SDS 0 PRQX  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091247 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091248 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091249 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091250 - wind 04 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091251 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091252 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091253 - mile 18, hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091254 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091255 - 1-mile loop around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091256 - Mod Pizza mile 21, time 1745, temp 69 and wind 04 mph; EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091257 - with no artifact, Kardia reported HR 111 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091258 - ref SDS 0 H29A  Both feet PL 2, right foot both Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091259 - right leg shin splint PL 0 left knee PL 1, ACL PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091260 - 1, neck to right shoulder PL 6 imtermittantly, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091261 - intermittantly.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091262 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091263 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091264 - energy, and avocado for HDL, per above. ref SDS 0 XPSW, ref SDS 0 PRQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091265 - Not yet totally dark, and not noticably wobbly, loopy, staggering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091266 - 2 Tramadol pills at 1335.  Continued hiking 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091267 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091268 - miles, turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091269 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091270 - Treat at street light mile 23.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091271 - concrete sidewalk.  At San Miguel continued .75 miles on Treat uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091272 - 5% grade temp 59.  Handled this well.  At summit, mile 24, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091273 - another mile to Cuneo and home.  Ended hike mile 25 time 1900 temp 56,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091274 - wind 03, feet PL 3, shin splints PL 2, left knee PL 2 (swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091275 - knee PL 0, left shoulder PL 1, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091276 - intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091277 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091278 - Tachycardia - see below. ref SDS 0 MZ9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091286 -  ..
091287 - Kardia recorded HR 52 at 1033 Unclassified, seems variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091288 - lengths with p-wave and minor artifact; no AFL after hiking 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091289 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091290 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091291 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091292 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091293 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091296 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091297 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240319-ecg-103304_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091302 -  ..
091303 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091304 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091305 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091307 -  ..
091308 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091310 -       Date       240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 231229 2  
091311 -       Miles         25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0      0     
091312 -       HR AVG       116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     no     
091313 -         MAX        139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report report r  
091314 -         Min         39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                               
091315 -       El Climb Ft  715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                               
091316 -       Temp Max      73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                               
091317 -       Wind Max      14      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                               
091318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091320 -              https://flow.polar.com/training/analysis/7841712858                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091323 -               ..
091325 -   
091326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091328 -  ..
091329 - EKG at mile 08 time 1335 HR 103 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091330 - Tachycardia... looks variable with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091331 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091334 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091335 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240319-ecg-133547_mile_08_103_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091341 -  ..
091342 - EKG at mile 11 time 1445 HR 127 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091343 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091344 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091347 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091348 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240319-ecg-144508_mile_12_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091353 -  ..
091354 - EKG at mile 16 time 1610 HR 110 temp 73 - Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091355 - Atrial Fibrillation... looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091356 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091359 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091360 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240319-ecg-161043_mile_16_110_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091364 -  ..
091365 - EKG at mile 21 time 1745 HR 111 temp 69 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091366 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091367 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091370 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091371 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240319-ecg-174556_mile_21_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091376 -  ..
091377 - End hike EKG at mile 25 time 1900 HR 110 temp 56 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091378 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091379 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091382 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091383 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240319-ecg-190002_mile_25_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091388 -  ..
091389 - Post hike HR profile beginning 2142 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091390 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091391 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091392 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091393 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091396 -        ..
091397 -       Date      240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109  240108    
091398 -       Time       2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056    2232     
091399 -       Hours        10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10       9     
091400 -       HR AVG       69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72      66     
091401 -       HR MAX      112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     125     
091402 -       HR Min       35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47      42     
091403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091405 -              https://flow.polar.com/training/analysis/7842086014                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091408 -               ..
091410 -   
091411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091414 -  ..
091415 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091416 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091417 - Dinner - eggs onion mushroom potato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091419 -  ..
091420 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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091442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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091444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091449 -         ..
091450 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091451 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091452 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091453 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091454 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091455 -   80.  240320 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091456 -               0710....BP HR..................................................... 147  80  52  Kardia ECG reports HR status, see below. ref SDS 0 P3RT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091457 -               0715....BP HR..................................................... 137  88  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091458 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091459 -               0720....80 388380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091460 -               1005....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091461 -               1005....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091462 -               1005....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091463 -               1005....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091464 -               1005... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
091465 -  ..
091466 -         * cr  1034....miles...........  21.0  58.0  358  1000 minutes  temp  72 wind 20  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091467 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091468 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091469 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
091470 -               1315....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091471 -               1315....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091472 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091473 -               1315... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091474 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091475 -               1501....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091476 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091477 -               1618....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091478 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091479 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091480 -               1618... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091481 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091482 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091483 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091484 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091485 -               1731... Hike ends mile 21... ref SDS 0 PYXY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091486 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091487 -               1750....weight.................................... 169  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091488 -               1805....BP HR..................................................... 116  80  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091489 -               1815....BP HR..................................................... 115  74  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091490 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091491 -               1740... 40 107980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
091492 -               1830............ 10 19500  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091493 -               1830............ 10 19850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091494 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091495 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091496 -               2130... 40 84180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091497 -               2200... 1000 2073000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091498 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091499 -               2230... 80 388460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091500 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091501 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091502 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091505 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091506 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091507 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091508 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091509 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091510 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091511 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091512 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091515 -  ..
091516 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091517 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091519 -  ..
091520 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091521 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091524 -  ..
091525 - Mile 25 - usual 5 mile loop through South Concord streets then loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091526 - through Cal State college parking lots.  Mile 8 stopped for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091527 - nutrition and pain meds.  Then hiked 8 mile loop through hills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091528 - Crystal Ranch road residential area.  Back to college and more loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091529 - in parking lots; at mile 16, hiked 4 miles over summit on Ignacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091530 - Valley Road, and 1 mile loop around Safeway shopping complex.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091531 - for hydration and nutrition.  Hiked another 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091532 - complex, then 1 mile North on Oak Grove, and 2 miles East on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091533 - Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091536 -         ..
091537 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091538 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091539 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
091540 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091541 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091542 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091543 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091544 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091545 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091546 -        Neck turning head/chest left or right........   6          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
091547 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091548 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091549 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
091550 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091551 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091552 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
091553 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091554 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091555 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091556 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
091557 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091558 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091559 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091560 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091561 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091562 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091563 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091564 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091565 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091566 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091567 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091568 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091569 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091570 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091571 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
091572 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
091573 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091574 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091575 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091576 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
091577 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
091578 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
091579 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091580 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
091581 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
091582 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091583 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091584 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091585 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091586 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091587 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
091588 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
091589 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091590 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
091591 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091592 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091593 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091594 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
091595 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091596 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091597 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091598 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091599 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091600 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091601 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091602 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091603 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091604 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091605 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091606 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091607 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091609 -  ..
091610 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091612 -  ..
091613 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091615 -  ..
091616 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091618 -  ..
091619 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091620 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091622 -  ..
091623 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091624 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091625 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091626 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091627 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091631 -  ..
091632 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091633 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091634 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091635 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091636 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091637 - avocado for HDL, per above. above. ref SDS 0 NC5M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091638 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091639 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091640 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091641 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091642 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091643 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091644 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091645 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091646 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091647 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091648 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091649 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091650 - entire hike without dyspnea.  Temp started at 61, and reached 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091651 - West wind 20 mph and mostly 15 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091652 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091653 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091654 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091655 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091656 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091657 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091658 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091659 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091660 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091661 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091662 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091663 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091664 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091665 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091666 - Valley Road; turned left hiked 1.25 miles East on Pine Hollow.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091667 - Camino Solano turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091668 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091669 - mph.  At mile 08, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091670 - University East Bay Concord Campus.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091671 - buildings.  Since left elbow has made some recovery with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091672 - injections on 231121 0700. ref SDS 27 G45J, stopped at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091673 - station to do 20 half-pullups, 20 half-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091674 - training equipment.  Hiked 1.5-mile loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091675 - Parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091676 - mile 10 time 1315 temp 71 and wind 11 mph; EKG variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091677 - artifact, Kardia reported HR 095 (... unusual for level of effort... )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091678 - Normal Sinus Rhythm - see below. ref SDS 0 GPC9  Both feet PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091679 - foot Tailor's bunions PL 0, left knee meniscus PL 1, left knee patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091680 - PL 0, left shoulder PL 1, left elbow PL 2 intermitant.  Took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091681 - and no Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091682 - HDL and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091683 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091684 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091685 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091686 - above. ref SDS 0 PVTS  Exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091687 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091688 - grade .5 miles.  At mile 11, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091689 - Hiked South 1 mile uphill 5% grade with 17 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091690 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091691 - continued flat grade .5 miles.  Continued downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091692 - At Rolling Woods Way continued uphill on Crystal Ranch Road .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091693 - 6% grade against wind 15 mph.  Road ends at top of hill.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091694 - down hill about .25 mile and then back to top.  Stopped mile 13 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091695 - 1501, temp 71, wind 15 mph; EKG uniform with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091696 - reported HR 107 (HR - no wait to get cellphone connection... unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091697 - low for level of effort at this station) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091698 - ref SDS 0 EP26  Feet PL 1, left foot tailor's bunion PL 0, calves PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091699 - left knee PL 1, left shoulder PL 1, left elbow PL 2, nothing to eat or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091700 - drink (NPO), per above. ref SDS 0 PVTS  Continued downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091701 - Ranch Road 6% grade .5 miles.  At bottom of hill, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091702 - Rolling Woods Way hiking East .5 miles uphill 6% grade with 6 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091703 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091704 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091705 - mile uphill 3% - 4% grade against wind 05 mph.  At mile 16, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091706 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091707 - Campus.  Hiked 1 loop through parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091708 - stopped at Administration Building mile 17, time 1618 temp 72 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091709 - 07 mph; EKG variable with no artifact, Kardia reported HR 097 Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091710 - Atrial Fibrillation - see below. ref SDS 0 C78Q  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091711 - burning sensation, shin splints PL 0, left knee PL 1, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091712 - 1, neck to right shoulder PL 0 imtermittantly, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091713 - intermittantly.  Did not take Tramadol again, and did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091714 - Gabapentin.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091715 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091716 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091717 - more CoQ10, per above. ref SDS 0 PVTS  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091718 - downhill on Campus Drive.  Crossed Ygnacio Valley Road, and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091719 - donwhill on Ayers road bending East.  At mile 18, turned left heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091720 - North on Turtle Creek road.  Hiked 2 miles on winding, mostly flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091721 - road, and passing Newhall Community Park again.  Road merged heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091722 - West on Treat another mile back to Cuneo and home.  Ended hike mile 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091723 - time 1731 temp 70, wind 10, feet PL 2, shin splints PL 1, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091724 - 2 (swollen), right knee PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091725 - shoulder PL 0 intermittantly, lower back left side PL 3, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091726 - 2, when lifting.  EKG looks variable, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091727 - reported HR 103 Tachycardia - see below. ref SDS 0 PYXY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091735 -  ..
091736 - Kardia recorded HR 50 at 0907 Unclassified, seems variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091737 - lengths with p-wave and no artifact; no AFL after hiking 25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091738 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091739 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091740 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091741 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091742 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091745 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091746 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240320-ecg-090735_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091752 -  ..
091753 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091754 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091755 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091757 -  ..
091758 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091760 -       Date       240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 231230 2  
091761 -       Miles         21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0      0     
091762 -       HR AVG       105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     no     
091763 -         MAX        126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report report r  
091764 -         Min         58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                        
091765 -       El Climb Ft  715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                        
091766 -       Temp Max      72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                        
091767 -       Wind Max      20     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                        
091768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091770 -              https://flow.polar.com/training/analysis/7842406168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091773 -               ..
091775 -   
091776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091778 -  ..
091779 - EKG at mile 10 time 1315 HR 095 temp 71, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091780 - Rhythm... looks variable with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091781 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091784 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091785 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240320-ecg-131505_mile_10_095_nsr_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091790 -  ..
091791 - EKG at mile 13 time 1501 HR 107 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091792 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091793 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091796 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091797 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240320-ecg-150140_mile_13_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091802 -  ..
091803 - EKG at mile 17 time 1618 HR 097 temp 72, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091804 - Atrial Fibrillation... looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091805 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091808 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091809 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240320-ecg-161815_mile_17_097_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091815 -  ..
091816 - End hike EKG at mile 21 time 1731 HR 103 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091817 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091818 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091821 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091822 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240320-ecg-173139_mile_21_103_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091827 -  ..
091828 - Post hike HR profile beginning 2112 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091829 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091830 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091831 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091832 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091835 -        ..
091836 -       Date      240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110  240109    
091837 -       Time       2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920    2056     
091838 -       Hours        11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11      10     
091839 -       HR AVG       62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65      72     
091840 -       HR MAX      107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     114     
091841 -       HR Min       42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42      47     
091842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091844 -              https://flow.polar.com/training/analysis/7842734204                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091847 -               ..
091849 -   
091850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091853 -  ..
091854 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091855 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091856 - Dinner - hot dog cottage cheese potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091858 -  ..
091859 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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091885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091889 -         ..
091890 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091891 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091892 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091893 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091894 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091895 -   81.  240321 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091896 -               0720....BP HR..................................................... 149  85  49  Kardia ECG reports HR status, see below. ref SDS 0 6SWF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091897 -               0725....BP HR..................................................... 153  87  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091898 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091899 -               0730....80 388540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091900 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091901 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091902 -               1000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091903 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091904 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
091905 -  ..
091906 -         * cr  1027....miles...........  25.0  83.0  456  1456 minutes  temp  70 wind 14  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091907 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091908 -               1146....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091909 -               1146....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091910 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091911 -               1146....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091912 -               1146... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091913 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
091914 -               1322....mile 09 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091915 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091916 -               1427....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091917 -               1427....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091918 -               1427... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091919 -               1427... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091920 -               1537....mile 15 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091921 -               1727....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091922 -               1727... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091923 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091924 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091925 -               1732... Hike ends mile 25... ref SDS 0 JH4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091926 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091927 -               1750....weight.................................... 168  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091928 -               1800....BP HR..................................................... 109  67 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091929 -               1815....BP HR..................................................... 112  65  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091930 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091931 -               1830... 40 108020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
091932 -             1 0000............ 10 19500  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091933 -             1 0000............ 10 19850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091934 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091935 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091936 -               2130... 40 84220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091937 -               2200... 1000 2074000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091938 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091939 -               2230... 80 388620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091940 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091941 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091942 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091945 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091946 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091947 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091948 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091949 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091950 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091951 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091952 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091955 -  ..
091956 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091957 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091959 -  ..
091960 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091961 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091964 -  ..
091965 - Mile 25 - changed route started with usual 2 mile loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091966 - Concord streets, but turned right from Turtle Creek Road onto Ayers,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091967 - bending South and crossing Ygnacio Valley Road, continued uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091968 - Cal State college.  Mile 5 stopped for hydration, nutrition and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091969 - meds.  Then hiked 8-mile loop through hills of Crystal Ranch road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091970 - residential area.  Back to college and more loops in parking lots; at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091971 - mile 12, left college and hiked (for 1st time) a 2nd 8-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091972 - through hills of Crystal Ranch Road residential area.  Back at college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091973 - did 2 more loops through parking lots, then crossed Ignacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091974 - Road and returned home taking Ayers and Turtle Creek Road back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091975 - Treat and Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091978 -         ..
091979 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091980 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091981 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
091982 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091983 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091984 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091985 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091986 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091987 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091988 -        Neck turning head/chest left or right........   6          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
091989 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091990 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091991 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
091992 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091993 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091994 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
091995 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091996 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091997 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091998 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
091999 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092000 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092001 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092002 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092003 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092004 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092005 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092006 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092007 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092008 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092009 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092010 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092011 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092012 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092013 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
092014 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
092015 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092016 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092017 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092018 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
092019 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
092020 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
092021 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092022 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
092023 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
092024 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092025 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092026 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092027 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092028 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092029 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
092030 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
092031 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092032 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
092033 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092034 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092035 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092036 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
092037 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092038 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092039 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092040 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092041 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092042 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092043 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092044 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092045 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092046 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092047 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092048 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092049 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092051 -  ..
092052 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092054 -  ..
092055 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092057 -  ..
092058 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092060 -  ..
092061 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092062 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092064 -  ..
092065 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092066 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092067 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092068 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092069 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092073 -  ..
092074 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092075 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092076 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092077 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092078 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092079 - avocado for HDL, per above. above. ref SDS 0 ZS9J  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092080 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092081 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092082 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092083 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092084 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092085 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092086 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092087 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092088 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092089 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092090 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092091 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092092 - entire hike without dyspnea.  Temp started at 59, and reached 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092093 - West wind 14 mph and mostly 07 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092094 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092095 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092096 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092097 - Continued on Turtle Creek Road uphill 4% grade.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092098 - Ayers hiking West and bending South .55 miles on asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092099 - shoulder.  At mile 3, crossed Ygnacio Valley Road and continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092100 - on Campus Drive - reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092101 - University East Bay Concord Campus.  Hiked 2-mile loop through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092102 - and Student Parking.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092103 - Administration Building mile 05 time 1146 temp 63 and wind 05 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092104 - uniform with no artifact, Kardia reported HR 101 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092105 - below. ref SDS 0 Q2I5  Both feet PL 2, right foot Tailor's bunions PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092106 - 0, left knee meniscus PL 2, left knee patella PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092107 - 1, left elbow PL 2 intermitant.  Took Tramadol and no Gabapentin for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092108 - pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092109 - complete hike.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092110 - swallowing meds and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092111 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092112 - and avocado for HDL, took Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092113 - ref SDS 0 QYXP  Hiked look around main campus buildings.  At mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092114 - exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092115 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092116 - 07, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092117 - grade against 09 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092118 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092119 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092120 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092121 - 07 mph.  Road ends at top of hill.  Did not hike back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092122 - .25 mile and then back to top.  Stopped mile 09 time 1322, temp 67,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092123 - wind 05 mph; EKG uniform with no artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092124 - Tachycardia - see below. ref SDS 0 VJ38  Feet PL 1, left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092125 - bunion PL 0, calves PL 0 left knee PL 1, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092126 - elbow PL 2, nothing to eat or drink (NPO), per above. ref SDS 0 QYXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092127 - Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092128 - of hill, turned right onto Rolling Woods Way hiking East .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092129 - uphill 6% grade with 8 mph wind.  At summit continued downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092130 - miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092131 - onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092132 - wind 05 mph.  At mile 15, reached Visitor Parking again at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092133 - State University East Bay Concord Campus.  Stopped again (2nd pass) at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092134 - Visitor Parking stopped at Administration Building mile 12 time 1427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092135 - temp 68 and wind 11 mph; EKG variable with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092136 - reported HR 102 Unclassified - see below. ref SDS 0 LX8A  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092137 - 3, right foot Tailor's bunions PL 1, left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092138 - knee patella PL 0, left shoulder PL 2, left elbow PL 2 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092139 - Took another Tramadol and no Gabapentin for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092140 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092141 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092142 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092143 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092144 - not take another Nuun electrolyte pill, per above. ref SDS 0 QYXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092145 - Exited college hiking North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092146 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092147 - 13, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092148 - grade against 09 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092149 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092150 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092151 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092152 - 10 mph.  Road ends at top of hill.  Did not hike back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092153 - .25 mile and then back to top.  Stopped mile 15 time 1537, temp 70,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092154 - wind 13 mph; EKG variable with no artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092155 - Possible Atrial Fibrillation - see below. ref SDS 0 DY9C  Feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092156 - left foot tailor's bunion PL 0, calves PL 0 left knee PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092157 - shoulder PL 1, left elbow PL 2, nothing to eat or drink (NPO), per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092158 - above. ref SDS 0 QYXP  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092159 - grade .5 miles.  At bottom of hill, turned right onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092160 - Way hiking East .5 miles uphill 6% grade with 8 mph wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092161 - continued downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092162 - mile and turned left onto Campus Drive.  Hiked West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092163 - 4% grade against wind 05 mph.  At mile 19, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092164 - again (3rd pass) at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092165 - Campus.  Hiked 2 loops through parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092166 - stopped at Administration Building mile 21, time 1727 temp 67 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092167 - 12 mph; EKG mostly uniform with no artifact, Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092168 - Tachycardia - see below. ref SDS 0 8FW7  Both feet PL 2, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092169 - PL 0, left knee PL 2, left shoulder PL 1, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092170 - imtermittantly, left elbow PL 2 intermittantly.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092171 - again, nor take another Gabapentin.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092172 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092173 - chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092174 - electrolyte pill, took more CoQ10, per above. ref SDS 0 QYXP  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092175 - partial loop through parking lots, and exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092176 - downhill on Campus Drive.  Crossed Ygnacio Valley Road, and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092177 - donwhill on Ayers road bending East.  At mile 22, turned left heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092178 - North on Turtle Creek road.  Hiked 2 miles on winding, mostly flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092179 - road, and passing Newhall Community Park again.  Road merged heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092180 - West on Treat another mile back to Cuneo and home.  Ended hike mile 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092181 - time 1855 temp 65, wind 07, feet PL 3, shin splints PL 2, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092182 - 3 (swollen), right knee PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092183 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092184 - 3, when lifting.  EKG looks uniform, with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092185 - HR 103 Tachycardia - see below. ref SDS 0 QTRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092193 -  ..
092194 - Kardia recorded HR 50 at 0802 Normal Sinus Rhythm, seems uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092195 - beat lengths with p-wave and no artifact; no AFL after hiking 21 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092196 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092197 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092198 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092199 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092200 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092203 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092204 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-080249_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092210 -  ..
092211 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092212 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092213 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092215 -  ..
092216 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092218 -       Date       240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 240104 240103 240102 240101 231231 2  
092219 -       Miles         25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     22      0      0      0      0     
092220 -       HR AVG       107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115    121     no     no     no     no     
092221 -         MAX        132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138    142  report report report report r  
092222 -         Min         52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     78                                 
092223 -       El Climb Ft  715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715    490                                 
092224 -       Temp Max      70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     63                                 
092225 -       Wind Max      14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     08                                 
092226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092228 -              https://flow.polar.com/training/analysis/7843045885                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092231 -               ..
092233 -   
092234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092236 -  ..
092237 - EKG at mile 05 time 1146 HR 101 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092238 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092239 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092242 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092243 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-114651_mile_05_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092248 -  ..
092249 - EKG at mile 09 time 1321 HR 110 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092250 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092251 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092254 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092255 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-132221_mile_09_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092259 -  ..
092260 - EKG at mile 12 time 1427 HR 102 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092261 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092262 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092265 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092266 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-142725_mile_12_102_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092270 -  ..
092271 - EKG at mile 15 time 1537 HR 115 temp 70, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092272 - Atrial Fibrillation... looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092273 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092276 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092277 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-153752_mile_15_115_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092281 -  ..
092282 - EKG at mile 21 time 1727 HR 109 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092283 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092284 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092287 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092288 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-172721_mile_21_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092292 -  ..
092293 - End hike EKG at mile 25 time 1855 HR 103 temp 65 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092294 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092295 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092298 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092299 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240321-ecg-185527_mile_25_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092304 -  ..
092305 - Post hike HR profile beginning 2133 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092306 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092307 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092308 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092309 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092312 -        ..
092313 -       Date      240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111  240110    
092314 -       Time       2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345    1920     
092315 -       Hours        11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9      11     
092316 -       HR AVG       61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66      65     
092317 -       HR MAX      167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     118     
092318 -       HR Min       38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42      42     
092319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092321 -              https://flow.polar.com/training/analysis/7843385877                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092324 -               ..
092326 -   
092327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092330 -  ..
092331 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092332 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092333 - Dinner - macaroni cheese onion broccoli steak (few bites)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092335 -  ..
092336 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092366 -         ..
092367 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092368 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092369 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092370 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092371 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092372 -   82.  240322 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092373 -               0715....BP HR..................................................... 147  80  52  Kardia ECG reports HR status, see below. ref SDS 0 EV6G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092374 -               0720....BP HR..................................................... 139  81  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092375 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092376 -               0725....80 388700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092377 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092378 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092379 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092380 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092381 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092382 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092383 -               1700... 40 108060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
092384 -               1830............ 10 19510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092385 -               1830............ 10 19850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092386 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092387 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092388 -               2130... 40 84260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092389 -               2200... 1000 2075000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092390 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092391 -               2230... 80 388780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092392 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092393 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092394 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092397 -  ..
092398 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092399 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092401 -  ..
092402 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092403 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092408 -  ..
092409 - Kardia recorded HR 51 at 0952 Normal Sinus Rhythm, seems uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092410 - beat lengths with p-wave and no artifact; no AFL after hiking 25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092411 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092412 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092413 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092414 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092415 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092418 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092419 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240322-ecg-095255_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092424 -  ..
092425 - Post hike HR profile beginning 2250 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092426 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092427 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092428 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092429 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092432 -        ..
092433 -       Date      240322  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111    
092434 -       Time       2133    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345     
092435 -       Hours        11      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9     
092436 -       HR AVG       61      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66     
092437 -       HR MAX      167     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     
092438 -       HR Min       38      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42     
092439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092441 -              https://flow.polar.com/training/analysis/7843993782                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092444 -               ..
092446 -   
092447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092450 -  ..
092451 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092452 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092453 - Dinner - macaroni cheese onion broccoli steak mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092455 -  ..
092456 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092486 -         ..
092487 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092488 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092489 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092490 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092491 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092492 -   83.  240323 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092493 -               0710....BP HR..................................................... 143  84  52  Kardia ECG reports HR status, see below. ref SDS 0 5RJX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092494 -               0720....BP HR..................................................... 148  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092495 -               0725....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092496 -               0725....80 388860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092497 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092498 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092499 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092500 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092501 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092502 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092503 -               1700... 40 108100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
092504 -             1 1830............ 10 19510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092505 -             1 1830............ 10 19850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092506 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092507 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092508 -               2130... 40 84300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092509 -               2200... 1000 2076000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092510 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092511 -               2230... 80 388940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092512 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092513 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092514 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092517 -  ..
092518 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092519 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092521 -  ..
092522 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092523 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092527 -  ..
092528 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092531 -  ..
092532 - Post hike HR profile beginning 2213 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092533 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092534 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092535 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092536 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092539 -        ..
092540 -       Date      240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112  240111    
092541 -       Time       2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132    2345     
092542 -       Hours        10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12       9     
092543 -       HR AVG       58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64      66     
092544 -       HR MAX      115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     117     
092545 -       HR Min       35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43      42     
092546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092548 -              https://flow.polar.com/training/analysis/7844788148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092551 -               ..
092553 -   
092554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092557 -  ..
092558 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092559 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092560 - Dinner - macaroni cheese onion broccoli steak mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092562 -  ..
092563 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092591 -         ..
092592 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092593 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092594 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092595 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092596 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092597 -   84.  240324 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092598 -               0710....BP HR..................................................... 146  75  52  Kardia ECG reports HR status, see below. ref SDS 0 RS3G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092599 -               0720....BP HR..................................................... 135  82  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092600 -               0725....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092601 -               0725....80 389020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092602 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092603 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092604 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092605 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092606 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092607 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092608 -               1700... 40 108140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
092609 -               1830............ 10 19520  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092610 -               1830............ 10 19860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092611 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092612 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092613 -               2130... 40 84340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092614 -               2200... 1000 2077000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092615 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092616 -               2230... 80 389100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092617 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092618 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092619 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092623 -  ..
092624 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092625 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092627 -  ..
092628 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092629 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092635 -  ..
092636 - Kardia recorded HR 50 at 1039 Normal Sinus Rhythm, seems uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092637 - beat lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092638 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092639 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092640 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092641 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092642 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092645 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092646 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240324-ecg-103955_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092652 -  ..
092653 - Post hike HR profile beginning 1943 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092654 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092655 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092656 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092657 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092660 -        ..
092661 -       Date      240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113  240112    
092662 -       Time       1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006    2132     
092663 -       Hours        12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12      12     
092664 -       HR AVG       62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63      64     
092665 -       HR MAX      120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     111     
092666 -       HR Min       40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43      43     
092667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092669 -              https://flow.polar.com/training/analysis/7845257803                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092672 -               ..
092674 -   
092675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092678 -  ..
092679 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092680 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092681 - Dinner - pancakes eggs milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092683 -  ..
092684 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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092695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092711 -         ..
092712 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092713 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092714 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092715 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092716 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092717 -   85.  240325 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092718 -               0710....BP HR..................................................... 160  85  50  Kardia ECG reports HR status, see below. ref SDS 0 HTWV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092719 -               0720....BP HR..................................................... 140  87  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092720 -               0725....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092721 -               0725....80 389180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092722 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092723 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092724 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092725 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092726 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092727 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092728 -               1700... 40 108180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
092729 -             1 0000............ 10 19520  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092730 -             1 0000............ 10 19860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092731 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092732 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092733 -               2130... 40 84380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092734 -               2200... 1000 2078000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092735 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092736 -               2230... 80 389260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092737 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092738 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092739 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092742 -  ..
092743 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092744 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092746 -  ..
092747 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092748 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092753 -  ..
092754 - Kardia recorded HR 48 at 0632 Bradycardia, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092755 - lengths with p-wave and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092756 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092757 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092758 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092759 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092760 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092763 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092764 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240325-ecg-063223_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092769 -  ..
092770 - Post hike HR profile beginning 2058 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092771 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092772 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092773 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092774 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092777 -        ..
092778 -       Date      240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114  240113    
092779 -       Time       2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106    2006     
092780 -       Hours        13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8      12     
092781 -       HR AVG       68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67      63     
092782 -       HR MAX      183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     113     
092783 -       HR Min       36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49      43     
092784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092786 -              https://flow.polar.com/training/analysis/7845971391                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092789 -               ..
092791 -   
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092793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092795 -  ..
092796 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092797 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092798 - Dinner - macaroni cheese onion broccoli steak mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092800 -  ..
092801 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
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092828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092830 -         ..
092831 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092832 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092833 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092834 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092835 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092836 -   86.  240326 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092837 -               0710....BP HR..................................................... 125  79  47  Kardia ECG reports HR status, see below. ref SDS 0 RUYX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092838 -               0720....BP HR..................................................... 127  81  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092839 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092840 -               0725....80 389340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092841 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092842 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092843 -               1030....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092844 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092845 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
092846 -  ..
092847 -         * cr  1050....miles...........  26.0  26.0  443   443 minutes  temp  66 wind 12  rain 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092848 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092849 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092850 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
092851 -               1313....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092852 -               1313....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092853 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092854 -               1313... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092855 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092856 -               1431....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092857 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092858 -               1556....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092859 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092860 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092861 -               1556... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092862 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092863 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092864 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092865 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092866 -               1901... Hike ends mile 26... ref SDS 0 RV4T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092867 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092868 -               1930....weight.................................... 170  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092869 -               1935....BP HR..................................................... 118  81 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092870 -               1940....BP HR..................................................... 122  82  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092871 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092872 -               1930... 40 108220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
092873 -               2000............ 10 19530  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092874 -               2000............ 10 19870  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092875 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092876 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092877 -               2130... 40 84420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092878 -               2200... 1000 2079000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092879 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092880 -               2230... 80 389420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092881 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092882 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092883 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092886 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092887 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092888 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092889 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092890 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092891 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092892 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092893 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092896 -  ..
092897 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092898 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092900 -  ..
092901 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092902 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092905 -  ..
092906 - Today, hiked 26 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092907 - including Treat, Turtle Creek Road, Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092908 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092909 - around and hiked back.  Continued West 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092910 - college.  Hiked around main buildings.  Stopped mile 8 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092911 - nutrition, and Tramadol for pain.  Left college hiking 8-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092912 - through Crystal Ranch Road, Rolling Woods Way and Pine Hollow, back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092913 - college.  Stopped again for hydration and nutrition.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092914 - continued West 4 miles over summit Ignacio Valley Road.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092915 - hiked around Safeway shopping complex.  Hiked 1 mile North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092916 - Grove, and 2 miles East to Cuneo, did another mile through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092917 - street; finally home.  Did not take second Tramadol today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092922 -         ..
092923 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092924 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092925 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
092926 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092927 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092928 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092929 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092930 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092931 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092932 -        Neck turning head/chest left or right........   6          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
092933 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092934 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092935 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
092936 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092937 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092938 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
092939 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092940 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092941 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092942 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
092943 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092944 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092945 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092946 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092947 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092948 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092949 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092950 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092951 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092952 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092953 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092954 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092955 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092956 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092957 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
092958 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
092959 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092960 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092961 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092962 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
092963 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
092964 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
092965 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092966 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
092967 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
092968 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092969 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092970 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092971 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092972 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092973 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
092974 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
092975 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092976 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
092977 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092978 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092979 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092980 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
092981 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092982 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092983 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092984 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092985 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092986 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092987 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092988 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092989 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092990 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092991 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092992 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092993 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092995 -  ..
092996 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092998 -  ..
092999 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093001 -  ..
093002 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093004 -  ..
093005 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093006 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093008 -  ..
093009 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093010 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093011 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093012 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093013 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093017 -  ..
093018 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093019 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093020 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093021 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093022 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093023 - avocado for HDL, per above. above. ref SDS 0 7E5O  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093024 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093025 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093026 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093027 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093028 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093029 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093030 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093031 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093032 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093033 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093034 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093035 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093036 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093037 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093038 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093039 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093040 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093041 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093042 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093043 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093044 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093045 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093046 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093047 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093048 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093049 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093050 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093051 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093052 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093053 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093054 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093055 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093056 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093057 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093058 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093059 - half-pushups and 00 situps using training equipment.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093060 - Parking stopped at Administration Building mile 07 time 1313 temp 63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093061 - and wind 08 mph; EKG uniform with artifact, Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093062 - Tachycardia - see below. ref SDS 0 RVTQ  Both feet PL 1, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093063 - Tailor's bunions PL 0, left knee meniscus PL 1, left knee patella PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093064 - 0, left shoulder PL 2, left elbow PL 2 intermitant.  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093065 - no Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093066 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093067 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093068 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093069 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093070 - above. ref SDS 0 RSPU  Exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093071 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093072 - grade .5 miles.  At mile 08, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093073 - Hiked South 1 mile uphill 5% grade with 04 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093074 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093075 - continued flat grade .5 miles.  Continued downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093076 - At Rolling Woods Way continued uphill on Crystal Ranch Road .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093077 - 6% grade against wind 07 mph.  Road ends at top of hill.  Hike back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093078 - down hill about .25 mile and then back to top.  Stopped mile 11 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093079 - 1431, temp 64, wind 10 mph; EKG uniform with severe artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093080 - reported HR 131 (HR - no wait to get cellphone connection... unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093081 - high for level of effort at this station) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093082 - ref SDS 0 G5GT  Feet PL 1, left foot tailor's bunion PL 0, calves PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093083 - left knee PL 1, left shoulder PL 1, left elbow PL 0, nothing to eat or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093084 - drink (NPO), per above. ref SDS 0 RSPU  Continued downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093085 - Ranch Road 6% grade .5 miles.  At bottom of hill, continued .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093086 - uphill.  At Autum Oak Circle, turned around hiking back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093087 - left onto Rolling Woods Way hiking East .5 miles uphill 6% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093088 - 8 mph wind.  At summit continued downhill .66 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093089 - Pine Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093090 - West 1 mile uphill 3% - 4% grade against wind 03 mph.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093091 - reached Visitor Parking again at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093092 - Concord Campus.  Hiked 2 loops through parking lots.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093093 - Parking stopped at Administration Building mile 16, time 1556 temp 66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093094 - and wind 12 mph; EKG mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093095 - HR 123 Tachycardia - see below. ref SDS 0 GI4Z  Both feet PL 2, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093096 - splints PL 1, left knee PL 1, left shoulder PL 1, neck to right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093097 - shoulder PL 0 imtermittantly, left elbow PL 1 intermittantly.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093098 - take another Tramadol nor Gabapentin.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093099 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093100 - and chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093101 - electrolyte pill, took more CoQ10, per above. ref SDS 0 RSPU  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093102 - another loop through parking lots.  At mile 18, exited college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093103 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093104 - Hiked West on flat grade .5 miles.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093105 - uphill 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093106 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093107 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093108 - end of concrete barriar mile 20, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093109 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093110 - traffic light.  Hiked 1-mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093111 - complex.  Did not stop near Mod Pizza mile 22, time ____, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093112 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093113 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093114 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093115 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093116 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093117 - miles on Treat uphill 5% grade temp 59.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093118 - summit, mile 25, hiked another mile to Cuneo.  Ended hike mile 26 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093119 - 1901 temp 60, wind 12, feet PL 5, burning sensation, shin splints PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093120 - 2, left knee PL 2 (swollen), right knee PL 0, left shoulder PL 1, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093121 - and right shoulder PL 2 intermittantly, lower back left side PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093122 - left elbow PL 0, when lifting.  EKG looks uniform, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093123 - Kardia reported HR 113 Tachycardia - see below. ref SDS 0 RV4T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093131 -  ..
093132 - Kardia did not record HR today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093137 -  ..
093138 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093139 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093140 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093142 -  ..
093143 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093145 -       Date       240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 240105 2  
093146 -       Miles         26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     25     
093147 -       HR AVG       120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no    115     
093148 -         MAX        146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report   138     
093149 -         Min         70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   41     
093150 -       El Climb Ft  715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                  715     
093151 -       Temp Max      66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   63     
093152 -       Wind Max      12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   05     
093153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093155 -              https://flow.polar.com/training/analysis/7846234304                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093158 -               ..
093160 -   
093161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093163 -  ..
093164 - EKG at mile 07 time 1313 HR 113 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093165 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093166 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093169 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093170 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240326-ecg-131359_mile_07_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093175 -  ..
093176 - EKG at mile 11 time 1431 HR 131 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093177 - Tachycardia... looks uniform with severe artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093178 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093181 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093182 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240326-ecg-143139_mile_11_131_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093186 -  ..
093187 - EKG at mile 16 time 1556 HR 123 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093188 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093189 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093192 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093193 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240326-ecg-155644_mile_16_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093199 -  ..
093200 - End hike EKG at mile 26 time 1901 HR 113 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093201 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093202 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093205 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093206 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240326-ecg-190142_mile_26_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093211 -  ..
093212 - Post hike HR profile beginning 2211 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093213 - overnight after hiking 26 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093214 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093215 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093216 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093219 -        ..
093220 -       Date      240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115  240114    
093221 -       Time       2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141    2106     
093222 -       Hours        11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9       8     
093223 -       HR AVG       66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63      67     
093224 -       HR MAX      110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     123     
093225 -       HR Min       41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43      49     
093226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093228 -              https://flow.polar.com/training/analysis/7846608825                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093231 -               ..
093233 -   
093234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093237 -  ..
093238 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093239 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093240 - Dinner - eggs macaroni cheese onion broccoli cauliflower steak mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093242 -  ..
093243 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093273 -         ..
093274 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093275 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093276 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093277 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093278 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093279 -   87.  240327 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093280 -               0700....BP HR..................................................... 136  77  51  Kardia ECG reports HR status, see below. ref SDS 0 R39P                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093281 -               0705....BP HR..................................................... 138  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093282 -               0710....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093283 -               0710....80 389500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093284 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093285 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093286 -               1000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093287 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093288 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
093289 -  ..
093290 -         * cr  1030....miles...........  28.0  54.0  488   443 minutes  temp  59 wind 12  rain 15% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093291 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093292 -               1211....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093293 -               1211....Tramadol 50 mg took 2 pills - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093294 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093295 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093296 -               1211... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093297 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
093298 -               1313....mile 08 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093299 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093300 -               1552....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093301 -               1552... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093302 -               1821....mile 24 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093303 -               1821....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093304 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093305 -               1821... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093306 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093307 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093308 -               1942... Hike ends mile 28... ref SDS 0 S82H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093309 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093310 -               2000....weight.................................... 170  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093311 -               2005....BP HR..................................................... 115  67  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093312 -               2010....BP HR..................................................... 106  72  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093313 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093314 -               2010... 40 108260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
093315 -             1 0000............ 10 19530  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093316 -             1 0000............ 10 19870  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
093317 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093318 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093319 -               2130... 40 84460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093320 -               2200... 1000 2080000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093321 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093322 -               2230... 80 389580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093323 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093324 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093325 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093328 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093329 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093330 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093331 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093332 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093333 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093334 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093335 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093338 -  ..
093339 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093340 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093342 -  ..
093343 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093344 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093347 -  ..
093348 - Today, hiked 28 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093349 - including Treat, Turtle Creek Road, Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093350 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093351 - around and hiked back.  Continued West 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093352 - college.  Hiked around main buildings.  Stopped mile 8 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093353 - nutrition, and Tramadol for pain.  Left college hiking 8-mile loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093354 - top of Crystal Ranch Road, back uphill to Laurel Tree Drive, then back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093355 - to Rolling Woods Way and over hill to Pine Hollow, back to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093356 - Stopped again for hydration and nutrition.  At mile 17, continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093357 - 4 miles over summit Ignacio Valley Road.  At Oak Grove hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093358 - Safeway shopping complex.  Hiked 1 mile North on Oak Grove, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093359 - miles East to Cuneo, did another mile through residential street;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093360 - finally home.  Did not take second Tramadol today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093365 -         ..
093366 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093367 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093368 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
093369 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093370 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093371 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093372 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093373 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093374 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093375 -        Neck turning head/chest left or right........   6          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
093376 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093377 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093378 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
093379 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093380 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093381 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
093382 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093383 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093384 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093385 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
093386 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093387 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093388 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093389 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093390 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093391 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093392 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093393 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093394 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093395 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093396 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093397 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093398 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093399 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093400 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
093401 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
093402 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093403 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093404 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093405 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
093406 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
093407 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
093408 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093409 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
093410 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
093411 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093412 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093413 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093414 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093415 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093416 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
093417 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
093418 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093419 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
093420 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093421 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093422 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093423 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
093424 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093425 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093426 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093427 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093428 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093429 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093430 -        Veering left.................................   2         20  veering after 2nd Tramadol at mile 24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093431 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093432 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093433 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093434 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093435 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093436 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093438 -  ..
093439 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093441 -  ..
093442 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093444 -  ..
093445 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093447 -  ..
093448 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093449 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093451 -  ..
093452 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093453 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093454 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093455 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093456 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093460 -  ..
093461 - Concord 28 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093462 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093463 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093464 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093465 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093466 - avocado for HDL, per above. above. ref SDS 0 FG3N  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093467 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093468 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093469 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093470 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093471 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093472 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093473 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093474 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093475 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093476 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093477 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093478 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093479 - entire hike without dyspnea.  Temp started at 53, and reached 59.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093480 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093481 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093482 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093483 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093484 - Continued on Turtle Creek Road uphill 4% grade.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093485 - Ayers heading West and bending South .75 miles on asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093486 - shoulder.  At mile 3, crossed Ygnacio Valley Road continuing South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093487 - Campus Drive uphill 4% grade .5 mile reaching Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093488 - California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093489 - main campus buildings.  Left elbow has made some recovery with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093490 - injections on 231121 0700. ref SDS 27 G45J, but did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093491 - training station to do 20 half-pullups, 20 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093492 - using training equipment.  Hiked 1.5-mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093493 - Student Parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093494 - Building mile 05 time 1211 temp 58 and wind 12 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093495 - minor artifact, Kardia reported HR 096 (... unusually low for level of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093496 - effort... ) Normal Sinus Rhythm - see below. ref SDS 0 FWVT  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093497 - PL 2, right foot Tailor's bunions PL 0, left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093498 - knee patella PL 0, left shoulder PL 1, left elbow PL 1 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093499 - Took 2 Tramadol and no Gabapentin for pain maagement.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093500 - CoQ10 0.6 ml for HDL and energy to complete hike.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093501 - carried from home for hydration, swallowing meds and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093502 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093503 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093504 - take Nuun electrolyte pill, per above. ref SDS 0 RTRT  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093505 - hiking North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093506 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 06, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093507 - left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093508 - against 10 mph wind.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093509 - dyspnea nor stopping.  At summit continued flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093510 - Continued downhill .25 miles 5% grade.  At Rolling Woods Way continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093511 - uphill on Crystal Ranch Road .5 miles 6% grade against wind 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093512 - An elderly man working with his wife in the yard asked how clinical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093513 - study is going raising HDL with hiking?  Explained results have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093514 - mixed and so inconclusive in recent months.  Doing another lab Friday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093515 - Just hoping for the best.  Continued on up.  Road ends at top of hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093516 - Did not hike back down hill about .25 mile and then back to top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093517 - Stopped mile 08 time 1313, temp 58, wind 09 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093518 - minor artifact, Kardia reported HR 107 (HR - no wait to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093519 - connection... low for level of effort this station) Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093520 - below. ref SDS 0 F9R1  Feet PL 1, burning sensation PL 2, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093521 - tailor's bunion PL 2, calves PL 0, left knee PL 1, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093522 - left elbow PL 2, nothing to eat or drink (NPO), per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093523 - RTRT  Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093524 - bottom of hill, continued North uphill on Crystal Ranch Road .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093525 - At Laurel Tree Drive, turned around hiking back downhill.  Turned Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093526 - onto Rolling Woods Way hiking East .5 miles uphill 6% grade with 6 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093527 - wind.  At summit (mile 10) continued downhill .66 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093528 - onto Pine Hollow.  Hiked 1 mile and turned left onto Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093529 - Hiked West 1 mile uphill 3% - 4% grade against wind 05 mph.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093530 - 12, reached Visitor Parking again (2nd pass) at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093531 - University East Bay Concord Campus.  Hiked 3 loops through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093532 - lots.  Back at Visitor Parking stopped at Administration Building mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093533 - 16, time 1552 temp 58 and wind 11 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093534 - Kardia reported HR 101 Tachycardia - see below. ref SDS 0 QE7C  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093535 - feet PL 2, burning sensation PL 2, shin splints PL 0, left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093536 - left shoulder PL 1, neck to right shoulder PL 0 imtermittantly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093537 - elbow PL 1 intermittantly.  Did not take Tramadol again nor take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093538 - Gabapentin.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093539 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093540 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093541 - more CoQ10, per above. ref SDS 0 RTRT  Hiked another loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093542 - parking lots.  At mile 17, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093543 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093544 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093545 - grade .5 miles against wind 08 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093546 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093547 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093548 - concrete barriar mile 19, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093549 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093550 - traffic light.  Hiked 3 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093551 - complex.  Stopped near Mod Pizza mile 24, time 1821, temp 58 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093552 - 12 mph; EKG mostly uniform with no artifact, Kardia reported HR 095                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093553 - Normal Sinus Rhythm - see below. ref SDS 0 BX83  Both feet PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093554 - foot both Tailor's bunions PL 1, both legs shin splints PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093555 - knee PL 2, ACL PL 0, left shoulder PL 1, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093556 - imtermittantly, left elbow PL 1 intermittantly.  Took 3rd Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093557 - no Gabapentin for pain management.  Took Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093558 - HDL and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093559 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093560 - seeds for energy, and avocado for HDL, per above. ref SDS 0 RTRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093561 - Getting dark, fortunately not noticably wobbly, loopy, staggering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093562 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093563 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093564 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093565 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093566 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093567 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well, except                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093568 - veering left, likely due to Tramadol.  At summit, mile 27, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093569 - another mile to Cuneo and home.  Ended hike mile 28 time 1942 temp 56,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093570 - wind 12, feet PL 3, lower legs PL 2, shin splints PL 2, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093571 - (swollen), right knee PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093572 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093573 - 1, when lifting.  EKG looks uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093574 - HR 102 Tachycardia - see below. ref SDS 0 S82H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093582 -  ..
093583 - Kardia did not record HR today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093586 -  ..
093587 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093588 - hike 28 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093589 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093591 -  ..
093592 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093594 -       Date       240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 240106 2  
093595 -       Miles         28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0      0     
093596 -       HR AVG       106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     no     
093597 -         MAX        146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report report    
093598 -         Min         43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56                   
093599 -       El Climb Ft  715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495                   
093600 -       Temp Max      59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57                   
093601 -       Wind Max      12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07                   
093602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093604 -              https://flow.polar.com/training/analysis/7846875714                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093607 -               ..
093609 -   
093610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093614 -  ..
093615 - EKG at mile 05 time 1211 HR 096 temp 58, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093616 - Rhythm... looks uniform with minor artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093617 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093620 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093621 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240327-ecg-121153_mile_05_096_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093625 -  ..
093626 - EKG at mile 08 time 1313 HR 107 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093627 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093628 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093631 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093632 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240327-ecg-131336_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093636 -  ..
093637 - EKG at mile 16 time 1552 HR 101 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093638 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093639 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093642 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093643 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240327-ecg-155201_mile_16_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093647 -  ..
093648 - EKG at mile 24 time 1821 HR 095 temp 58, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093649 - Rhythm... looks mostly uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093650 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093653 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093654 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240327-ecg-182154_mile_24_095_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093660 -  ..
093661 - End hike EKG at mile 28 time 1942 HR 102 temp 56 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093662 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093663 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093666 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093667 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240327-ecg-194218_mile_28_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093672 -  ..
093673 - Post hike HR profile beginning 2312 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093674 - overnight after hiking 28 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093675 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093676 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093677 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093680 -        ..
093681 -       Date      240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116  240115    
093682 -       Time       2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200    2141     
093683 -       Hours         8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10       9     
093684 -       HR AVG       60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57      63     
093685 -       HR MAX      117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     100     
093686 -       HR Min       36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42      43     
093687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093689 -              https://flow.polar.com/training/analysis/7847169210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093692 -               ..
093694 -   
093695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093698 -  ..
093699 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093700 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093701 - Dinner - eggs macaroni cheese onion broccoli cauliflower steak mushrooms potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093703 -  ..
093704 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093732 -         ..
093733 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093734 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093735 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093736 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093737 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093738 -   88.  240328 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093739 -               0720....BP HR..................................................... 148  75  51  Kardia ECG reports HR status, see below. ref SDS 0 SQ7E                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093740 -               0725....BP HR..................................................... 133  79  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093741 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093742 -               0730....80 389660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093743 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093744 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093745 -               0920....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093746 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093747 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
093748 -  ..
093749 -               0940....miles...........  25.0  79.0  433  1364 minutes  temp  61 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093750 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093751 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093752 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
093753 -               1237....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093754 -               1237....Tramadol 50 mg took 1 pills - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093755 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093756 -               1237... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093757 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093758 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093759 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093760 -               1528....mile 18 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093761 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093762 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093763 -               1528... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093764 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093765 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093766 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093767 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093768 -               1737... Hike ends mile 30... ref SDS 0 4SEK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093769 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093770 -               1750....weight.................................... 170  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093771 -               1800....BP HR..................................................... 122  74  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093772 -               1805....BP HR..................................................... 110  68  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093773 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093774 -               1840... 40 108300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
093775 -               1930............ 10 19540  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093776 -               1930............ 10 19880  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
093777 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093778 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093779 -               2130... 40 84500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093780 -               2200... 1000 2081000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093781 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093782 -               2230... 80 389740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093783 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093784 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093785 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093788 -  ..
093789 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093790 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093792 -  ..
093793 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093794 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093797 -  ..
093798 - Today, hiked 25 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093799 - including Treat, Turtle Creek Road, Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093800 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093801 - around and hiked back.  Continued West 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093802 - college.  Hiked around main buildings.  Stopped mile 8 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093803 - nutrition, and Tramadol for pain.  Left college hiking 8-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093804 - through Crystal Ranch Road, Rolling Woods Way and Pine Hollow, back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093805 - college.  Stopped again for hydration and nutrition.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093806 - continued West 4 miles over summit Ignacio Valley Road.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093807 - hiked around Safeway shopping complex.  Hiked 1 mile North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093808 - Grove, and 2 miles East to Cuneo, did another mile through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093809 - street; finally home.  Did not take second Tramadol today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093814 -         ..
093815 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093816 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093817 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
093818 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093819 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093820 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093821 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093822 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093823 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093824 -        Neck turning head/chest left or right........   6          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
093825 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093826 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093827 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
093828 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093829 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093830 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
093831 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093832 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093833 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093834 -        Knee left meniscus...PRP 231121..............   3         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
093835 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093836 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093837 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093838 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093839 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093840 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093841 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093842 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093843 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093844 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093845 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093846 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093847 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093848 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093849 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
093850 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
093851 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093852 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093853 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093854 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
093855 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
093856 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
093857 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093858 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
093859 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
093860 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093861 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093862 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093863 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093864 -        Callus little toe right foot..top of toe.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093865 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
093866 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
093867 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093868 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
093869 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093870 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093871 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093872 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
093873 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093874 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093875 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093876 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093877 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093878 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093879 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093880 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093881 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093882 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093883 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093884 -        Wobbly disoriented staggering dizzy..........   1         15  took 2 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093885 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093887 -  ..
093888 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093890 -  ..
093891 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093893 -  ..
093894 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093896 -  ..
093897 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093898 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093900 -  ..
093901 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093902 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093903 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093904 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093905 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093909 -  ..
093910 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093911 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093912 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093913 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093914 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093915 - avocado for HDL, per above. above. ref SDS 0 P78G  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093916 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093917 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093918 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093919 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093920 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093921 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093922 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093923 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093924 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093925 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093926 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093927 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093928 - entire hike without dyspnea.  Temp started at 56, and reached 61.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093929 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093930 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093931 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093932 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093933 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093934 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093935 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093936 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093937 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093938 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093939 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093940 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093941 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093942 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093943 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093944 - Valley Road; turned left hiked 1.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093945 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093946 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 08,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093947 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093948 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093949 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093950 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093951 - half-pushups and 00 situps using training equipment.  Hiked 2 loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093952 - through parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093953 - Administration Building mile 10 time 1237 temp 60 and wind 02 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093954 - uniform with no artifact, Kardia reported HR 094 Normal Sinus Rhythm -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093955 - see below. ref SDS 0 72PY  Both feet PL 3, burning sensation PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093956 - right foot #5 callus PL 2, right foot Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093957 - meniscus PL 1, left knee patella PL 0, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093958 - PL 1 intermitant.  Took 2 Tramadol and no Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093959 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093960 - hike.  Sips softdrink carried from home for hydration, swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093961 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093962 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093963 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 RXVW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093964 - Continued hiking through college parking lots 2 loops 1.5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093965 - mile 13, exited college hiking North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093966 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093967 - Continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093968 - wind 04 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093969 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093970 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093971 - mile 15, hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093972 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093973 - 1-mile loop around block at Safeway shopping complex.  Stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093974 - Mod Pizza mile 18, time 1528, temp 60 and wind 10 mph; EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093975 - with no artifact, Kardia reported HR 096 Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093976 - below. ref SDS 0 LD5V  Both feet PL 3, burning sensation PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093977 - foot #5 callus PL 2, right foot Tailor's bunions PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093978 - meniscus PL 2, left knee patella PL 0, left shoulder PL 1, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093979 - PL 1 intermitant.  Took 3rd Tramadol for pain management.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093980 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093981 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093982 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093983 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093984 - not take Nuun electrolyte pill, per above. ref SDS 0 RXVW  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093985 - hiking 2 1-mile loops around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093986 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093987 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093988 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093989 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093990 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093991 - Noticed Polar GPS/HR monitor failed.  At summit, mile 23, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093992 - another mile to Cuneo, and continued hiking 1 mile through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093993 - streets.  Ended hike mile 25 time 1737 temp 58, wind 12, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093994 - burning sensation PL 2, shin splints PL 2, left knee PL 3 (swollen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093995 - right knee PL 0, left shoulder PL 1, neck and right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093996 - intermittantly, lower back left side PL 2, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093997 - lifting.  EKG looks uniform, with some artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093998 - 096 Normal Sinus Rhythm - see below. ref SDS 0 4SEK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094006 -  ..
094007 - Kardia recorded HR 50 at 0801 Normal Sinus Rhythm, seems mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094008 - uniform heart beat lengths with p-wave and minor artifact; no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094009 - after hiking 28 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094010 - Tramadol nor Gabapentin, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094011 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094012 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094013 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094016 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094017 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240328-ecg-080119_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094023 -  ..
094024 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094025 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094026 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094028 -  ..
094029 - Polar HR GPS monitor failed about mile 24 all data lost...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094031 -  ..
094032 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094034 -       Date       240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 240108 240107 2  
094035 -       Miles         25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     21      0     
094036 -       HR AVG         no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no    120     no     
094037 -         MAX       report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport   141  report r  
094038 -         Min                43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   56            
094039 -       El Climb Ft  715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                  495            
094040 -       Temp Max      61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   57            
094041 -       Wind Max      12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   07            
094042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094044 -              https://flow.polar.com/training/analysis/.... failed...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094050 -  ..
094051 - EKG at mile 10 time 1237 HR 094 temp 60, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094052 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094053 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094056 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094057 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240328-ecg-123747_mile_10_094_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094062 -  ..
094063 - EKG at mile 18 time 1528 HR 096 temp 60, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094064 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094065 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094068 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094069 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240328-ecg-152803_mile_18_096_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094074 -  ..
094075 - End hike EKG at mile 25 time 1737 HR 096 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094076 - Normal Sinus Rhythm... looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094077 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094080 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094081 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240328-ecg-173754_mile_25_096_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094086 -  ..
094087 - Post hike HR profile beginning 2047 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094088 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094089 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094090 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094091 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094094 -        ..
094095 -       Date      240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117  240116    
094096 -       Time       2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956    2200     
094097 -       Hours        12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6      10     
094098 -       HR AVG       57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68      57     
094099 -       HR MAX      121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     108     
094100 -       HR Min       41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42      42     
094101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094103 -              https://flow.polar.com/training/analysis/7847889744                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094106 -               ..
094108 -   
094109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094112 -  ..
094113 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094114 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094115 - Dinner - eggs macaroni cheese onion broccoli cauliflower steak mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094117 -  ..
094118 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094146 -         ..
094147 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094148 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094149 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094150 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094151 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094152 -   89.  240329 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094153 -               0720....BP HR..................................................... 129  69  45  Kardia ECG reports HR status, see below. ref SDS 0 CW7K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094154 -               0725....BP HR..................................................... 135  77  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094155 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094156 -               0730....80 389820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094157 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094158 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094159 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094160 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094161 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094162 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094163 -               1700... 40 108340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
094164 -             1 0000............ 10 19540  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094165 -             1 0000............ 10 19880  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094166 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094167 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094168 -               2130... 40 84540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094169 -               2200... 1000 2082000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094170 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094171 -               2230... 80 389900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094172 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094173 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094174 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094178 -  ..
094179 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094180 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094182 -  ..
094183 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094184 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094189 -  ..
094190 - Kardia recorded HR 44 at 1012 Bradycardia, seems mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094191 - beat lengths with p-wave and minor artifact; no AFL after hiking 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094192 - miles yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094193 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094194 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094195 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094196 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094199 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094200 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240329-ecg-101258_mile_00_044_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094205 -  ..
094206 - Post hike HR profile beginning 2047 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094207 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094208 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094209 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094210 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094213 -        ..
094214 -       Date      240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118  240117    
094215 -       Time       2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225    1956     
094216 -       Hours        12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10       6     
094217 -       HR AVG       56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64      68     
094218 -       HR MAX      133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     120     
094219 -       HR Min       39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43      42     
094220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094222 -              https://flow.polar.com/training/analysis/7848519512                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094225 -               ..
094227 -   
094228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094231 -  ..
094232 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094233 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094234 - Dinner - hamburber rice onion broccoli cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094236 -  ..
094237 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094268 -         ..
094269 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094270 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094271 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094272 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094273 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094274 -   90.  240330 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094275 -               0725....BP HR..................................................... 158  84  49  Kardia ECG reports HR status, see below. ref SDS 0 3TSX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094276 -               0730....BP HR..................................................... 140  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094277 -               0735....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094278 -               0735....80 389980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094279 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094280 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094281 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094282 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094283 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
094284 -  ..
094285 -         * cr  1200....miles...........  18.0  97.0  309  1673 minutes  temp  63 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094286 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094287 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094288 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
094289 -               1424....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094290 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094291 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094292 -               1424... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094293 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094294 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094295 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094296 -               1638....mile 15 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094297 -               1638....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094298 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094299 -               1638... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094300 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094301 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094302 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094303 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094304 -               1732... Hike ends mile 18... ref SDS 0 DH68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094305 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094306 -               1750....weight.................................... 170  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094307 -               1755....BP HR..................................................... 122  81  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094308 -               1805....BP HR..................................................... 110  68  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094309 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094310 -               1700... 40 108380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
094311 -               1830............ 10 19550  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094312 -               1830............ 10 19890  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094313 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094314 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094315 -               2130... 40 84580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094316 -               2200... 1000 2083000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094317 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094318 -               2230... 80 390060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094319 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094320 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094321 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094324 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094325 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094326 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094327 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094328 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094329 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094330 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094331 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094334 -  ..
094335 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094336 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094338 -  ..
094339 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094340 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094343 -  ..
094344 - Today, hiked 18 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094345 - including Treat, Turtle Creek Road, Ayers to Clayton Road, then West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094346 - on Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094347 - around and hiked back.  Continued West 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094348 - college.  Hiked around main buildings.  Stopped mile 8 for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094349 - nutrition, and Tramadol for pain.  Left college hiking West, then took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094350 - Crystal Ranch Road uphill 1.5 miles and back.  Took Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094351 - Road over summit to mile 16, and back to Cowell, then to Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094352 - finally home.  Did not take second Tramadol today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094357 -         ..
094358 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094359 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094360 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
094361 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094362 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094363 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094364 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094365 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094366 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094367 -        Neck turning head/chest left or right........   2          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
094368 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094369 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094370 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
094371 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094372 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094373 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
094374 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094375 -        Shin splint pain both legs...................   3         30  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094376 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094377 -        Knee left meniscus...PRP 231121..............   2         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
094378 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094379 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094380 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094381 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094382 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094383 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094384 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094385 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094386 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094387 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094388 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094389 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094390 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094391 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094392 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
094393 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
094394 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094395 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094396 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094397 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
094398 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
094399 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
094400 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094401 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
094402 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
094403 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094404 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094405 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094406 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094407 -        Callus little toe right foot..top of toe.....   3         20  recurring not sure why on 240330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094408 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
094409 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
094410 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094411 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
094412 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094413 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094414 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094415 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
094416 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094417 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094418 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094419 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094420 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094421 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094422 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094423 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094424 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094425 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094426 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094427 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094428 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094430 -  ..
094431 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094433 -  ..
094434 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094436 -  ..
094437 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094439 -  ..
094440 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094441 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094443 -  ..
094444 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094445 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094446 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094447 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094448 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094452 -  ..
094453 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094454 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094455 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094456 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094457 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094458 - avocado for HDL, per above. above. ref SDS 0 T5ZL  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094459 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094460 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094461 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094462 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094463 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094464 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094465 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094466 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094467 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094468 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094469 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094470 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094471 - entire hike without dyspnea.  Temp started at 54, and reached 63.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094472 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094473 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094474 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094475 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094476 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094477 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094478 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094479 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094480 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094481 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094482 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094483 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094484 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094485 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094486 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094487 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094488 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094489 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094490 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094491 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094492 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094493 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094494 - half-pushups and 00 situps using training equipment.  Hiked 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094495 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094496 - stopped at Administration Building mile 08 time 1424 temp 58 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094497 - 14 mph; EKG uniform with no artifact, Kardia reported HR 107 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094498 - Sinus Rhythm - see below. ref SDS 0 TD3Z  Both feet PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094499 - Tailor's bunions PL 0, left knee meniscus PL 1, left knee patella PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094500 - 0, left shoulder PL 2, left elbow PL 2 intermitant.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094501 - Tramadol and Gabapentin for pain maagement.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094502 - ml for HDL and energy to complete hike.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094503 - home for hydration, swallowing meds and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094504 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094505 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094506 - pill, per above. ref SDS 0 SWTR   Hiked 3 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094507 - parking lots.  At mile 12, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094508 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094509 - flat grade .5 miles.  At mile 13, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094510 - Hiked South 1 mile uphill 5% grade with 07 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094511 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094512 - continued flat grade .5 miles.  Did not feel well.  Could not call for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094513 - ride home.  Turned around hiking North on Crystal Ranch Road downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094514 - back to Ygnacio Valley Road.  Turned left and stopped stopped at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094515 - 15 time 1638 temp 62 and wind 05 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094516 - Kardia reported HR 113 Tachycardia - see below. ref SDS 0 G82N  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094517 - feet PL 3, right foot Tailor's bunions PL 2, shinsplints PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094518 - knee meniscus PL 1, left knee patella PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094519 - elbow PL 2 intermitant.  Took Tramadol and no Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094520 - maagement.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094521 - hike.  Sips softdrink carried from home for hydration, swallowing meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094522 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094523 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094524 - HDL, did not take Nuun electrolyte pill, per above. ref SDS 0 SWTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094525 - Continued West on Ygnacio Valley Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094526 - wind 10 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094527 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094528 - Decided not to cross summit and do Oak Grove loop.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094529 - hiked back .25 miles.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094530 - downhill 5% grade.  Continued flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094531 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094532 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094533 - hike mile 18 time 1732 temp 61, wind 11, feet PL 2, shin splints PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094534 - left knee PL 1 (swollen), right knee PL 0, left shoulder PL 2, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094535 - and right shoulder PL 0 intermittantly, lower back left side PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094536 - left elbow PL 2, when lifting.  EKG looks uniform, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094537 - Kardia reported HR 115 Tachycardia - see below. ref SDS 0 JH4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094545 -  ..
094546 - Kardia recorded HR 53 at 1000 Normal Sinus Rhythm, seems mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094547 - uniform heart beat lengths with p-wave and minor artifact; no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094548 - after hiking 00 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094549 - Tramadol nor Gabapentin, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094550 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094551 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094552 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094555 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094556 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240330-ecg-100019_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094562 -  ..
094563 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094564 - hike 18 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094565 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094567 -  ..
094568 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094570 -       Date       240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 240110 240109 2  
094571 -       Miles         18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25      0      0     
094572 -       HR AVG       115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     no     no     
094573 -         MAX        140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  report  eport    
094574 -         Min         65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53                   
094575 -       El Climb Ft  615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495                   
094576 -       Temp Max      62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57                   
094577 -       Wind Max      12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07                   
094578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094580 -              https://flow.polar.com/training/analysis/7848718880                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094582 -               ..
094584 -   
094585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094589 -  ..
094590 - EKG at mile 08 time 1424 HR 107 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094591 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094592 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094595 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094596 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240330-ecg-142420_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094600 -  ..
094601 - EKG at mile 08 time 1424 HR 107 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094602 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094603 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094606 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094607 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240330-ecg-142420_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094611 -  ..
094612 - End hike EKG at mile 18 time 1732 HR 115 temp 61 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094613 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094614 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094617 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094618 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240330-ecg-173204_mile_18_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094623 -  ..
094624 - Post hike HR profile beginning 2047 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094625 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094626 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094627 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094628 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094631 -        ..
094632 -       Date      240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119  240118    
094633 -       Time       2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021    2225     
094634 -       Hours        10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7      10     
094635 -       HR AVG       70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66      64     
094636 -       HR MAX      164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     105     
094637 -       HR Min       47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45      43     
094638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094640 -              https://flow.polar.com/training/analysis/7850298254                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094643 -               ..
094645 -   
094646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094649 -  ..
094650 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094651 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094652 - Dinner - hamburber rice onion broccoli cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094654 -  ..
094655 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094683 -         ..
094684 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094685 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094686 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094687 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094688 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094689 -   91.  240331 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094690 -               0650....BP HR..................................................... 138  84  50  Kardia ECG reports HR status, see below. ref SDS 0 T5U2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094691 -               0655....BP HR..................................................... 146  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094692 -               0700....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094693 -               0700....80 390140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094694 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094695 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094696 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094697 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094698 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094699 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094700 -               1700... 40 108420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
094701 -             1 0000............ 10 19550  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094702 -             1 0000............ 10 19890  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094703 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094704 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094705 -               2130... 40 84620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094706 -               2200... 1000 2084000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094707 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094708 -               2230... 80 390220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094709 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094710 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094711 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094714 -  ..
094715 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094716 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094718 -  ..
094719 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094720 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094726 -  ..
094727 - Kardia recorded HR 49 at 9855 Bradycardia, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094728 - lengths with p-wave and no artifact; no AFL after hiking 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094729 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094730 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094731 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094732 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094733 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094736 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094737 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240331-ecg-095545_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094742 -  ..
094743 - Post hike HR profile beginning 2017 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094744 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094745 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094746 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094747 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094750 -        ..
094751 -       Date      240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120  240119    
094752 -       Time       2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947    0021     
094753 -       Hours        13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13       7     
094754 -       HR AVG       64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62      66     
094755 -       HR MAX      113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     105     
094756 -       HR Min       38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42      45     
094757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094759 -              https://flow.polar.com/training/analysis/7850890921                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094762 -               ..
094764 -   
094765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094768 -  ..
094769 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094770 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094771 - Dinner - eggs hamburber rice onion broccoli cauliflower cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094773 -  ..
094774 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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094788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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094792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094804 -         ..
094805 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094806 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094807 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094808 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094809 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094810 -   92.  240401 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094811 -               0720....BP HR..................................................... 149  88  60  Kardia ECG reports HR status, see below. ref SDS 0 T5U2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094812 -               0725....BP HR..................................................... 146  87  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094813 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094814 -               0730....80 390300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094815 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094816 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094817 -               1020....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094818 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094819 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
094820 -  ..
094821 -         * cr  1043....miles...........  31.0  31.0  539   539 minutes  temp  73 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094822 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094823 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094824 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
094825 -               1324....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094826 -               1324....Tramadol 50 mg took 2 pills - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094827 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094828 -               1324... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094829 -               1434....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094830 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094831 -               1645....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094832 -               1645... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094833 -               1645....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094834 -               1904....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094835 -               1904....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094836 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094837 -               1904... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094838 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094839 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094840 -               2034... Hike ends mile 31... ref SDS 0 TKFH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094841 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094842 -               2040....weight.................................... 167  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094843 -               2050....BP HR....................AF............................... 107  72  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094844 -               2055....BP HR....................AF............................... 110  93  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094845 -               2205....BP HR....................AF............................... 116  75  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094846 -               2207....BP HR....................AF............................... 109  78  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094847 -               2325....BP HR....................AF............................... 117  79  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094848 -               2350....BP HR....................AF............................... 109  78  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094849 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094850 -               2030... 40 108460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
094851 -               2055............ 10 19560  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094852 -               2055............ 10 19900  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094853 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094854 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094855 -               2130... 40 84660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094856 -               2200... 1000 2085000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094857 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094858 -               2230... 80 390380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094859 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094860 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094861 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094864 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094865 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094866 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094867 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094868 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094869 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094870 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094871 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094874 -  ..
094875 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094876 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094878 -  ..
094879 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094880 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094883 -  ..
094884 - Today, hiked 31 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094885 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094886 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094887 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094888 - Hiked around main buildings.  Used training station equipment doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094889 - pullups and pushups.  Stopped mile 9 for hydration, nutrition, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094890 - Tramadols for pain.  Hiked West on Ygnacio Valley Road .5 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094891 - South on Crystal Ranch Road uphill 2.5 miles.  At mile 12, hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094892 - 1 mile adding major hill.  Turned East uphill .5 mile on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094893 - Way, past summit downhill 1 mile and turned North 1 mile on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094894 - Hollow.  Then West uphill on Campus Drive again.  Mile 18, stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094895 - hydration and nutrition.  Continued 4 miles up and down hill through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094896 - loops in parking lots, then 4 miles over summit on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094897 - Road.  Hiked 2 miles loops around Safeway shopping complex at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094898 - Grove.  Stopped mile 26 at Mod Pizza bought softdrink with carbonation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094899 - for hydration and swallow another Tramadol, nutrition. chia seeds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094900 - CoQ10.  Hiked another mile loop around complex.  Turned North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094901 - Grove for 1 mile, then hiked 2 miles East on Treat.  After hiking .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094902 - miles uphill 5% grade seemed to flip into flutter, but this ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094903 - after 10 minutes and before ending hike.  EKG at end of hike reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094904 - elevated HR 160+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094909 -         ..
094910 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094911 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094912 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
094913 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094914 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094915 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094916 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094917 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094918 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094919 -        Neck turning head/chest left or right........   2          5  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
094920 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094921 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094922 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
094923 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094924 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094925 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
094926 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094927 -        Shin splint pain both legs...................   3         30  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094928 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094929 -        Knee left meniscus...PRP 231121..............   2         10  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
094930 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094931 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094932 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094933 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094934 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094935 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094936 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094937 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094938 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094939 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094940 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094941 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094942 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094943 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094944 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
094945 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
094946 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094947 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094948 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094949 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
094950 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
094951 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
094952 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094953 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
094954 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
094955 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094956 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094957 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094958 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094959 -        Callus little toe right foot..top of toe.....   3         20  recurring not sure why on 240330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094960 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
094961 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
094962 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094963 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
094964 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094965 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094966 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094967 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
094968 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094969 -        Burning sensation both feet..................   2         20  seemed to fade away hiking Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094970 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094971 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094972 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094973 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094974 -        Veering left.................................   2         20  veering after 2 Tramadol at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094975 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094976 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094977 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094978 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094979 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094980 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094982 -  ..
094983 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094985 -  ..
094986 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094988 -  ..
094989 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094991 -  ..
094992 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094993 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094995 -  ..
094996 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094997 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094998 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094999 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095000 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095004 -  ..
095005 - Concord 31 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095006 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095007 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095008 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095009 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095010 - avocado for HDL, per above. above. ref SDS 0 165H  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095011 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095012 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095013 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095014 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095015 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095016 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095017 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095018 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095019 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095020 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095021 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095022 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095023 - entire hike without dyspnea.  Temp started at 64, and reached 73.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095024 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095025 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095026 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095027 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095028 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095029 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095030 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095031 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095032 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095033 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095034 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095035 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095036 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095037 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095038 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095039 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095040 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095041 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095042 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095043 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095044 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095045 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095046 - half-pushups and 00 situps using training equipment.  Hiked 2.0-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095047 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095048 - stopped at Administration Building mile 09 time 1324 temp 71 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095049 - 08 mph; EKG uniform with minor artifact, Kardia reported HR 117 (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095050 - may reflect higher tempature... ) Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095051 - TNV5  Both feet PL 2, right foot #5 PL 3, right foot Tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095052 - PL 0, left knee meniscus PL 1, left knee patella PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095053 - PL 2, left elbow PL 2 intermitant.  Took Tramadol and Gabapentin for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095054 - pain maagement.  Took 2 Tramadol and no Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095055 - management.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095056 - complete hike.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095057 - swallowing meds and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095058 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095059 - and avocado for HDL, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095060 - ref SDS 0 TRYX  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095061 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095062 - miles.  At mile 10, turned left onto Crystal Ranch Road.  Hiked South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095063 - 1 mile uphill 5% grade with 08 mph wind.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095064 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095065 - grade .5 miles.  Continued downhill .25 miles 5% grade.  At Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095066 - Woods Way continued uphill on Crystal Ranch Road .5 miles 6% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095067 - against wind 10 mph.  Road ends at top of hill.  Did not hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095068 - down hill about .25 mile and then back to top.  Stopped mile 12 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095069 - 1434, temp 72, wind 05 mph; EKG uniform with significant artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095070 - Kardia reported HR 134 (HR - no wait to get cellphone connection...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095071 - unusually high for level of effort at this station) Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095072 - below. ref SDS 0 JE8Z  Feet PL 1, right foot #5 PL 2, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095073 - tailor's bunion PL 1, calves PL 0 left knee PL 1, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095074 - left elbow PL 3, nothing to eat or drink (NPO), per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095075 - TRYX  Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095076 - bottom of hill, continued past Rolling Woods Way uphill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095077 - Ranch Road .5 mile 5% grade.  Turned around hiked back, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095078 - left onto Rolling Woods Way hiking East .5 miles uphill 6% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095079 - 8 mph wind.  At summit continued downhill .66 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095080 - Pine Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095081 - West 1 mile uphill 3% - 4% grade against wind 05 mph.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095082 - reached Visitor Parking again at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095083 - Concord Campus.  Hiked 2 loops through parking lots.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095084 - Parking stopped 2nd pass at Administration Building mile 19, time 1645                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095085 - temp 73 and wind 02 mph; EKG mostly uniform with no artifact (...looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095086 - similar to AFL, which has always occurred HR 150 +/-...).  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095087 - reported HR 129 (...unusually high for level of effort...) Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095088 - - see below. ref SDS 0 JH3M  Both feet PL 3, shin splints PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095089 - knee PL 1, left shoulder PL 1, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095090 - imtermittantly, left elbow PL 3 intermittantly.  Did not take another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095091 - Tramadol nor Gabapentin.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095092 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095093 - seeds for energy, and avocado for HDL, took Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095094 - took more CoQ10, per above. ref SDS 0 TRYX  Did another loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095095 - parking lots.  At mile 20, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095096 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095097 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095098 - grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095099 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095100 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095101 - concrete barriar mile 22, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095102 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095103 - traffic light.  Hiked 2 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095104 - complex.  Stopped at Mod Pizza mile 26, time 1904, temp 70 and wind 04                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095105 - mph; EKG uniform with no artifact, Kardia reported HR 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095106 - (...unusually high for level of effort...) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095107 - ref SDS 0 AU52  Both feet PL 3, right foot both Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095108 - right foot #5 PL 3, right leg shin splint PL 0 left knee PL 2, ACL PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095109 - 0, left shoulder PL 2, neck to right shoulder PL 0 imtermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095110 - left elbow PL 3 intermittantly.  Took 3rd Tramadol and no Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095111 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095112 - softdrink bought from Mod Pizza, because finished drink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095113 - home, for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095114 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095115 - ref SDS 0 TRYX  Dusk fortunately not noticably wobbly, loopy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095116 - staggering.  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095117 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095118 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095119 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095120 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At
095121 -  ..
095122 - San Miguel continued .75 miles on Treat uphill 5% grade temp 60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095123 - Handled this well.  At summit, mile 29, noticed Polar GPS/HR monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095124 - showed HR 163 and steady, indicating AFL. hiked another mile to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095125 - Polar monitor showed HR 130, indicating reverted to sinus.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095126 - .25 mile to Cowell and back to Cuneo and home.  Ended hike mile 31                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095127 - time 2034 temp 63, wind 06, feet PL 2, right foot #5 PL 3, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095128 - splints PL 0, left knee PL 2 (swollen), right knee PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095129 - PL 2, neck and right shoulder PL 0 intermittantly, lower back left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095130 - side PL 2, left elbow PL 3, when lifting.  EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095131 - artifact, Kardia reported HR 167 Possible Atrial Fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095132 - indicating AFL - see below. ref SDS 0 TKFH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095139 -  ..
095140 - Kardia recorded HR 56 at 1010 Possible Atrial Fibrillation, seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095141 - variable heart beat lengths with p-wave and some artifact; no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095142 - after hiking 00 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095143 - Tramadol nor Gabapentin, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095144 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095145 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095146 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095149 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095150 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-101042_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095156 -  ..
095157 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095158 - hike 31 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095159 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095161 -  ..
095162 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095164 -       Date       240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 240111 2  
095165 -       Miles         31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     25     
095166 -       HR AVG       124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no    119     
095167 -         MAX        170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report   141  r  
095168 -         Min         58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        53     
095169 -       El Climb Ft  715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                       495     
095170 -       Temp Max      73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        57     
095171 -       Wind Max      10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        07     
095172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095174 -              https://flow.polar.com/training/analysis/7851189776                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095176 -               ..
095178 -   
095179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095183 -  ..
095184 - EKG at mile 09 time 1324 HR 117 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095185 - Tachycardia... looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095186 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095189 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095190 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-132432_mile_09_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095194 -  ..
095195 - EKG at mile 12 time 1434 HR 134 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095196 - Unclassified... looks uniform with severe artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095197 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095200 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095201 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-143408_mile_12_134_ucl_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095205 -  ..
095206 - EKG at mile 19 time 1645 HR 129 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095207 - Tachycardia... looks uniform with no artifact (...similar to AFL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095208 - which usually occurs at HR 150 +/-...) - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095209 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095212 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095213 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-164542_mile_19_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095217 -  ..
095218 - EKG at mile 26 time 1904 HR 121 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095219 - Tachycardia... looks uniform with no artifact (...similar to AFL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095220 - which usually occurs at HR 150 +/-...) - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095221 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095224 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095225 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-190404_mile_26_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095229 -  ..
095230 - End hike EKG at mile 31 time 2034 HR 167 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095231 - Possible Atrial Fibrillation... looks uniform with no artifact (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095232 - common to AFL...) - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095233 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095236 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095237 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-203406_mile_31_167_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095240 -  ..
095241 - Post hike EKG still elevated conflicts with cuff BP and HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095243 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-220031_mile_31_145_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095245 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-220031_mile_31_145_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095247 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-223947_mile_31_135_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095249 -               ..
095250 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240401-ecg-230912_mile_31_137_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095253 -  ..
095254 - Post hike HR profile beginning 2256 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095255 - overnight after hiking 31 miles and extended period varied elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095256 - > 120, indicates AF, and then extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095257 - 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095258 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095261 -        ..
095262 -       Date      240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121  240120    
095263 -       Time       2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108    1947     
095264 -       Hours        11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11      13     
095265 -       HR AVG      103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66      62     
095266 -       HR MAX      144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     106     
095267 -       HR Min       36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39      42     
095268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095270 -              https://flow.polar.com/training/analysis/7851684879                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095273 -               ..
095275 -   
095276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095279 -  ..
095280 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095281 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095282 - Dinner - eggs hamburber rice onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095284 -  ..
095285 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095313 -         ..
095314 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095315 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095316 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095317 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095318 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095319 -   93.  240402 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095320 -               0715....BP HR................AFL.................................. 117 104 129  Kardia ECG reports HR status, see below. ref SDS 0 TWSX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095321 -               0720....BP HR................AFL.................................. 111  90 131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095322 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095323 -               0725....80 390460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095324 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095325 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095326 -               1130....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095327 -               1130....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095328 -               1130... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
095329 -  ..
095330 -               1214....miles...........  11.0  42.0  184   723 minutes  temp  73 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095331 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095332 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095333 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
095334 -               0000....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095335 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095336 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095337 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095338 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095339 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095340 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095341 -               0000....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095342 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095343 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095344 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095345 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095346 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095347 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095348 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095349 -               1545... Hike ends mile 11... ref SDS 0 TWYU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095350 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095351 -               1540....weight.................................... 169  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095352 -               1550....BP HR...................AFL...............................  89  61 141                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095353 -               1555....BP HR...................AFL...............................  98  67 139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095354 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095355 -               1700... 40 108500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
095356 -             1 2055............ 10 19560  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095357 -             1 2055............ 10 19900  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
095358 -               1830... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095359 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095360 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095361 -               2130... 40 84700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095362 -               2200... 1000 2086000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095363 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095364 -               2230... 80 390540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095365 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095366 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095367 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095370 -  ..
095371 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095372 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095374 -  ..
095375 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095376 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095379 -  ..
095380 - Today, hiked 11 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095381 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095382 - Ygnacio Valley Road.  Felt heart pressure and clammy nearing YV, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095383 - after turning corner for about 10 minutes; then it subsided.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095384 - Pine Hollow 0.25 mile East.  Turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095385 - West 1 mile on Campus Drive to college.  Hiked around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095386 - Used training station equipment doing pullups and pushups.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095387 - stop today at college for EKG and nutrition.  Hiked West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095388 - Valley Road 2 miles.  Turned onto Cowell and hiked North 1 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095389 - West on Treat and ended at home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095394 -         ..
095395 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095396 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095397 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
095398 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095399 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095400 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095401 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095402 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095403 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095404 -        Neck turning head/chest left or right........   0        100  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
095405 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095406 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095407 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
095408 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095409 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095410 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
095411 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095412 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095413 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095414 -        Knee left meniscus...PRP 231121..............   1         20  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
095415 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095416 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095417 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095418 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095419 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095420 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095421 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095422 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095423 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095424 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095425 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095426 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095427 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095428 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095429 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
095430 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
095431 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095432 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095433 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095434 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
095435 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
095436 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
095437 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095438 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
095439 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
095440 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095441 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095442 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095443 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095444 -        Callus little toe right foot..top of toe.....   0        100  use pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                                                                                           
095445 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
095446 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
095447 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095448 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
095449 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095450 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095451 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095452 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
095453 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095454 -        Burning sensation both feet..................   2         60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095455 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095456 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095457 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095458 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095459 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095460 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095461 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095462 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095463 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095464 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095465 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095467 -  ..
095468 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095470 -  ..
095471 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095473 -  ..
095474 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095476 -  ..
095477 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095478 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095480 -  ..
095481 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095482 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095483 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095484 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095485 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095489 -  ..
095490 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095491 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095492 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095493 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095494 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095495 - avocado for HDL, per above. above. ref SDS 0 6R4M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095496 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095497 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095498 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095499 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095500 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095501 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095502 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095503 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095504 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095505 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095506 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095507 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095508 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095509 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095510 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095511 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095512 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095513 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095514 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095515 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095516 - pavement in parking lots of shopping complex.  Feeling odd, maybe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095517 - clammy; stopped in Lucky parking lot at mile 03 time 1330 temp 65 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095518 - wind 18 mph, because Polar GPS/HR monitor showed HR 112, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095519 - have flipped into sinus.  Kardia EKG reported HR 157, uniform Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095520 - Atrial Fibrillation - see below. ref SDS 0 U4KW  Continued hiking -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095521 - crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095522 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095523 - Valley Road using concrete sidewalk .5 miles.  Possible chest pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095524 - PL 1; this increased to PL 2 and maybe 3 over .25 miles.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095525 - and pressure declined.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095526 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095527 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095528 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095529 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095530 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095531 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095532 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095533 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095534 - Concord Campus.  Hiked twice around main campus buildings.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095535 - stop at training station to do 20 half-pullups, 20 half-pushups and 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095536 - situps using training equipment.  Back at Visitor Parking did not stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095537 - at Administration Building mile 08 time ____ for EKG.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095538 - hiking North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095539 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 09,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095540 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095541 - wind 06 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095542 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095543 - Continued downhill on Cowell heading North 5% grade for 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095544 - Turned left onto Treat heading West, then took Cuneo home. hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095545 - another mile to Cuneo.  Continued .25 mile to Cowell and back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095546 - and home.  Ended hike mile 11 time 1545 temp 75, wind 04, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095547 - shin splints PL 0, left knee PL 2 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095548 - shoulder PL 2, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095549 - left side PL 0, left elbow PL 1, when lifting.  EKG looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095550 - with some artifact, Kardia reported HR 144 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095551 - Fibrillation - see below. ref SDS 0 TW8U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095559 -  ..
095560 - Kardia recorded HR 126 at 0931 Unclassified, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095561 - lengths with p-wave and no artifact; "Unclassified" and uniformly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095562 - elevated indicates AFL after hiking 31 miles yesterday, ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095563 - Apixaban on 240110, and taking Tramadol withou Gabapentin, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095564 - 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095565 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095566 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095569 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095570 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240402-ecg-093148_mile_00_126_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095573 -  ..
095574 - Kardia recorded HR 129 at 1054 Unclassified, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095575 - typical AFL...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095578 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240402-ecg-105422_mile_00_129_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095583 -  ..
095584 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095585 - hike 11 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095586 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095588 -  ..
095589 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095591 -       Date       240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 240112 2  
095592 -       Miles         11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0      0     
095593 -       HR AVG       130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     no     
095594 -         MAX        155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport report    
095595 -         Min         39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                        
095596 -       El Climb Ft  495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                        
095597 -       Temp Max      75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                        
095598 -       Wind Max      10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                        
095599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095601 -              https://flow.polar.com/training/analysis/7851895963                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095603 -               ..
095605 -   
095606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095613 -  ..
095614 - EKG at mile 03 time 1330 HR 157 temp 65, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095615 - Atrial Fibrillation... looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095616 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095619 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095620 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240402-ecg-133058_mile_03_157_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095623 -  ..
095624 - End hike EKG at mile 11 time 1545 HR 144 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095625 - Possible Atrial Fibrillation... looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095626 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095629 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095630 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240402-ecg-154511_mile_11_144_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095635 -  ..
095636 - Post hike HR profile beginning 1637 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095637 - overnight after hiking 11 miles and extended period steady elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095638 - > 130, indicates AFL, then about 2030, about 2 hours after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095639 - Metoprolol at 1830, extended period HR < 130, indicates sinus heart
095640 - rhythm, and after 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095641 - See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095644 -        ..
095645 -       Date      240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122  240121    
095646 -       Time       1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045    2108     
095647 -       Hours        16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10      11     
095648 -       HR AVG       82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64      66     
095649 -       HR MAX      152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     106     
095650 -       HR Min       41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44      39     
095651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095653 -              https://flow.polar.com/training/analysis/7852309558                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095656 -               ..
095658 -   
095659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095662 -  ..
095663 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095664 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095665 - Dinner - eggs hamburber rice onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095667 -  ..
095668 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095696 -         ..
095697 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095698 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095699 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095700 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095701 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095702 -   94.  240403 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095703 -               0705....BP HR..................................................... 142  82  48  Kardia ECG reports HR status, see below. ref SDS 0 U3YQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095704 -               0710....BP HR..................................................... 142  86  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095705 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095706 -               0715....80 390620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095707 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095708 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095709 -               1130....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095710 -               1130....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095711 -               1130... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
095712 -  ..
095713 -               1234....miles...........  11.0  53.0  179   902 minutes  temp  66 wind 18  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095714 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095715 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095716 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
095717 -               1435....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095718 -               1435....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095719 -               1435... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095720 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095721 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095722 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095723 -               0000....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095724 -               0000....Tramadol 50 mg took 1 pill - resumed pain management on 220413, after pausing on 220404 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095725 -               0000... Gabapentin 300MG  1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095726 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095727 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095728 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095729 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095730 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095731 -               1550... Hike ends mile 11... ref SDS 0 U62Y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095732 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095733 -               1610....weight.................................... 169  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095734 -               1615....BP HR..................................................... 110  72  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095735 -               1620....BP HR..................................................... 112  74  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095736 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095737 -               1700... 40 108540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
095738 -               1800............ 10 19570  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095739 -               1800............ 10 19910  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
095740 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095741 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095742 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095743 -               2130... 40 84740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095744 -               2200... 1000 2087000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095745 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095746 -               2230... 80 390700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095747 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095748 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095749 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095752 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095753 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095754 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095755 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095756 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095757 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095758 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095759 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095762 -  ..
095763 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095764 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095766 -  ..
095767 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095768 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095771 -  ..
095772 - Today, hiked 31 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095773 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095774 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095775 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095776 - Hiked around main buildings.  Used training station equipment doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095777 - pullups and pushups.  Stopped mile 9 for hydration, nutrition, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095778 - Tramadols for pain.  Hiked West on Ygnacio Valley Road .5 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095779 - South on Crystal Ranch Road uphill 2.5 miles.  At mile 12, hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095780 - 1 mile adding major hill.  Turned East uphill .5 mile on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095781 - Way, past summit downhill 1 mile and turned North 1 mile on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095782 - Hollow.  Then West uphill on Campus Drive again.  Mile 18, stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095783 - hydration and nutrition.  Continued 4 miles up and down hill through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095784 - loops in parking lots, then 4 miles over summit on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095785 - Road.  Hiked 2 miles loops around Safeway shopping complex at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095786 - Grove.  Stopped mile 26 at Mod Pizza bought softdrink with carbonation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095787 - for hydration and swallow another Tramadol, nutrition. chia seeds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095788 - CoQ10.  Hiked another mile loop around complex.  Turned North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095789 - Grove for 1 mile, then hiked 2 miles East on Treat.  After hiking .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095790 - miles uphill 5% grade seemed to flip into flutter, but this ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095791 - after 10 minutes and before ending hike.  EKG at end of hike reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095792 - elevated HR 160+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095797 -         ..
095798 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095799 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095800 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating today                                                                                                                                                                                                                                                                                                                                                                                                                                      
095801 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095802 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095803 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095804 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095805 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095806 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095807 -        Neck turning head/chest left or right........   0        100  few episodes mile 12+ on Rolling Woods Way - took 2 Tramadol and no Gababentin mile 8 - has little affect on this injury                                                                                                                                                                                                                                                                                                                                                                                                                     
095808 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095809 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095810 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                    
095811 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095812 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095813 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
095814 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095815 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095816 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095817 -        Knee left meniscus...PRP 231121..............   1         20  knee not hurting beginning of hike, increased later took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                             
095818 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095819 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095820 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095821 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095822 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095823 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095824 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095825 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095826 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095827 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095828 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095829 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095830 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095831 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095832 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
095833 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                 
095834 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095835 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095836 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095837 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
095838 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
095839 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
095840 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095841 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
095842 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
095843 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095844 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095845 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095846 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095847 -        Callus little toe right foot..top of toe.....   0        100  use pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                                                                                           
095848 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
095849 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
095850 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095851 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
095852 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095853 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095854 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer seems to be working well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095855 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
095856 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095857 -        Burning sensation both feet..................   2         60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095858 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095859 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095860 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095861 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095862 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095863 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095864 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095865 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095866 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095867 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095868 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095870 -  ..
095871 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095873 -  ..
095874 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095876 -  ..
095877 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095879 -  ..
095880 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095881 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095883 -  ..
095884 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095885 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095886 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095887 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095888 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095892 -  ..
095893 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095894 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095895 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095896 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095897 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095898 - avocado for HDL, per above. above. ref SDS 0 AR9O  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095899 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095900 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095901 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095902 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095903 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095904 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095905 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095906 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095907 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095908 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095909 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095910 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095911 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095912 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095913 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095914 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095915 - traffic.  Did not hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095916 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095917 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095918 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095919 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095920 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095921 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095922 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095923 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095924 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095925 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095926 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095927 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095928 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095929 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095930 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095931 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095932 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095933 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095934 - half-pushups and 00 situps using training equipment.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095935 - Parking stopped at Administration Building mile 07 time 1435 temp 65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095936 - and wind 16 mph; EKG uniform with no artifact, Kardia reported HR 099                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095937 - (... unusualy for level of effort... ) Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095938 - below. ref SDS 0 URSV  Both feet PL 1, right foot Tailor's bunions PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095939 - 0, left knee meniscus PL 1, left knee patella PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095940 - 2, left elbow PL 2 intermitant.  Took Naproxen (switched from Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095941 - and Gabapentin) for pain maagement.  Took Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095942 - HDL and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095943 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095944 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095945 - energy, and avocado for HDL, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095946 - above. ref SDS 0 TXXU  Exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095947 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095948 - grade .5 miles.  Continued past Crystal Ranch Road uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095949 - miles against wind 04 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095950 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095951 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095952 - barriar mile 09, turned around hiked back .25 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095953 - Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095954 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095955 - afternoon commute traffic.  Turned left onto Treat heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095956 - miles back to Cuneo and home.  Ended hike mile 11 time 1550 temp 65,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095957 - wind 16, feet PL 3, shin splints PL 0, left knee PL 2 (swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095958 - knee PL 0, left shoulder PL 2, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095959 - intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095960 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095961 - Tachycardia - see below. ref SDS 0 U62Y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095969 -  ..
095970 - Kardia recorded HR 47 at 1010 Bradycardia, seems uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095971 - lengths with p-wave and no artifact; no AFL after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095972 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095973 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095974 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095975 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095976 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095979 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095980 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240403-ecg-101048_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095986 -  ..
095987 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095988 - hike 11 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095989 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095991 -  ..
095992 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095994 -       Date       240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 240116 240115 240114 240113 2  
095995 -       Miles         11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25      0      0      0      0     
095996 -       HR AVG       104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     no     no     no     no     
095997 -         MAX        124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  report  eport report  eport r  
095998 -         Min         68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49                                 
095999 -       El Climb Ft  495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495                                 
096000 -       Temp Max      66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61                                 
096001 -       Wind Max      18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06                                 
096002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096004 -              https://flow.polar.com/training/analysis/7852587551                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096007 -               ..
096009 -   
096010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096015 -  ..
096016 - EKG at mile 07 time 1435 HR 099 temp 65, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096017 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096018 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096021 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096022 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240403-ecg-143518_mile_07_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096028 -  ..
096029 - End hike EKG at mile 11 time 1550 HR 101 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096030 - Tachycardia...looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096031 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096034 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096035 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240403-ecg-155036_mile_11_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096040 -  ..
096041 - Post hike HR profile beginning 2000 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096042 - overnight after hiking 11 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096043 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096044 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096045 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096047 -  ..
096048 - Note:  Forgot to post Polar report for 6 hours after removing watch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096049 - from wrist, so long period of no HR shown in this profile...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096051 -        ..
096052 -       Date      240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123  240122    
096053 -       Time       2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235    2045     
096054 -       Hours        19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11      10     
096055 -       HR AVG       67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58      64     
096056 -       HR MAX      113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     112     
096057 -       HR Min       45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39      44     
096058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096060 -              https://flow.polar.com/training/analysis/7853504616                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096063 -               ..
096065 -   
096066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096071 -  ..
096072 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096073 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096074 - Dinner - eggs hamburber rice onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096076 -  ..
096077 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096105 -         ..
096106 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096107 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096108 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096109 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096110 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096111 -   95.  240404 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096112 -               0710....BP HR..................................................... 170  84  52  Kardia ECG reports HR status, see below. ref SDS 0 U3YQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096113 -               0715....BP HR..................................................... 155  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096114 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096115 -               0720....80 390780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096116 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096117 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096118 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096119 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096120 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096121 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096122 -               1700... 40 108580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
096123 -             1 0000............ 10 19570  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096124 -             1 0000............ 10 19910  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096125 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096126 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096127 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096128 -               2130... 40 84780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096129 -               2200... 1000 2088000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096130 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096131 -               2230... 80 390860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096132 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096133 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096134 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096137 -  ..
096138 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096139 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096141 -  ..
096142 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096143 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096147 -  ..
096148 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096152 -  ..
096153 - Post hike HR profile beginning 2134 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096154 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096155 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096156 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096157 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096159 -        ..
096160 -       Date      240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124  240123    
096161 -       Time       2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950    2235     
096162 -       Hours         8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11      11     
096163 -       HR AVG       64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70      58     
096164 -       HR MAX      110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     114     
096165 -       HR Min       45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47      39     
096166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096168 -              https://flow.polar.com/training/analysis/7853504669                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096171 -               ..
096173 -   
096174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096179 -  ..
096180 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096181 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096182 - Dinner - eggs hamburber rice onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096184 -  ..
096185 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096215 -         ..
096216 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096217 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096218 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096219 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096220 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096221 -   96.  240405 0520............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096222 -               0520....BP HR..................................................... 143  77  52  Kardia ECG reports HR status, see below. ref SDS 0 R29S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096223 -               0525....BP HR..................................................... 155  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096224 -               0530....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096225 -               0530....80 390940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096226 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096227 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096228 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096229 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096230 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096231 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096232 -               1700... 40 108620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
096233 -               1830............ 10 19580  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096234 -               1830............ 10 19920  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096235 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096236 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096237 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096238 -               2130... 40 84820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096239 -               2200... 1000 2089000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096240 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096241 -               2230... 80 391020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096242 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096243 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096244 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096247 -  ..
096248 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096249 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096251 -  ..
096252 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096253 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096259 -  ..
096260 - Kardia recorded HR 56 at 0638 Unclassified, seems variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096261 - lengths with p-wave and artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096262 - yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096263 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096264 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096265 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096266 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096269 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096270 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240405-ecg-063850_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096275 -  ..
096276 - Post hike HR profile beginning 1914 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096277 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096278 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096279 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096280 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096282 -        ..
096283 -       Date      240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125  240124    
096284 -       Time       1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228    1950     
096285 -       Hours        13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10      11     
096286 -       HR AVG       63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63      70     
096287 -       HR MAX      105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     125     
096288 -       HR Min       36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41      47     
096289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096292 -              https://flow.polar.com/training/analysis/7854275937                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096295 -               ..
096297 -   
096298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096303 -  ..
096304 - Breakfast - Cream of Wheat with rasins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096305 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096306 - Dinner - hamburber rice onion broccoli cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096308 -  ..
096309 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096339 -         ..
096340 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096341 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096342 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096343 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096344 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096345 -   97.  240406 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096346 -               0710....BP HR..................................................... 134  88  55  Kardia ECG reports HR status, see below. ref SDS 0 D6DN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096347 -               0715....BP HR..................................................... 141  80  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096348 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096349 -               0720....80 391100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096350 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096351 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096352 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096353 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096354 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
096355 -  ..
096356 -         * cr  1124....miles...........  30.0  83.0  501  1403 minutes  temp  61 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096357 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096358 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096359 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
096360 -               1356....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096361 -               1356....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096362 -               1356... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096363 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096364 -               1511....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096365 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096366 -               1746....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096367 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096368 -               1917....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096369 -               1916... Bloating possible reaction NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096370 -               1916... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096371 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096372 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096373 -               2031... Hike ends mile 30... ref SDS 0 96Z2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096374 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096375 -               2045....weight.................................... 170  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096376 -               2050....BP HR..................................................... 116  74  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096377 -               2110....BP HR..................................................... 121  76  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096378 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096379 -               1700... 40 108660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
096380 -             1 0000............ 10 19580  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096381 -             1 0000............ 10 19920  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096382 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096383 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096384 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096385 -               2130... 40 84860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096386 -               2200... 1000 2090000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096387 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096388 -               2230... 80 391180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096389 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096390 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096391 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096394 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096395 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096396 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096397 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096398 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096399 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096400 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096401 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096404 -  ..
096405 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096406 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096408 -  ..
096409 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096410 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096413 -  ..
096414 - Today, hiked 30 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096415 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096416 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.5 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096417 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096418 - Hiked around main buildings.  Used training station equipment doing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096419 - sets pullups and pushups.  Stopped mile 9 for hydration, nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096420 - and 1 Naproxen for pain and inflammation control.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096421 - Ygnacio Valley Road .5 mile, then South on Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096422 - 2.5 miles.  At mile 12, hiked back 1 mile adding major hill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096423 - East uphill .5 mile on Rolling Woods Way, past summit downhill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096424 - and turned North 1 mile on Pine Hollow.  Then West uphill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096425 - Drive again.  At college mile 17, continued 4 miles up and down hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096426 - through loops in parking lots, then 4 miles over summit on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096427 - Valley Road.  Coming downhill noticed bloating.  Hiked 1 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096428 - around Safeway shopping complex at Oak Grove.  Stopped mile 26, near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096429 - Mod Pizza bought softdrink with carbonation for hydration and swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096430 - nutrition, chia seeds and CoQ10.  Hiked another mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096431 - complex.  Turned North on Oak Grove for 1 mile, then hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096432 - East on Treat.  Took Simethicone for stomach pain about mile 28.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096433 - After hiking .75 miles uphill 5% grade did not flip into flutter, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096434 - occurred last Monday, hiking same route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096438 -         ..
096439 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096440 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096441 -        Stomach pain ischemic colitis bloating.......   3         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - began about mile 23 going downhill on YV; took Simethicone about mile 27                                                                                                                                                                                                                                                                                                                                                                               
096442 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096443 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096444 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096445 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096446 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096447 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096448 -        Neck turning head/chest left or right........   6          5  few episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096449 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096450 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096451 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                               
096452 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096453 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096454 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
096455 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096456 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096457 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096458 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096459 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096460 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096461 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096462 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096463 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096464 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096465 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096466 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096467 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096468 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096469 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096470 -        Tailor's Bunion right foot..PRP 21 705.......   2         10  Doctor Tang shaved calluses 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096471 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096472 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096473 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                    
096474 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 9                                                                                                                                                                                                                                                                                                                                                                                                                    
096475 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096476 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096477 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096478 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
096479 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
096480 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
096481 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096482 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
096483 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
096484 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096485 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096486 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096487 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096488 -        Callus little toe right foot..top of toe.....   0        100  use pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                                                                                           
096489 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
096490 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
096491 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096492 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
096493 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096494 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096495 -        Blister top foot at toe line right foot......   3          5  Pediplasti interdigital spacer was not used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096496 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
096497 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096498 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096499 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096500 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096501 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096502 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096503 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096504 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096505 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096506 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096507 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096508 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096509 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096511 -  ..
096512 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096514 -  ..
096515 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096517 -  ..
096518 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096520 -  ..
096521 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096522 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096524 -  ..
096525 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096526 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096527 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096528 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096529 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096533 -  ..
096534 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096535 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096536 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096537 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096538 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096539 - avocado for HDL, per above. above. ref SDS 0 MR4J  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096540 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096541 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096542 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096543 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096544 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096545 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096546 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096547 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096548 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096549 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096550 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096551 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096552 - entire hike without dyspnea.  Temp started at 58, and reached 61.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096553 - West wind 14 mph and mostly 09 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096554 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096555 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096556 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096557 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096558 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096559 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096560 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096561 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096562 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096563 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096564 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096565 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096566 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096567 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096568 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096569 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096570 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096571 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096572 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096573 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096574 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096575 - half-pushups and 00 situps using training equipment.  Hiked 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096576 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096577 - stopped at Administration Building mile 09 time 1356 temp 60 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096578 - 09 mph; EKG uniform with significant artifact, Kardia reported HR 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096579 - Tachycardia - see below. ref SDS 0 V1TF  Both feet PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096580 - Tailor's bunions PL 0, left knee meniscus PL 1, left knee patella PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096581 - 0, left shoulder PL 2, left elbow PL 1 intermitant.  Took Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096582 - (switched from Tramadol and Gabapentin) for pain maagement.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096583 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096584 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096585 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096586 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096587 - not take Nuun electrolyte pill, per above. ref SDS 0 UXYP  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096588 - hiking another partial loop through parking lots.  At mile 12, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096589 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096590 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096591 - turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096592 - grade with 07 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096593 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096594 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096595 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096596 - 11 mph.  Road ends at top of hill.  Did not hiked back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096597 - .25 mile and then back to top.  Stopped mile 13 time 1511, temp 61,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096598 - wind 08 mph; EKG uniform with minor artifact, Kardia reported HR 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096599 - (HR - no wait to get cellphone connection... unusually high for level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096600 - of effort at this station) Tachycardia - see below. ref SDS 0 WF9C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096601 - Feet PL 2, left foot tailor's bunion PL 0, calves PL 0 left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096602 - left shoulder PL 1, left elbow PL 2, nothing to eat or drink (NPO),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096603 - per above. ref SDS 0 UXYP  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096604 - grade .5 miles.  At bottom of hill, turned right onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096605 - Way hiking East .5 miles uphill 6% grade with 6 mph wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096606 - continued downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096607 - mile and turned left onto Campus Drive.  Hiked West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096608 - 4% grade against wind 05 mph.  At mile 17, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096609 - again at California State University East Bay Concord Campus.  Hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096610 - loops through parking lots.  Did 2 sets half pullups and half pushups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096611 - at training station.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096612 - Administration Building mile 21, time 1746 temp 59 and wind 14 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096613 - EKG mostly uniform with minor artifact, Kardia reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096614 - Tachycardia - see below. ref SDS 0 HE7K  Both feet PL 1, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096615 - PL 0, left knee PL 1, left shoulder PL 2, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096616 - imtermittantly, left elbow PL 2 intermittantly.  Did not take another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096617 - Naproxen.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096618 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096619 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096620 - more CoQ10, per above. ref SDS 0 UXYP  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096621 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096622 - Hiked West on flat grade .5 miles.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096623 - uphill 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096624 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096625 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096626 - end of concrete barriar mile 23, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096627 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096628 - traffic light.  Hiked 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096629 - complex.  Stopped near Mod Pizza mile 26, time 1917, temp 55 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096630 - 09 mph; EKG uniform with severe artifact 2 beats.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096631 - 114 Tachycardia - see below. ref SDS 0 5A8L  Both feet PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096632 - foot both Tailor's bunions PL 0, right leg shin splint PL 0 left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096633 - PL 1, ACL PL 0, left shoulder PL 1, neck to right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096634 - imtermittantly, left elbow PL 2 intermittantly.  Stomach bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096635 - possibly NSAID colitis.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096636 - energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096637 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096638 - seeds for energy, and avocado for HDL, per above. ref SDS 0 UXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096639 - Getting dark, fortunately not noticably wobbly, loopy, staggering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096640 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096641 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096642 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096643 - mile North on asphalt shoulder.  Ran near sprint about 150 yards to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096644 - make stop light - first time running in 3+ years without severe feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096645 - pain.  Crossed Treat at street light.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096646 - concrete sidewalk.  At San Miguel continued .75 miles on Treat uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096647 - 5% grade temp 59.  Handled this well.  At summit, mile 29, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096648 - another mile to Cuneo.  Ended hike mile 30 time 2031 temp 51, wind 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096649 - feet PL 2, right foot #4 top PL 3 (blister, shin splints PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096650 - knee PL 2 (swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096651 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096652 - elbow PL 0, when lifting.  EKG looks uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096653 - reported HR 105 Tachycardia - see below. ref SDS 0 96Z2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096661 -  ..
096662 - Kardia recorded HR 75 at 0903, Normal Sinus Rhythm, seems mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096663 - uniform heart beat lengths with p-wave and no artifact; no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096664 - hiking 00 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096665 - Tramadol nor Gabapentin, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096666 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096667 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096668 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096671 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096672 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240406-ecg-090339_mile_00_075_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096678 -  ..
096679 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096680 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096681 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096683 -  ..
096684 - Polar failed about mile 28 so there is no GPS and HR data...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096686 -  ..
096687 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096689 -       Date       240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 240117 2  
096690 -       Miles         30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     25     
096691 -       HR AVG        no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104    126     
096692 -         MAX      report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150    144  r  
096693 -         Min                                     68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     49     
096694 -       El Climb Ft  715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495    495     
096695 -       Temp Max      61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     61     
096696 -       Wind Max      14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     06     
096697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096701 -  ..
096702 - EKG at mile 09 time 1356 HR 114 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096703 - Tachycardia... looks uniform with severe artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096704 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096707 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096708 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240406-ecg-135606_mile_09_114_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096712 -  ..
096713 - EKG at mile 13 time 1511 HR 124 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096714 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096715 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096718 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096719 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240406-ecg-151138_mile_13_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096723 -  ..
096724 - EKG at mile 21 time 1746 HR 116 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096725 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096726 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096729 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096730 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240406-ecg-174646_mile_21_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096734 -  ..
096735 - EKG at mile 26 time 1917 HR 114 temp 55, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096736 - Tachycardia... looks uniform with severe artifact 2 beats - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096737 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096740 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096741 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240406-ecg-191725_mile_26_114_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096744 -  ..
096745 - End hike EKG at mile 30 time 2031 HR 115 temp 51 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096746 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096747 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096749 -  ..
096750 - Last hike 30 miles flipped into AFL, 5 days ago, so big improvement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096752 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096753 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240406-ecg-203126_mile_30_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096758 -  ..
096759 - Post hike HR profile beginning 0113 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096760 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096761 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096762 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096763 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096765 -        ..
096766 -       Date      240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126  240125    
096767 -       Time       0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121    2228     
096768 -       Hours         7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11      10     
096769 -       HR AVG       66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56      63     
096770 -       HR MAX      114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     140     
096771 -       HR Min       45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40      41     
096772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096775 -              https://flow.polar.com/training/analysis/7855049894                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096778 -               ..
096780 -   
096781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096786 -  ..
096787 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096788 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096789 - Dinner - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096791 -  ..
096792 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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096800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096821 -         ..
096822 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096823 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096824 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096825 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096826 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096827 -   98.  240407 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096828 -               0710....BP HR..................................................... 145  86  54  Kardia ECG reports HR status, see below. ref SDS 0 V2RS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096829 -               0715....BP HR..................................................... 141  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096830 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096831 -               0720....80 391260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096832 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096833 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096834 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096835 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096836 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
096837 -  ..
096838 -         * cr  1104....miles...........  20.0 103.0  338  1741 minutes  temp  64 wind 11  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096839 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096840 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096841 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
096842 -               1307....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096843 -               1307....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096844 -               1307... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096845 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096846 -               1414....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096847 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096848 -               1558....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096849 -               1558... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096850 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096851 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096852 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096853 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096854 -               1709... Hike ends mile 20... ref SDS 0 V5SJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096855 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096856 -               1720....weight.................................... 170  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096857 -               1730....BP HR..................................................... 119  71  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096858 -               1735....BP HR..................................................... 108  63  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096859 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096860 -               1730... 40 108700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
096861 -               1830............ 10 19590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096862 -               1830............ 10 19930  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096863 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096864 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096865 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096866 -               2130... 40 84900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096867 -               2200... 1000 2091000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096868 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096869 -               2230... 80 391340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096870 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096871 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096872 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096875 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096876 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096877 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096878 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096879 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096880 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096881 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096882 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096885 -  ..
096886 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096887 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096889 -  ..
096890 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096891 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096894 -  ..
096895 - Today, hiked 20 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096896 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096897 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096898 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096899 - Hiked around main buildings.  Used training station equipment doing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096900 - sets pullups and pushups.  Stopped mile 7 for hydration, nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096901 - and 1 Naproxen for pain and inflammation control.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096902 - Ygnacio Valley Road .5 mile, then South on Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096903 - 2.5 miles.  Visited briefly with Napoma; she seems stronger.  A couple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096904 - working in their yard, asked about lab results on 240329, discussed 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096905 - days before on 240327. ref SDS 0 RUYU  At mile 11, hiked back 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096906 - adding major hill.  Turned East uphill .5 mile on Rolling Woods Way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096907 - past summit downhill 1 mile and turned North 1 mile on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096908 - Then West uphill on Campus Drive again.  At college mile 16, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096909 - 2 miles uphill to summit on Ygnacio Valley Road.  Turned around hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096910 - back to Cowell, then to Treat and home.  Did not need Simethicone for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096911 - stomach pain after taking Naproxen, as occurred yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096915 -         ..
096916 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096917 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096918 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - not noticable enough to take Simethicone again today                                                                                                                                                                                                                                                                                                                                                                                                   
096919 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096920 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096921 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096922 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096923 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096924 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096925 -        Neck turning head/chest left or right........   0        100  few episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096926 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096927 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096928 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                               
096929 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096930 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096931 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
096932 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096933 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096934 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096935 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096936 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096937 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096938 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096939 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096940 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096941 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096942 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096943 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096944 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096945 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096946 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096947 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen and no Gabapentin at mile 07, also shaved this before hike today                                                                                                                                                                                                                                                                                                                                                                                                                        
096948 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096949 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096950 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
096951 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
096952 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096953 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096954 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096955 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
096956 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
096957 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
096958 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096959 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
096960 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
096961 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096962 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096963 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096964 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096965 -        Callus little toe right foot..top of toe.....   0        100  use pediplast interdigital spacer Doctor Tang created on 230420 - there was no pain on this matter                                                                                                                                                                                                                                                                                                                                                                                                                                           
096966 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
096967 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
096968 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096969 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
096970 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096971 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096972 -        Blister top foot at toe line right foot......   1         80  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096973 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
096974 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096975 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096976 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096977 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096978 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096979 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096980 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096981 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096982 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096983 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096984 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096985 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096986 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096988 -  ..
096989 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096991 -  ..
096992 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096994 -  ..
096995 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096997 -  ..
096998 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096999 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097001 -  ..
097002 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097003 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097004 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097005 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097006 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097010 -  ..
097011 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097012 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097013 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097014 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097015 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097016 - avocado for HDL, per above. above. ref SDS 0 PF3F  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097017 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097018 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097019 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097020 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097021 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097022 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097023 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097024 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097025 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097026 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097027 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097028 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097029 - entire hike without dyspnea.  Temp started at 57, and reached 64.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097030 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097031 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097032 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097033 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097034 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097035 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097036 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097037 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097038 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097039 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097040 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097041 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097042 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097043 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097044 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097045 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097046 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097047 - West 1 mile uphill 3% - 4% grade against wind 11 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097048 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097049 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097050 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097051 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097052 - half-pushups and 00 situps using training equipment.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097053 - Parking stopped at Administration Building mile 07 time 1307 temp 61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097054 - and wind 07 mph; EKG mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097055 - HR 101 Tachycardia - see below. ref SDS 0 61W4  Both feet PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097056 - foot Tailor's bunions PL 0, left knee meniscus PL 2, left knee patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097057 - PL 0, left shoulder PL 2, left elbow PL 2 intermitant.  Took Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097058 - for pain maagement.  Sips softdrink carried from home for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097059 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097060 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097061 - HDL; did not take Nuun electrolyte pill, Took CoQ10 for HDL and to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097062 - finish hike, per above. ref SDS 0 8PQV  Did another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097063 - buildings.  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097064 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097065 - miles.  At mile 08, turned left onto Crystal Ranch Road.  Hiked South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097066 - 1 mile uphill 5% grade with 07 mph wind.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097067 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097068 - grade .5 miles.  Continued downhill .25 miles 5% grade.  At Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097069 - Woods Way continued uphill on Crystal Ranch Road .5 miles 6% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097070 - against wind 08 mph.  Road ends at top of hill.  Hiked back down hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097071 - about .25 mile and then back to top.  Stopped mile 11 time 1414, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097072 - 64, wind 11 mph; EKG mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097073 - HR 112 (HR - no wait to get cellphone connection... unusually low for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097074 - level of effort at this station) Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097075 - U2LZ  Feet PL 1, left foot tailor's bunion PL 0, calves PL 0 left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097076 - PL 2, left shoulder PL 0, left elbow PL 1, nothing to eat or drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097077 - (NPO), per above. ref SDS 0 8PQV  Continued downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097078 - Road 6% grade .5 miles.  At bottom of hill, continued uphill .5 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097079 - turned arund hiked back and turned left onto Rolling Woods Way hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097080 - East .5 miles uphill 6% grade with 8 mph wind.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097081 - downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097082 - turned left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097083 - against wind 05 mph.  Mile 15, reached Visitor Parking again at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097084 - California State University East Bay Concord Campus.  Hiked 2 loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097085 - around main buildings.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097086 - Administration Building mile 16, time 1558 temp 63 and wind 09 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097087 - EKG variable with no artifact, Kardia reported HR 108 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097088 - see below. ref SDS 0 HI3B  Both feet PL 2, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097089 - shin splints PL 0, left knee PL 1, left shoulder PL 1, neck to right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097090 - shoulder PL 0 imtermittantly, left elbow PL 0 intermittantly.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097091 - take another Naproxen.  Sips softdrink carried from home for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097092 - and swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097093 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097094 - more CoQ10, per above. ref SDS 0 8PQV  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097095 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097096 - Hiked West on flat grade .5 miles.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097097 - uphill 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097098 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097099 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097100 - end of concrete barriar mile 18, turned around and hiked back .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097101 - Turned left onto Cowell heading North .25 miles downhill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097102 - Continued flat grade .25 miles, then .5 miles with narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097103 - against oncoming afternoon commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097104 - hiking West .25 miles back to Cuneo and home.  Ended hike mile 20 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097105 - 1709 temp 63, wind 11, feet PL 2, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097106 - (swollen), right knee PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097107 - shoulder PL 6 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097108 - 1, when lifting.  EKG looks mostly uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097109 - reported HR 104 Tachycardia - see below. ref SDS 0 V5SJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097118 -  ..
097119 - Kardia recorded HR 55 at 1027, Unclassified, seems mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097120 - heart beat lengths with p-wave and no artifact; no AFL after hiking 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097121 - miles yesterday, ending Apixaban on 240110, and taking Tramadol nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097122 - Gabapentin, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097123 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097124 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097125 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097128 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240407-ecg-102743_mile_00_055_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097135 -  ..
097136 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097137 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097138 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097140 -  ..
097141 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097143 -       Date       240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 240118 2  
097144 -       Miles         20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     14     
097145 -       HR AVG       110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no    104     
097146 -         MAX        132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report   150     
097147 -         Min         78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 49     
097148 -       El Climb Ft  715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                495     
097149 -       Temp Max      64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 53     
097150 -       Wind Max      11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 04     
097151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097153 -              https://flow.polar.com/training/analysis/7855276271                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097156 -               ..
097158 -   
097159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097163 -  ..
097164 - EKG at mile 07 time 1307 HR 101 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097165 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097166 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097169 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097170 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240407-ecg-130703_mile_07_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097174 -  ..
097175 - EKG at mile 11 time 1424 HR 112 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097176 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097177 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097180 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097181 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240407-ecg-142418_mile_11_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097185 -  ..
097186 - EKG at mile 16 time 1558 HR 108 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097187 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097188 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097191 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097192 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240407-ecg-155803_mile_16_108_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097197 -  ..
097198 - End hike EKG at mile 20 time 1709 HR 104 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097199 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097200 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097203 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097204 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240407-ecg-170928_mile_20_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097209 -  ..
097210 - Post hike HR profile beginning 2011 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097211 - overnight after hiking 20 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097212 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097213 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097214 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097216 -        ..
097217 -       Date      240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127  240126    
097218 -       Time       2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058    2121     
097219 -       Hours        12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11      11     
097220 -       HR AVG       68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60      56     
097221 -       HR MAX      172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     121     
097222 -       HR Min       38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41      40     
097223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097226 -              https://flow.polar.com/training/analysis/7855642892                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097229 -               ..
097231 -   
097232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097237 -  ..
097238 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097239 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097240 - Dinner - rice hamburger onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097242 -  ..
097243 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097272 -         ..
097273 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097274 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097275 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097276 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097277 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097278 -   99.  240408 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097279 -               0720....BP HR..................................................... 158  89  57  Kardia ECG reports HR status, see below. ref SDS 0 83KA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097280 -               0725....BP HR..................................................... 155  84  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097281 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097282 -               0730....80 391420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097283 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097284 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097285 -               1030....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097286 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097287 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
097288 -  ..
097289 -         * cr  1058....miles...........  24.0  24.0  407   407 minutes  temp  73 wind 09  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097290 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097291 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097292 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
097293 -               1305....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097294 -               1305....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097295 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097296 -               1305... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097297 -               1428....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097298 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097299 -               1548....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097300 -               1548... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097301 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097302 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097303 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097304 -               1545... Hike ends mile 24... ref SDS 0 X85U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097305 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097306 -               1610....weight.................................... 169  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097307 -               1625....BP HR..................................................... 117  77 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097308 -               1630....BP HR..................................................... 113  79  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097309 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097310 -               1700... 40 108740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
097311 -             1 0000............ 10 19590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097312 -             1 0000............ 10 19930  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
097313 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097314 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097315 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097316 -               2130... 40 84940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097317 -               2200... 1000 2092000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097318 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097319 -               2230... 80 391500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097320 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097321 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097322 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097325 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097326 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097327 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097328 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097329 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097330 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097331 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097332 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097335 -  ..
097336 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097337 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097339 -  ..
097340 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097341 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097344 -  ..
097345 - Today, hiked 24 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097346 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097347 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097348 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097349 - Hiked around main buildings.  Used training station equipment doing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097350 - sets pullups and pushups.  Stopped mile 7 for hydration, nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097351 - and 1 Naproxen for pain and inflammation control.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097352 - Ygnacio Valley Road .5 mile, then South on Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097353 - 2.5 miles.  Visited briefly with Napoma; she seems stronger.  A couple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097354 - working in their yard, asked about lab results on 240329, discussed 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097355 - days before on 240327. ref SDS 0 RUYU  At mile 11, hiked back 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097356 - adding major hill.  Turned East uphill .5 mile on Rolling Woods Way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097357 - past summit downhill 1 mile and turned North 1 mile on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097358 - Then West uphill on Campus Drive again.  At college mile 16, hiked 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097359 - miles loops through parking lots; continued 2 miles uphill to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097360 - on Ygnacio Valley Road.  Turned around hiked back to Cowell, then to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097361 - Treat and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097365 -         ..
097366 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097367 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097368 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - not noticable enough to take Simethicone again today                                                                                                                                                                                                                                                                                                                                                                                                   
097369 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097370 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097371 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097372 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097373 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097374 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097375 -        Neck turning head/chest left or right........   0        100  few episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097376 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097377 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097378 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                               
097379 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097380 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097381 -        Back.........................................   0        100  back spine at hip line stinging pain last 3 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
097382 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097383 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097384 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097385 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097386 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097387 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097388 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097389 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097390 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097391 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097392 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097393 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097394 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097395 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097396 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097397 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen and no Gabapentin at mile 07, also shaved this before hike today                                                                                                                                                                                                                                                                                                                                                                                                                        
097398 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097399 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097400 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
097401 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
097402 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097403 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097404 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097405 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
097406 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
097407 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
097408 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097409 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
097410 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
097411 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097412 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097413 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097414 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097415 -        Callus little toe right foot..top of toe.....   4          5  use pediplast interdigital spacer Doctor Tang created on 230420 - hurting at mile 3; stopped at Lucky store used chair to remove shoe and sock to remove pediplasti spacer                                                                                                                                                                                                                                                                                                                                                                   
097416 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
097417 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
097418 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097419 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
097420 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097421 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097422 -        Blister top foot at toe line right foot......   1         80  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097423 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
097424 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097425 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097426 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097427 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097428 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097429 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097430 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097431 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097432 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097433 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097434 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097435 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097436 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097438 -  ..
097439 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097441 -  ..
097442 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097444 -  ..
097445 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097447 -  ..
097448 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097449 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097451 -  ..
097452 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097453 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097454 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097455 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097456 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097460 -  ..
097461 - Concord 24 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097462 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097463 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097464 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097465 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097466 - avocado for HDL, per above. above. ref SDS 0 4I7J  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097467 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097468 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097469 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097470 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097471 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097472 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097473 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097474 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097475 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097476 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097477 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097478 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097479 - entire hike without dyspnea.  Temp started at 57, and reached 64.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097480 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097481 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097482 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097483 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097484 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097485 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097486 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097487 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097488 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097489 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097490 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097491 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097492 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097493 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097494 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097495 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097496 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097497 - West 1 mile uphill 3% - 4% grade against wind 11 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097498 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097499 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097500 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097501 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097502 - half-pushups and 00 situps using training equipment.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097503 - Parking stopped at Administration Building mile 07 time 1305 temp 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097504 - and wind 07 mph; EKG uniform with no artifact, Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097505 - Tachycardia - see below. ref SDS 0 V725  Both feet PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097506 - Tailor's bunions PL 0, #4 above and #5 edge PL 2, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097507 - PL 1, left knee patella PL 0, left shoulder PL 1, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097508 - intermitant.  Took Naproxen for pain and inflammation maagement.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097509 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097510 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097511 - Cola/orange juice) for energy, and avocado for HDL; did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097512 - electrolyte pill, Took CoQ10 for HDL and energy to finish hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097513 - above. ref SDS 0 VTVP  Did another loop around main buildings.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097514 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097515 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 08,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097516 - turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097517 - grade against 10 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097518 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097519 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097520 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097521 - 08 mph.  Road ends at top of hill.  Did not hike back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097522 - .25 mile and then back to top.  Stopped mile 11 time 1428, temp 71,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097523 - wind 11 mph; EKG mostly uniform with artifact, Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097524 - (...HR - no wait to get cellphone connection...) Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097525 - below. ref SDS 0 J3PR  Feet PL 1, left foot tailor's bunion PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097526 - calves PL 0, left knee PL 1, left shoulder PL 0, left elbow PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097527 - nothing to eat or drink (NPO), per above. ref SDS 0 VTVP  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097528 - downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom of hill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097529 - continued uphill .5 mile, turned arund hiked back and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097530 - Rolling Woods Way hiking East .5 miles uphill 6% grade with 8 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097531 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097532 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097533 - mile uphill 3% - 4% grade against wind 05 mph.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097534 - Parking 2nd pass at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097535 - Campus.  Stopped at Administration Building mile 16, time 1548 temp 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097536 - and wind 09 mph; EKG uniform with no artifact, Kardia reported HR 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097537 - Tachycardia - see below. ref SDS 0 CI3N  Both feet PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097538 - sensation PL 0, shin splints PL 0, left knee PL 1, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097539 - neck to right shoulder PL 0 imtermittantly, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097540 - intermittantly.  Did not take another Naproxen.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097541 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097542 - butter, margarine and chia seeds for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097543 - not take Nuun electrolyte pill, took more CoQ10, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097544 - ref SDS 0 VTVP  Continued hiking 2 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097545 - Student parking lots.  At mile 19, exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097546 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097547 - Hiked West on flat grade .5 miles.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097548 - uphill 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097549 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097550 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097551 - end of concrete barriar mile 21, turned around and hiked back .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097552 - Turned left onto Cowell heading North .25 miles downhill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097553 - Continued flat grade .25 miles, then .5 miles with narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097554 - against oncoming afternoon commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097555 - hiking West .25 miles back to Cuneo, continued on Cuneo .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097556 - Kaski, then back to Cuneo and home.  Ended hike mile 24 time 1823,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097557 - temp 71, wind 08, feet PL 2, shin splints PL 2, left knee PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097558 - (swollen), right knee PL 1, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097559 - shoulder PL 6 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097560 - 2, when lifting.  EKG looks uniform, with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097561 - HR 115 Tachycardia - see below. ref SDS 0 X85U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097569 -  ..
097570 - Kardia recorded HR 49 at 0928, Bradycardia, seems mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097571 - beat lengths with p-wave and some artifact; no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097572 - miles yesterday, ending Apixaban on 240110, and taking Naproxen after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097573 - ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097574 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097575 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097576 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097579 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097580 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240408-ecg-092839_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097586 -  ..
097587 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097588 - hike 24 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097589 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097591 -  ..
097592 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097594 -       Date       240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 240119 2  
097595 -       Miles         24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0      0     
097596 -       HR AVG       114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     no     
097597 -         MAX        139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport report    
097598 -         Min         72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                                 
097599 -       El Climb Ft  715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                                 
097600 -       Temp Max      73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                                 
097601 -       Wind Max       9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                                 
097602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097604 -              https://flow.polar.com/training/analysis/7855984176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097607 -               ..
097609 -   
097610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097614 -  ..
097615 - EKG at mile 07 time 1305 HR 105 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097616 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097617 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097620 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097621 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240408-ecg-130525_mile_07_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097626 -  ..
097627 - EKG at mile 11, time 1428 HR 122 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097628 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097629 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097632 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097633 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240408-ecg-142804_mile_11_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097638 -  ..
097639 - EKG at mile 16, time 1548 HR 112 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097640 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097641 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097644 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097645 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240408-ecg-154855_mile_16_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097651 -  ..
097652 - End hike EKG at mile 24 time 1823 HR 115 temp 71 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097653 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097654 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097657 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097658 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240408-ecg-182329_mile_24_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097663 -  ..
097664 - Post hike HR profile beginning 2041 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097665 - overnight after hiking 24 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097666 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097667 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097668 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097670 -        ..
097671 -       Date      240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128  240127    
097672 -       Time       2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315    2058     
097673 -       Hours        10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8      11     
097674 -       HR AVG       64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63      60     
097675 -       HR MAX      105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     108     
097676 -       HR Min       45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47      41     
097677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097680 -              https://flow.polar.com/training/analysis/7856300158                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097683 -               ..
097685 -   
097686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097690 -  ..
097691 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097692 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097693 - Dinner - tuna avocado onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097695 -  ..
097696 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097725 -         ..
097726 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097727 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097728 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097729 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097730 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097731 -  100.  240409 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097732 -               0710....BP HR..................................................... 155  84  53  Kardia ECG reports HR status, see below. ref SDS 0 WRQB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097733 -               0715....BP HR..................................................... 152  83  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097734 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097735 -               0720....80 391580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097736 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097737 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097738 -               1030....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097739 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097740 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
097741 -  ..
097742 -         * cr  1046....miles...........  31.0  55.0  518   925 minutes  temp  79 wind 08  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097743 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097744 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097745 -               1135... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
097746 -               1341....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097747 -               1341....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097748 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097749 -               1341... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097750 -               1502....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097751 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097752 -               1704....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097753 -               1704... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097754 -               1908....mile 26 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097755 -               1908... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097756 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097757 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097758 -               2032... Hike ends mile 31... ref SDS 0 WR4P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097759 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097760 -               2040....weight.................................... 167  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097761 -               2045....BP HR..................................................... 107  68  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097762 -               2050....BP HR..................................................... 112  73  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097763 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097764 -               2045... 40 108780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
097765 -               2120............ 10 19600  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097766 -               2120............ 10 19940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
097767 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097768 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097769 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097770 -               2130... 40 84980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097771 -               2200... 1000 2093000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097772 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097773 -               2230... 80 391660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097774 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097775 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097776 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097779 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097780 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097781 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097782 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097783 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097784 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097785 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097786 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097789 -  ..
097790 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097791 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097793 -  ..
097794 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097795 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097798 -  ..
097799 - Mile 31 - usual loop through South streets then loops through Cal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097800 - State college parking lots.  Mile 9 stopped for hydration, nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097801 - and pain meds. Then hiked 8 mile loop through hills of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097802 - road housing development.  Back to college and more loops in parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097803 - lots at mile 22, hiking 4 miles over summit on Ignacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097804 - At Oak Grove hiked 1-mile loop around Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097805 - Stopped for hydration and nutrition and pain meds near Mod Pizza.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097806 - Hiked another 1 mile loop around shoppng complex, then 1 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097807 - Oak Grove, and 2 miles East on Treat to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097810 -         ..
097811 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097812 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097813 -        Stomach pain ischemic colitis bloating.......   3         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mile 3 Simethicone no further symptoms                                                                                                                                                                                                                                                                                                                                                                                                                 
097814 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097815 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097816 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097817 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097818 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097819 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097820 -        Neck turning head/chest left or right........   6          5  few episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097821 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097822 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097823 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                               
097824 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097825 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097826 -        Back.........................................   2         10  back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
097827 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097828 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097829 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097830 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097831 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097832 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097833 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097834 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097835 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097836 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097837 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097838 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097839 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097840 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097841 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097842 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen and no Gabapentin at mile 07, also shaved this before hike today                                                                                                                                                                                                                                                                                                                                                                                                                        
097843 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097844 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097845 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
097846 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
097847 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097848 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097849 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097850 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
097851 -        Ankle right pain on 200407 and 231203........   3         10  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
097852 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
097853 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097854 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
097855 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
097856 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097857 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097858 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097859 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097860 -        Callus little toe right foot..top of toe.....   2         30  omitted pediplast interdigital spacer Doctor Tang created on 230420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097861 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
097862 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
097863 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097864 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
097865 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097866 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097867 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097868 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
097869 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097870 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097871 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097872 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097873 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097874 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097875 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097876 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097877 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097878 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097879 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097880 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097881 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097883 -  ..
097884 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097886 -  ..
097887 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097889 -  ..
097890 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097892 -  ..
097893 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097894 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097896 -  ..
097897 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097898 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097899 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097900 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097901 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097905 -  ..
097906 - Concord 31 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097907 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097908 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097909 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097910 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097911 - avocado for HDL, per above. above. ref SDS 0 HV6M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097912 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097913 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097914 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097915 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097916 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097917 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097918 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097919 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097920 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097921 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097922 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097923 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097924 - entire hike without dyspnea.  Temp started at 66, and reached 79.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097925 - West wind 08 mph and mostly 05 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097926 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097927 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097928 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097929 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097930 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097931 - about 1130, feeling bloated - while hiking took Simethicone, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097932 - above. ref SDS 0 VYQP; turned right onto Clayton Road hiking South .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097933 - miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097934 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097935 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097936 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097937 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097938 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097939 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097940 - Did not stop at Union 76 Texaco Gas Station store mile 5. time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097941 - Continued on Ygnacio Valley Road; turned left hiked 0.25 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097942 - Pine Hollow.  Turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097943 - Campus Drive hiking West 1 mile uphill 3% - 4% grade with wind 03 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097944 - At mile 06, reached Visitor Parking at California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097945 - East Bay Concord Campus.  Visited with Lisa walking dogs.  She and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097946 - Zane have returned from vacationing in Bali.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097947 - buildings.  Since left elbow has made some recovery with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097948 - injections on 231121 0700. ref SDS 27 G45J, stopped at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097949 - station to do 20 half-pullups, 20 half-pushups and 00 situps using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097950 - training equipment.  Hiked 2 1.5-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097951 - Student Parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097952 - Building mile 09 time 1341 temp 75 and wind 05 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097953 - no artifact, Kardia reported HR 102 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097954 - ref SDS 0 81UW  Both feet PL 1, right foot Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097955 - knee meniscus PL 1, left knee patella PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097956 - elbow PL 1 intermitant.  Took Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097957 - maagement.  Sips softdrink carried from home for hydration, swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097958 - meds and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097959 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097960 - for HDL, did not take Nuun electrolyte pill, took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097961 - ml for HDL and energy to complete hike. per above. ref SDS 0 VYQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097962 - Hiked another loop around main buildings.  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097963 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097964 - Hiked West on flat grade .5 miles.  At mile 10, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097965 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade against 05 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097966 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097967 - stopping.  At summit continued flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097968 - downhill .25 miles 5% grade.  At Rolling Woods Way continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097969 - Crystal Ranch Road .5 miles 6% grade against wind 03 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097970 - at top of hill.  Did not hiked back down hill about .25 mile and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097971 - back to top.  Stopped mile 13 time 1502, temp 79, wind 04 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097972 - uniform with no artifact, Kardia reported HR 122 (...  HR - no wait to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097973 - get cellphone connection...) Tachycardia - see below. ref SDS 0 GR2M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097974 - Feet PL 2, right foot tailor's bunion PL 0, calves PL 0 left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097975 - 2, left shoulder PL 0, left elbow PL 1, nothing to eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097976 - (NPO), per above. ref SDS 0 VYQP  Continued downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097977 - Road 6% grade .5 miles.  At bottom of hill, hiked uphill .50 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097978 - grade to Autumn Oak Circle.  Turned around hiking back.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097979 - onto Rolling Woods Way hiking East .5 miles uphill 6% grade with 2 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097980 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097981 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097982 - mile uphill 3% - 4% grade against wind 05 mph.  At mile 17, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097983 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097984 - Campus.  Hiked loop around campus buildings, and then 2 loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097985 - parking lots.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097986 - Building mile 19, time 1704 temp 79 and wind 08 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097987 - no artifact, Kardia reported HR 117 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097988 - ref SDS 0 BIWX  Both feet PL 2, shin splints PL 0, left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097989 - left shoulder PL 1, neck to right shoulder PL 1 imtermittantly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097990 - elbow PL 0 intermittantly.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097991 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097992 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097993 - pill, took more CoQ10, per above. ref SDS 0 VYQP  Hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097994 - through parking lots.  At mile 21, exited college at North end Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097995 - parking heading West on Campus Drive bending North, downhill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097996 - merging on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097997 - West on flat grade .5 miles.  Continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097998 - 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097999 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098000 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098001 - end of concrete barriar mile 23, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098002 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098003 - traffic light.  Hiked 1-mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098004 - complex.  Stopped at Mod Pizza mile 26, time 1908, temp 74 and wind 06                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098005 - mph; EKG mostly uniform with some artifact, Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098006 - Tachycardia - see below. ref SDS 0 1K38  Both feet PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098007 - both Tailor's bunions PL 0, right leg shin splint PL 0, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098008 - 1, left shoulder PL 2, neck to right shoulder PL 0 imtermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098009 - left elbow PL 0 intermittantly.  Bought softdrink for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098010 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098011 - energy, and avocado for HDL, took more CoQ10, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098012 - VYQP Continued hiking 1-mile loop around the block - turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098013 - path parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098014 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098015 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098016 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098017 - .75 miles on Treat uphill 5% grade temp 70.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098018 - summit, mile 30, hiked another mile to Cuneo and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098019 - mile 31 time 2032 temp 68, wind 06, feet PL 3, right foot top #4 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098020 - #5 PL 3, instep PL 2, shin splints PL 2, left knee PL 1 (swollen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098021 - right knee PL 0, left shoulder PL 0, neck and right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098022 - intermittantly, lower back left side PL 2, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098023 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098024 - Tachycardia - see below. ref SDS 0 WR4P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098031 -  ..
098032 - Kardia recorded HR 51 at 0737, Normal Sinus Rhythm, seems uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098033 - heart beat lengths with p-wave and no artifact; no AFL after hiking 24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098034 - miles yesterday, ending Apixaban on 240110, and taking Naproxen after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098035 - ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098036 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098037 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098038 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098041 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098042 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240409-ecg-073700_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098048 -  ..
098049 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098050 - hike 31 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098051 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098053 -  ..
098054 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098056 -       Date       240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 240120 2  
098057 -       Miles         31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0      0     
098058 -       HR AVG       114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     no     
098059 -         MAX        140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report  eport r  
098060 -         Min         51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                          
098061 -       El Climb Ft  715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                          
098062 -       Temp Max      79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                          
098063 -       Wind Max       8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                          
098064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098066 -              https://flow.polar.com/training/analysis/7856701326                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098069 -               ..
098071 -   
098072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098076 -  ..
098077 - EKG at mile 09 time 1341 HR 102 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098078 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098079 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098082 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098083 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240409-ecg-134115_mile_09_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098087 -  ..
098088 - EKG at mile 13 time 1502 HR 122 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098089 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098090 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098093 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098094 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240409-ecg-150236_mile_13_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098098 -  ..
098099 - EKG at mile 19 time 1714 HR 117 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098100 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098101 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098104 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098105 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240409-ecg-170448_mile_19_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098109 -  ..
098110 - EKG at mile 26 time 1908 HR 118 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098111 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098112 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098115 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098116 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240409-ecg-190805_mile_26_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098122 -  ..
098123 - End hike EKG at mile 31 time 2032 HR 111 temp 68 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098124 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098125 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098128 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240409-ecg-203208_mile_31_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098134 -  ..
098135 - Post hike HR profile beginning 2302 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098136 - overnight after hiking 31 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098137 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098138 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098139 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098141 -        ..
098142 -       Date      240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129  240128    
098143 -       Time       2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321    2315     
098144 -       Hours         8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10       8     
098145 -       HR AVG       68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63      63     
098146 -       HR MAX      102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     112     
098147 -       HR Min       45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47      47     
098148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098151 -              https://flow.polar.com/training/analysis/7856999388                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098154 -               ..
098156 -   
098157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098160 -  ..
098161 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098162 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098163 - Dinner - eggs potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098165 -  ..
098166 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098194 -         ..
098195 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098196 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098197 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098198 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098199 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098200 -  101.  240410 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098201 -               0710....BP HR..................................................... 155  84  53  Kardia ECG reports HR status, see below. ref SDS 0 WE2G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098202 -               0715....BP HR..................................................... 152  83  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098203 -               0720....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098204 -               0720....80 391740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098205 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098206 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098207 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098208 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098209 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
098210 -  ..
098211 -         * cr  1106....miles...........  20.0  75.0  343  1268 minutes  temp  79 wind 07  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098212 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098213 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098214 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
098215 -               1329....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098216 -               1329....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098217 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098218 -               1329... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098219 -               1450....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098220 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098221 -               1610....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098222 -               1610... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098223 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098224 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098225 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098226 -               1737... Hike ends mile 20... ref SDS 0 82QY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098227 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098228 -               1750....weight.................................... 167  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098229 -               1800....BP HR..................................................... 103  67 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098230 -               1805....BP HR..................................................... 112  73  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098231 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098232 -               1810... 40 108820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
098233 -             1 0000............ 10 19600  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098234 -             1 0000............ 10 19940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
098235 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098236 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098237 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098238 -               2130... 40 85020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098239 -               2200... 1000 2094000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098240 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098241 -               2230... 80 391820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098242 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098243 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098244 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098247 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098248 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098249 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098250 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098251 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098252 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098253 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098254 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098257 -  ..
098258 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098259 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098261 -  ..
098262 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098263 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098266 -  ..
098267 - Today, hiked 20 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098268 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098269 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098270 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098271 - Hiked around main buildings.  Used training station equipment doing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098272 - sets pullups and pushups.  Stopped mile 7 for hydration, nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098273 - and 1 Naproxen for pain and inflammation control.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098274 - Ygnacio Valley Road .5 mile, then South on Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098275 - 2.5 miles.  At mile 13, hiked back .5 mile, turned East uphill .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098276 - on Rolling Woods Way, past summit downhill 1 mile and turned North 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098277 - mile on Pine Hollow.  Then West uphill on Campus Drive again.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098278 - college mile 15, hiked 1 mile East on Ygnacio Valley Road, then uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098279 - .5 mile and turned onto Cowell.  Continued North downhill then flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098280 - another mile.  Turned left onto Treat, then Cuneo and Kaski.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098281 - around hiked back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098284 -         ..
098285 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098286 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098287 -        Stomach pain ischemic colitis bloating.......   3         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mile 3 Simethicone no further symptoms                                                                                                                                                                                                                                                                                                                                                                                                                 
098288 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098289 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098290 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098291 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098292 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098293 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098294 -        Neck turning head/chest left or right........   6          5  few episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098295 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098296 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098297 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                               
098298 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098299 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098300 -        Back.........................................   2         10  back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                   
098301 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098302 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098303 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098304 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098305 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098306 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098307 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098308 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098309 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098310 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098311 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098312 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098313 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098314 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098315 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098316 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen and no Gabapentin at mile 07, also shaved this before hike today                                                                                                                                                                                                                                                                                                                                                                                                                        
098317 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098318 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098319 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
098320 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                    
098321 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098322 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098323 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098324 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
098325 -        Ankle right pain on 200407 and 231203........   3         10  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
098326 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
098327 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098328 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
098329 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
098330 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098331 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098332 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098333 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098334 -        Callus little toe right foot..top of toe.....   2         30  omitted pediplast interdigital spacer Doctor Tang created on 230420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098335 -        Callus ring toe #4 right foot in web.........   0        100  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed                                                                                                                                                                                                                                                                                                                                                                                          
098336 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
098337 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098338 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                              
098339 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098340 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098341 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098342 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
098343 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098344 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098345 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098346 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098347 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098348 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098349 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098350 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098351 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098352 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098353 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098354 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen and 0 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098355 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098357 -  ..
098358 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098360 -  ..
098361 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098363 -  ..
098364 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098366 -  ..
098367 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098368 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098370 -  ..
098371 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098372 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098373 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098374 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098375 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098379 -  ..
098380 - Concord 24 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098381 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098382 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098383 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098384 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098385 - avocado for HDL, per above. above. ref SDS 0 195G  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098386 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098387 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098388 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098389 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098390 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098391 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098392 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098393 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098394 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098395 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098396 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098397 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098398 - entire hike without dyspnea.  Temp started at 59, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098399 - West wind 11 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098400 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098401 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098402 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098403 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098404 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098405 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098406 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098407 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098408 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098409 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098410 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098411 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098412 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098413 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098414 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098415 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098416 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098417 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098418 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098419 - has made some recovery with PRP injections on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098420 - G45J, stopped at training station to do 20 half-pullups, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098421 - half-pushups and 00 situps using training equipment.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098422 - Parking stopped at Administration Building mile 07 time 1329 temp 75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098423 - and wind 05 mph; EKG mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098424 - HR 101 Tachycardia - see below. ref SDS 0 74PV  Both feet PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098425 - foot top #4 PL 2 wearing pediplasti insert next to #5, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098426 - Tailor's bunions PL 0, left knee meniscus PL 1, left knee patella PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098427 - 0, left shoulder PL 2, left elbow PL 0 intermitant.  Took Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098428 - pain and inflammation maagement.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098429 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098430 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098431 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098432 - CoQ10 for HDL and energy to complete hike, per above. ref SDS 0 WSUY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098433 - Hiked around main buildings again.  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098434 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098435 - Hiked West on flat grade .5 miles.  At mile 08, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098436 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade with 03 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098437 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098438 - stopping.  At summit continued flat grade .5 miles, then downhill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098439 - miles 5% grade.  At Rolling Woods Way hiked uphill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098440 - Road .5 miles 6% grade against wind 03 mph.  Road ends at top of hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098441 - Did not hiked back down hill about .25 mile and then back to top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098442 - Stopped mile 11 time 1450, temp 78, wind 05 mph; EKG variable with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098443 - some artifact, Kardia reported HR 114 (HR - no wait to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098444 - connection) Tachycardia - see below. ref SDS 0 AW9Q  Feet PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098445 - foot tailor's bunion PL 0, calves PL 0 left knee PL 2, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098446 - PL 1, left elbow PL 1, nothing to eat or drink (NPO), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098447 - ref SDS 0 WSUY  Continued downhill on Crystal Ranch Road 6% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098448 - miles.  At bottom of hill, turned right onto Rolling Woods Way hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098449 - East .5 miles uphill 6% grade with 7 mph wind.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098450 - downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098451 - turned left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098452 - against wind 05 mph.  At Visitor Parking hiked around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098453 - California State University East Bay Concord Campus.  Stopped 2nd pass                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098454 - at Administration Building mile 16, time 1610 temp 79 and wind 07 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098455 - EKG mostly varoab;e with no artifact, Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098456 - Tachycardia - see below. ref SDS 0 D39M  Both feet PL 1, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098457 - PL 0, left knee PL 2, left shoulder PL 1, neck to right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098458 - imtermittantly, left elbow PL 2 intermittantly.  Sips water (ran out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098459 - of softdrink carried from home) for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098460 - - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098461 - HDL, did not take Nuun electrolyte pill, took more CoQ10, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098462 - ref SDS 0 WSUY  Hiked another 1-mile loop through parking lots.  Mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098463 - 17, at North end Student parking, exited college hiking West and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098464 - bending North mergint with Campus drive from Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098465 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098466 - miles.  Continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098467 - against wind 07 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098468 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098469 - camber.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098470 - grade.  Continued flat grade .25 miles, then .5 miles with narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098471 - shoulder against oncoming afternoon commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098472 - Treat hiking West .25 miles back to Cuneo.  Continued North on Cueno                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098473 - .25 mile, then East on Kaski .25 mile, then back.  Ended hike mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098474 - time 1737 temp 79, wind 04, feet PL 3, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098475 - blister/callus PL 3 shin splints PL 3, left knee PL 2 (swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098476 - knee PL 0, left shoulder PL 2, neck and right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098477 - intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098478 - lifting.  EKG looks mostly uniform, with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098479 - HR 112 Tachycardia - see below. ref SDS 0 82QY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098484 -  ..
098485 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098490 -  ..
098491 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098492 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098493 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098495 -  ..
098496 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098498 -       Date       240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 240125 240124 240123 240122 240121 2  
098499 -       Miles         20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     33      0     23      0      0     
098500 -       HR AVG       108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109    119     no    120     no     no     
098501 -         MAX        131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135    149  report   140  report report    
098502 -         Min         53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     44            75                   
098503 -       El Climb Ft  715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495    715           495                   
098504 -       Temp Max      79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     62            63                   
098505 -       Wind Max       7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     10            08                   
098506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098508 -              https://flow.polar.com/training/analysis/7857360843                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098511 -               ..
098513 -   
098514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098518 -  ..
098519 - EKG at mile 07 time 1329 HR 101 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098520 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098521 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098524 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098525 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240410-ecg-132940_mile_07_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098529 -  ..
098530 - EKG at mile 11 time 1450 HR 114 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098531 - Tachycardia... looks variable with some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098532 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098535 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098536 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240410-ecg-145032_mile_11_114_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098540 -  ..
098541 - EKG at mile 16 time 1610 HR 109 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098542 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098543 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098546 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098547 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240410-ecg-161039_mile_16_109_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098551 -  ..
098552 - End hike EKG at mile 20 time 1737 HR 112 temp 79 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098553 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098554 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098557 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098558 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240410-ecg-173716_mile_20_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098563 -  ..
098564 - Post hike HR profile beginning 2226 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098565 - overnight after hiking 20 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098566 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098567 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098568 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098570 -        ..
098571 -       Date      240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130  240129    
098572 -       Time       2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0    2321     
098573 -       Hours         8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no      10     
098574 -       HR AVG       66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report     63     
098575 -       HR MAX       92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             114     
098576 -       HR Min       38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39              47     
098577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098580 -              https://flow.polar.com/training/analysis/7857766787                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098583 -               ..
098585 -   
098586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098590 -  ..
098591 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098592 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098593 - Dinner - eggs hamburger broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098595 -  ..
098596 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098624 -         ..
098625 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098626 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098627 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098628 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098629 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098630 -  102.  240411 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098631 -               0720....BP HR..................................................... 150  83  51  Kardia ECG reports HR status, see below. ref SDS 0 6K2B                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098632 -               0725....BP HR..................................................... 149  87  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098633 -               0730....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098634 -               0730....80 391900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098635 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098636 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098637 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098638 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098639 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098640 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098641 -               1700... 40 108860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
098642 -               1830............ 10 19610  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098643 -               1830............ 10 19950  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
098644 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098645 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098646 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098647 -               2130... 40 85060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098648 -               2200... 1000 2095000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098649 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098650 -               2230... 80 391980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098651 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098652 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098653 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098656 -  ..
098657 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098658 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098660 -  ..
098661 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098662 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098667 -  ..
098668 - Kardia recorded HR 51 at 1009, Normal Sinus Rhythm, seems uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098669 - heart beat lengths with p-wave and no artifact; no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098670 - miles yesterday, ending Apixaban on 240110, and taking Naproxen after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098671 - ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098672 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098673 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098674 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098677 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098678 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240411-ecg-100906_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098682 -  ..
098683 - Post hike HR profile beginning 0023 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098684 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098685 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098686 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098687 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098689 -        ..
098690 -       Date      240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131  240130    
098691 -       Time       0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107       0     
098692 -       Hours         7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8      no     
098693 -       HR AVG       63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60   report    
098694 -       HR MAX      124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124             
098695 -       HR Min       37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39             
098696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098698 -              https://flow.polar.com/training/analysis/7858384273                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098701 -               ..
098703 -   
098704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098708 -  ..
098709 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098710 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098711 - Dinner - hot dog asparagus tomato onion avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098713 -  ..
098714 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098743 -         ..
098744 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098745 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098746 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098747 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098748 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098749 -  103.  240412 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098750 -               0705....BP HR..................................................... 141  88  62  Kardia ECG reports HR status, see below. ref SDS 0 GW3L                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098751 -               0710....BP HR..................................................... 160  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098752 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098753 -               0715....80 392060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098754 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098755 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098756 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098757 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098758 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098759 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098760 -               1700... 40 108900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
098761 -             1 0000............ 10 19610  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098762 -             1 0000............ 10 19950  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
098763 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098764 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098765 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098766 -               2130... 40 85100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098767 -               2200... 1000 2096000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098768 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098769 -               2230... 80 392140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098770 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098771 -               2320....Tramadol 50 mg took 1 pill for restless legs to enable sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098772 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098773 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098776 -  ..
098777 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098778 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098780 -  ..
098781 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098782 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098787 -  ..
098788 - Kardia recorded HR 52 at 0837, Unclassified, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098789 - lengths with 2 p-waves missing and some artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098790 - 00 miles yesterday, ending Apixaban on 240110, and taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098791 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098792 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098793 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098794 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098797 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098798 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240412-ecg-083727_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098803 -  ..
098804 - Post hike HR profile beginning 1955 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098805 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098806 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098807 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098808 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098810 -        ..
098811 -       Date      240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201  240131    
098812 -       Time       1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124    0107     
098813 -       Hours        10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9       8     
098814 -       HR AVG       62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65      60     
098815 -       HR MAX      120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     124     
098816 -       HR Min       41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45      39     
098817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098819 -              https://flow.polar.com/training/analysis/7859118840                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098822 -               ..
098824 -   
098825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098829 -  ..
098830 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098831 - Lunch - sandwich peanut butter margarine jam milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098832 - Dinner - hamburger asparagus tomato onion avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098834 -  ..
098835 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098862 -         ..
098863 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098864 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098865 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098866 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098867 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098868 -  104.  240413 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098869 -               0720....BP HR..................................................... 153  84  49  Kardia ECG reports HR status, see below. ref SDS 0 5XMS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098870 -               0725....BP HR..................................................... 140  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098871 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098872 -               0730....80 392220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098873 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098874 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098875 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098876 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098877 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098878 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098879 -               1700... 40 108940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
098880 -               1830............ 10 19620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098881 -               1830............ 10 19960  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
098882 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098883 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098884 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098885 -               2130... 40 85140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098886 -               2200... 1000 2097000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098887 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098888 -               2230... 80 392300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098889 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098890 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098891 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098894 -  ..
098895 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098896 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098898 -  ..
098899 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098900 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098905 -  ..
098906 - Kardia recorded HR 51 at 0505, Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098907 - lengths with p-waves and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098908 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098909 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098910 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098911 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098912 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098915 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098916 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240413-ecg-060535_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098921 -  ..
098922 - Post hike HR profile beginning 2046 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098923 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098924 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098925 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098926 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098928 -        ..
098929 -       Date      240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202  240201    
098930 -       Time       2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051    2124     
098931 -       Hours        10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7       9     
098932 -       HR AVG       58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67      65     
098933 -       HR MAX      142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     126     
098934 -       HR Min       41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51      45     
098935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098937 -              https://flow.polar.com/training/analysis/7859763537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098940 -               ..
098942 -   
098943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098947 -  ..
098948 - Breakfast - eggs asparagus mushrooms hot dog cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098949 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098950 - Dinner - macaroni cheese steak broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098952 -  ..
098953 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098980 -         ..
098981 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098982 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098983 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098984 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098985 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098986 -  105.  240414 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098987 -               0710....BP HR..................................................... 147  82  50  Kardia ECG reports HR status, see below. ref SDS 0 691F                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098988 -               0715....BP HR..................................................... 143  84  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098989 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098990 -               0720....80 392380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098991 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098992 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098993 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098994 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098995 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098996 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098997 -               1700... 40 108980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
098998 -             1 0000............ 10 19620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098999 -             1 0000............ 10 19960  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099000 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099001 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099002 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099003 -               2130... 40 85180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099004 -               2200... 1000 2098000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099005 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099006 -               2230... 80 392460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099007 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099008 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099009 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099012 -  ..
099013 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099014 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099016 -  ..
099017 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099018 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099022 -  ..
099023 - Kardia recorded HR 56 at 0752, Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099024 - lengths with p-waves and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099025 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099026 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099027 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099028 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099029 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099032 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099033 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240414-ecg-075230_mile_00_056_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099037 -  ..
099038 - Post hike HR profile beginning 2152 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099039 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099040 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099041 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099042 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099044 -        ..
099045 -       Date      240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203  240202    
099046 -       Time       2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332    2051     
099047 -       Hours         9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9       7     
099048 -       HR AVG       61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66      67     
099049 -       HR MAX      118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     105     
099050 -       HR Min       41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46      51     
099051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099053 -              https://flow.polar.com/training/analysis/7860454720                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099056 -               ..
099058 -   
099059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099063 -  ..
099064 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099065 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099066 - Dinner - rice macaroni cheese steak broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099068 -  ..
099069 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099097 -         ..
099098 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099099 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099100 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099101 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099102 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099103 -  106.  240415 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099104 -               0710....BP HR..................................................... 165  82  50  Kardia ECG reports HR status, see below. ref SDS 0 YSP3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099105 -               0715....BP HR..................................................... 165  85  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099106 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099107 -               0720....80 392540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099108 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099109 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099110 -               1200....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099111 -               1200....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099112 -               1200... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
099113 -  ..
099114 -         * cr  1236....miles...........  23.0  23.0  395   395 minutes  temp  68 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099115 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099116 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099117 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
099118 -               1438....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099119 -               1438....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099120 -               1438... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099121 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099122 -               1554....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099123 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099124 -               1826....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099125 -               1826....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099126 -               1826... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099127 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099128 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099129 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099130 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099131 -               1942... Hike ends mile 23... ref SDS 0 3YFP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099132 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099133 -               2000....weight.................................... 168  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099134 -               2005....BP HR..................................................... 116  76 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099135 -               2010....BP HR..................................................... 107  71 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099136 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099137 -               2005... 40 109020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
099138 -               2050............ 10 19630  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099139 -               2050............ 10 19970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099140 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099141 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099142 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099143 -               2130... 40 85220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099144 -               2200... 1000 2099000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099145 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099146 -               2230... 80 392620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099147 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099148 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099149 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099152 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099153 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099154 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099155 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099156 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099157 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099158 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099159 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099162 -  ..
099163 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099164 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099166 -  ..
099167 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099168 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099171 -  ..
099172 - Today, hiked 23 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099173 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099174 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099175 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099176 - Hiked around main buildings.  Stopped mile 7 for hydration, nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099177 - and 1 Naproxen for pain and inflammation control.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099178 - Ygnacio Valley Road .5 mile, then South on Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099179 - 2.5 miles.  Visited briefly with Napoma and her husband starting to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099180 - walk their dog.  At mile 11, hiked back 1 mile adding major hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099181 - Turned East uphill .5 mile on Rolling Woods Way, past summit downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099182 - 1 mile and turned North 1 mile on Pine Hollow.  Then West uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099183 - Campus Drive again.  Today, passed college, taking Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099184 - and stopped at mile 15, for hydration and nutrition, including Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099185 - seeds, and CoQ10.  Continued 3 miles on Ygnacio Valley Road over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099186 - summit to Oak Grove.  Continued around shopping complex.  Mile 19,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099187 - stopped again for hydration and nutrition.  Took another Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099188 - Then North on Oak Grove.  At mile 21, hiked 2 miles East on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099189 - Cuneo ending hike.  From mile 20, Polar reported HR 130+ (... "engine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099190 - running hot"), which is the range where AFL occurred taking Tramadol 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099191 - weeks ago on 240401, per above. ref SDS 0 O18N  Today, Kardia did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099192 - report AFL on the hike, passing a big test taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099196 -         ..
099197 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099198 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099199 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating nor stomach pain, so no Simethicone today while taking 2 or 3 Naproxen pills                                                                                                                                                                                                                                                                                                                                                               
099200 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099201 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099202 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099203 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099204 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099205 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099206 -        Neck turning head/chest left or right........   0        100  no episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099207 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099208 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099209 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                                        
099210 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099211 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099212 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
099213 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099214 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099215 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099216 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099217 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099218 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099219 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099220 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099221 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099222 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099223 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099224 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099225 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099226 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099227 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099228 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099229 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099230 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099231 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                
099232 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                
099233 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099234 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099235 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099236 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
099237 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
099238 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
099239 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099240 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
099241 -        Callus big toe left foot...PRP 210705........   3          5  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
099242 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099243 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099244 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099245 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099246 -        Callus little toe right foot..top of toe.....   2         30  omitted pediplast interdigital spacer Doctor Tang created on 230420 - took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                                          
099247 -        Callus ring toe #4 right foot in web.........   2         20  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                            
099248 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
099249 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099250 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                             
099251 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099252 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099253 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099254 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and no Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                            
099255 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099256 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099257 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099258 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099259 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099260 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099261 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099262 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099263 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099264 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099265 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099266 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Naproxen mile 9 and 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099267 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099269 -  ..
099270 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099272 -  ..
099273 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099275 -  ..
099276 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099278 -  ..
099279 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099280 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099282 -  ..
099283 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099284 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099285 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099286 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099287 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099291 -  ..
099292 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099293 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099294 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099295 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099296 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099297 - avocado for HDL, per above. above. ref SDS 0 195G  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099298 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099299 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099300 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099301 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099302 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099303 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099304 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099305 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099306 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099307 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099308 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099309 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099310 - entire hike without dyspnea.  Temp started at 59, and reached 68.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099311 - West wind 12 mph and mostly 06 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099312 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099313 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099314 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099315 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099316 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099317 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099318 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099319 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099320 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099321 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099322 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099323 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099324 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099325 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099326 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099327 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099328 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099329 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099330 - Concord Campus.  Hiked around main campus buildings.  Since started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099331 - late today, did not take time for using training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099332 - half-pullups, 20 half-pushups and 00 situps.  Did not hike 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099333 - loop through Faculty and Student Parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099334 - stopped at Administration Building mile 07 time 1438 temp 66 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099335 - 05 mph; EKG uniform with artifact, Kardia reported HR 115 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099336 - - see below. ref SDS 0 YSUS  Both feet PL 1, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099337 - bunions PL 0, left foot #5 top blister/callus PL 2, now 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099338 - #5 top blister/callus PL 2 now 0, left knee meniscus PL 1, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099339 - patella PL 0, left shoulder PL 2, left elbow PL 1 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099340 - Naproxen (switched from Tramadol and Gabapentin) for pain maagement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099341 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099342 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099343 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099344 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099345 - not take Nuun electrolyte pill, per above. ref SDS 0 S8WM  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099346 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099347 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 08,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099348 - turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099349 - grade with 07 mph wind.  Handled this well breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099350 - without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099351 - miles, then downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099352 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099353 - 07 mph.  Road ends at top of hill.  Did not hike back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099354 - .25 mile and then back to top.  Stopped mile 11 time 1554, temp 67,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099355 - wind 04 mph; EKG uniform with no artifact, Kardia reported HR 127 (HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099356 - - no wait to get cellphone connection... unusually high for level of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099357 - effort and temperature at this station - looks like AFL) Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099358 - see below. ref SDS 0 B4XF  Feet PL 1, left foot tailor's bunion PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099359 - calves PL 0 left knee PL 1, left shoulder PL 0, left elbow PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099360 - nothing to eat or drink (NPO), per above. ref SDS 0 S8WM  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099361 - downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom of hill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099362 - continued uphill .25 miles 5% grade, then .5 mile flat grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099363 - Laural Tree Drive turned around hiked back and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099364 - Rolling Woods Way hiking East .5 miles uphill 6% grade with 8 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099365 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099366 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099367 - mile uphill 3% - 4% grade against wind 03 mph.  Did not hike up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099368 - California State University East Bay Concord Campus.  Turned and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099369 - Campus Drive to Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099370 - miles.  At mile 15, paused hike 5 minutes for hydration and nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099371 - - did not do EKG.  HR dropped from 120 to 37, then elevated to 120+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099372 - after hike continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099373 - against wind 04 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099374 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099375 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099376 - barriar mile 16, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099377 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099378 - Hiked 1 mile loop around block at Safeway shopping complex.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099379 - near Mod Pizza mile 19, time 1826, temp 60 and wind 07 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099380 - variable with possible artifact, Kardia reported HR 122 (...elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099381 - for level of effort, AND during 5 minute stop HR dropped from 122 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099382 - 41, then elevated to 120+ on resuming hiking...) Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099383 - below. ref SDS 0 6EJA  Both feet PL 2, left foot #1 edge callus PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099384 - #5 callus PL 2, right foot #4 top blister/callus PL 3, #5 callus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099385 - right foot both Tailor's bunions PL 0, right leg shin splint PL 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099386 - knee PL 2, ACL PL 0, left shoulder PL 1, neck to right shoulder PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099387 - imtermittantly, left elbow PL 2 intermittantly.  Took 2nd Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099388 - pain and inflammation management.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099389 - and energy to complete hike.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099390 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099391 - seeds for energy, and avocado for HDL, per above. ref SDS 0 S8WM  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099392 - noticably wobbly, loopy, staggering, as occurred with Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099393 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099394 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099395 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099396 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099397 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099398 - .75 miles on Treat uphill 5% grade temp 64.  Polar GPS/HR monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099399 - showed HR 130 +/- continually, i.e., "engine running hot".  Concerned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099400 - similar when AFL occurred taking Tramadol same location on 240401, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099401 - above. ref SDS 0 O18N  Slowed pace and HR dropped below 130.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099402 - summit, mile 22, hiked another mile to Cuneo.  Continued .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099403 - Cowell and back to Cuneo and home.  Ended hike mile 23 time 1942 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099404 - 63, wind 10, feet PL 2, shin splints PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099405 - blister/callus PL 3, left knee PL 1 (swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099406 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099407 - left side PL 0, left elbow PL 2, when lifting.  EKG looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099408 - with no artifact, Kardia reported HR 115 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099409 - ref SDS 0 3YFP  Relieved heart calmed rather than flip into AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099410 - There is still an issue of avoiding arrhythmia with increased Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099411 - burden.  Coronary function is normal with Tramadol until 4 - 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099412 - taking 1 - 2 pills per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099419 -  ..
099420 - Kardia recorded HR 52 at 0943, Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099421 - lengths with p-waves and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099422 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099423 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099424 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099425 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099426 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099429 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099430 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240415-ecg-094337_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099436 -  ..
099437 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099438 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099439 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099441 -  ..
099442 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099444 -       Date       240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 240126 2  
099445 -       Miles         23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     17     
099446 -       HR AVG       120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107    109     
099447 -         MAX        142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129    135     
099448 -         Min         37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     46     
099449 -       El Climb Ft  715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495    495     
099450 -       Temp Max      68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     60     
099451 -       Wind Max      12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     07     
099452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099454 -              https://flow.polar.com/training/analysis/7860775006                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099457 -               ..
099459 -   
099460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099464 -  ..
099465 - EKG at mile 07 time 1436 HR 115 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099466 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099467 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099470 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099471 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240415-ecg-143840_mile_07_115_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099475 -  ..
099476 - EKG at mile 11 time 1554 HR 127 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099477 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099478 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099481 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099482 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240415-ecg-155401_mile_11_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099486 -  ..
099487 - EKG at mile 19 time 1826 HR 122 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099488 - Tachycardia... looks uniform with possible artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099489 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099492 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099493 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240415-ecg-182607_mile_19_122_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099497 -  ..
099498 - End hike EKG at mile 23 time 1942 HR 115 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099499 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099500 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099503 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099504 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240415-ecg-194201_mile_23_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099509 -  ..
099510 - Post hike HR profile beginning 2243 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099511 - overnight after hiking 23 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099512 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099513 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099514 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099516 -        ..
099517 -       Date      240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204  240203    
099518 -       Time       2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223    2332     
099519 -       Hours         8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9       9     
099520 -       HR AVG       67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69      66     
099521 -       HR MAX      127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     163     
099522 -       HR Min       34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46      46     
099523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099525 -              https://flow.polar.com/training/analysis/7861101362                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099528 -               ..
099530 -   
099531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099535 -  ..
099536 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099537 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099538 - Dinner - eggs rice macaroni cheese steak asparagus broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099539 - mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099541 -  ..
099542 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099569 -         ..
099570 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099571 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099572 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099573 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099574 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099575 -  107.  240416 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099576 -               0715....BP HR..................................................... 167  87  51  Kardia ECG reports HR status, see below. ref SDS 0 YSP3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099577 -               0720....BP HR..................................................... 151  83  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099578 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099579 -               0725....80 392700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099580 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099581 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099582 -               1050....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099583 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099584 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
099585 -  ..
099586 -               1124....miles...........  17.0  40.0  284   679 minutes  temp  77 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099587 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099588 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099589 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
099590 -               1347....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099591 -               1347....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099592 -               1347... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099593 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099594 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099595 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099596 -               1530....mile 14 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099597 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099598 -               1530... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099599 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099600 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099601 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099602 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099603 -               1634... Hike ends mile 17... ref SDS 0 Y6K3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099604 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099605 -               1640....weight.................................... 168  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099606 -               1650....BP HR..................................................... 112  72 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099607 -               1700....BP HR..................................................... 108  72  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099608 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099609 -               1700... 40 109060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
099610 -             1 0000............ 10 19630  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099611 -             1 0000............ 10 19970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099612 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099613 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099614 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099615 -               2130... 40 85260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099616 -               2200... 1000 2100000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099617 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099618 -               2230... 80 392780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099619 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099620 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099621 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099624 -  ..
099625 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099626 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099628 -  ..
099629 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099630 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099633 -  ..
099634 - Today, hiked 17 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099635 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099636 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099637 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099638 - Hiked around main buildings, then 1 mile through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099639 - Stopped mile 8 for hydration, nutrition, and 1 Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099640 - inflammation control.  Did another loop around main buildings, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099641 - exited college heading West on Ygnacio Valley Road 3 miles over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099642 - to Oak Grove.  Hiked loop around shopping complex.  Mile 14, stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099643 - for hydration and nutrition; did not take 2nd Naproxen.  Then North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099644 - Oak Grove.  At mile 15, hiked 2 miles East on Treat to Cuneo ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099645 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099649 -         ..
099650 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099651 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099652 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no bloating nor stomach pain, so no Simethicone today while taking 2 or 3 Naproxen pills                                                                                                                                                                                                                                                                                                                                                               
099653 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099654 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping after hike - minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099655 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099656 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099657 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099658 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099659 -        Neck turning head/chest left or right........   0        100  no episodes mile 20+ - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099660 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099661 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099662 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                               
099663 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099664 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099665 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
099666 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099667 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099668 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099669 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099670 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099671 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099672 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099673 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099674 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099675 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099676 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099677 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099678 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099679 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099680 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099681 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099682 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099683 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099684 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                       
099685 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                       
099686 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099687 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099688 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099689 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
099690 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
099691 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
099692 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099693 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
099694 -        Callus big toe left foot...PRP 210705........   3          5  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
099695 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099696 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099697 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099698 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099699 -        Callus little toe right foot..top of toe.....   2         30  omitted pediplast interdigital spacer Doctor Tang created on 230420 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099700 -        Callus ring toe #4 right foot in web.........   2         20  Doctor Tang cut out core of callus 230316 did not use new pediplast interdigital spacer Doctor Tang created on 230420 - seems nearly totally healed took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                   
099701 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
099702 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099703 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                    
099704 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099705 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099706 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099707 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099708 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099709 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099710 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099711 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099712 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099713 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099714 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099715 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099716 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099717 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099718 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099719 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099720 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099722 -  ..
099723 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099725 -  ..
099726 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099728 -  ..
099729 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099731 -  ..
099732 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099733 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099735 -  ..
099736 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099737 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099738 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099739 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099740 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099744 -  ..
099745 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099746 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099747 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099748 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099749 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099750 - avocado for HDL, per above. above. ref SDS 0 DM9I  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099751 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099752 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099753 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099754 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099755 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099756 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099757 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099758 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099759 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099760 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099761 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099762 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099763 - entire hike without dyspnea.  Temp started at 70, and reached 77.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099764 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099765 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099766 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099767 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099768 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099769 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099770 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099771 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099772 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099773 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099774 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099775 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099776 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099777 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099778 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099779 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099780 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099781 - West 1 mile uphill 3% - 4% grade against wind 08 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099782 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099783 - Concord Campus.  Hiked around main campus buildings.  Since started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099784 - late today, did not take time for using training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099785 - half-pullups, 20 half-pushups and 00 situps.  Hiked 1.5-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099786 - through Faculty and Student Parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099787 - at Administration Building mile 08 time 1347 temp 73 and wind 05 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099788 - EKG uniform with minor artifact only 1 beat.  Kardia reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099789 - Tachycardia - see below. ref SDS 0 AXO3  Both feet PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099790 - Tailor's bunions PL 0, left foot #5 top blister/callus PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099791 - foot #5 top blister/callus PL 0, left knee meniscus PL 2, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099792 - patella PL 0, left shoulder PL 0, left elbow PL 2 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099793 - Naproxen (switched from Tramadol and Gabapentin) for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099794 - inflammation maagement.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099795 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099796 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099797 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099798 - energy to complete hike.  Did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099799 - above. ref SDS 0 YTWY  Exited college hiking North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099800 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099801 - grade .5 miles.  At mile 09, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099802 - 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099803 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099804 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099805 - end of concrete barriar mile 10, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099806 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099807 - traffic light.  Hiked 1 mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099808 - complex.  Stopped time about 1530, near Mod Pizza mile 13, did not do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099809 - Karkia EKG.  Did not take 2nd Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099810 - management.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099811 - complete hike.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099812 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099813 - energy, and avocado for HDL, per above. ref SDS 0 YTWY  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099814 - wobbly, loopy, staggering, as occurred with Tramadol.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099815 - Turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099816 - Crossed Treat at street light.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099817 - concrete sidewalk.  At San Miguel continued .75 miles on Treat uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099818 - 5% grade temp 77.  Polar GPS/HR monitor showed HR < 130 +/-
099819 - continually, i.e., "engine not running hot", less concerned similar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099820 - when AFL occurred taking Tramadol same location on 240401, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099821 - ref SDS 0 O18N  At summit, mile 16, hiked another mile to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099822 - Continued .25 mile to Cowell and back to Cuneo and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099823 - mile 17 time 1634 temp 76, wind 08, feet PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099824 - right foot #4 top blister/callus PL 3, left knee PL 1 (swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099825 - knee PL 1, left shoulder PL 0, neck and right shoulder PL 6, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099826 - turning head, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099827 - lifting.  EKG looks uniform, with artifact, Kardia reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099828 - Tachycardia - see below. ref SDS 0 Y6K3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099837 -  ..
099838 - Kardia recorded HR 58 at 0901, Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099839 - lengths with p-waves and some artifact; no AFL after hiking 23 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099840 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099841 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099842 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099843 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099844 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099847 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099848 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240416-ecg-090146_mile_00_058_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099854 -  ..
099855 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099856 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099857 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099859 -  ..
099860 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099862 -       Date       240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 240127 2  
099863 -       Miles         17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     20     
099864 -       HR AVG       112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no    107     
099865 -         MAX        128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report   129     
099866 -         Min         45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            60     
099867 -       El Climb Ft  495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715           495     
099868 -       Temp Max      77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            64     
099869 -       Wind Max      10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            08     
099870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099872 -              https://flow.polar.com/training/analysis/7861395620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099875 -               ..
099877 -   
099878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099882 -  ..
099883 - EKG at mile 08 time 1347 HR 107 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099884 - Tachycardia... looks uniform with minor artifact 1 beat - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099885 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099888 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099889 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240416-ecg-134707_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099893 -  ..
099894 - End hike EKG at mile 17 time 1634 HR 115 temp 76 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099895 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099896 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099899 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099900 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240416-ecg-163406_mile_17_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099905 -  ..
099906 - Post hike HR profile beginning 2214 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099907 - overnight after hiking 17 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099908 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099909 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099910 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099912 -        ..
099913 -       Date      240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205  240204    
099914 -       Time       2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134    2223     
099915 -       Hours         9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6       9     
099916 -       HR AVG       62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61      69     
099917 -       HR MAX      103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     104     
099918 -       HR Min       38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46      46     
099919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099921 -              https://flow.polar.com/training/analysis/7861716663                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099924 -               ..
099926 -   
099927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099931 -  ..
099932 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099933 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099934 - Dinner - eggs rice macaroni cheese steak asparagus broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099935 - mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099937 -  ..
099938 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099967 -         ..
099968 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099969 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099970 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099971 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099972 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099973 -  108.  240417 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099974 -               0720....BP HR..................................................... 138  86  52  Kardia ECG reports HR status, see below. ref SDS 0 PQRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099975 -               0725....BP HR..................................................... 156  87  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099976 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099977 -               0730....80 392860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099978 -               0900....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099979 -               0900....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099980 -               0900....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099981 -               0900....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099982 -               0900... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
099983 -  ..
099984 -         * cr  0936....miles...........  23.0  63.0  387  1066 minutes  temp  77 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099985 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099986 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099987 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
099988 -               1143....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099989 -               1143....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099990 -               1143... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099991 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099992 -               1327....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099993 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099994 -               1504....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099995 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099996 -               1504... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099997 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099998 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099999 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100000 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100001 -               1653... Hike ends mile 23... ref SDS 0 PQXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100002 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100003 -               1720....weight.................................... 167  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100004 -               1730....BP HR..................................................... 114  71 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100005 -               1740....BP HR..................................................... 118  76  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100006 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100007 -               1700... 40 109100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
100008 -               1830............ 10 19640  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100009 -               1830............ 10 19980  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100010 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100011 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100012 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100013 -               2130... 40 85300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100014 -               2200... 1000 2101000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100015 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100016 -               2230... 80 392940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100017 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100018 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100019 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100022 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100023 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100024 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100025 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100026 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100027 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100028 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100029 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100032 -  ..
100033 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100034 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100036 -  ..
100037 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100038 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100041 -  ..
100042 - Today, hiked 23 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100043 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100044 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100045 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100046 - Hiked around main buildings, then 1 mile through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100047 - Stopped mile 8 for hydration, nutrition, and 1 Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100048 - inflammation control.  Did another loop around main buildings, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100049 - exited college heading West on Ygnacio Valley Road.  Did 8 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100050 - through hills of Crystal Ranch Development.  Back at college hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100051 - loops in parking lots, stopped at mile 17 for hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100052 - then hiked a mile to Crystal Ranch Road, and went up the road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100053 - miles, back to Ygnacio Valley Road, over the summit, then back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100054 - Cowell and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100058 -         ..
100059 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100060 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100061 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - seemed no fee; bloating about mile 10 on Crystal Ranch Road but did not have Simethicone so could not take a pill, later did not notice discomfort, so may not have been colitis                                                                                                                                                                                                                                                                       
100062 -        Side ache vasodilation ischemic colitis......   2         30  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100063 -        Hands cramping hurting - post hike...........   3         30  hands and thumbs cramping after hike - more serious at 1930 - likely temperature related while hiking today                                                                                                                                                                                                                                                                                                                                                                                                                                  
100064 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100065 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100066 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100067 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100068 -        Neck turning head/chest left or right........   7         10  episodes mile 18+  took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100069 -        Shoulder left myopathy statins...............   2         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100070 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100071 -        Elbow left arm PRP on 231121.................   2         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                               
100072 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100073 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100074 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
100075 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100076 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100077 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100078 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100079 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100080 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100081 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100082 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100083 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100084 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100085 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100086 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100087 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100088 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100089 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100090 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100091 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100092 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100093 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                       
100094 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                       
100095 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100096 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100097 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100098 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
100099 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
100100 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
100101 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100102 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
100103 -        Callus big toe left foot...PRP 210705........   3          5  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
100104 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100105 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100106 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100107 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100108 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                 
100109 -        Callus ring toe #4 right foot in web.........   2         20  Doctor Tang cut out core of callus 230316 starting did not use but at mile 8 took shoe and sock off and added new pediplast interdigital spacer Doctor Tang created on 230420 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                       
100110 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
100111 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100112 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                    
100113 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100114 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100115 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100116 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100117 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100118 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100119 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100120 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100121 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100122 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100123 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100124 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100125 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100126 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100127 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100128 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100129 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100131 -  ..
100132 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100134 -  ..
100135 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100137 -  ..
100138 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100140 -  ..
100141 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100142 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100144 -  ..
100145 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100146 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100147 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100148 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100149 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100153 -  ..
100154 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100155 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100156 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100157 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100158 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100159 - avocado for HDL, per above. above. ref SDS 0 BJ7N  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100160 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100161 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100162 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100163 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100164 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100165 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100166 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100167 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100168 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100169 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100170 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100171 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100172 - entire hike without dyspnea.  Temp started at 71, and reached 77.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100173 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100174 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100175 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100176 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100177 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100178 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100179 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100180 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100181 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100182 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100183 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100184 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100185 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100186 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100187 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100188 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100189 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100190 - West 1 mile uphill 3% - 4% grade against wind 04 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100191 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100192 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100193 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100194 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100195 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100196 - Administration Building mile 07 time 1143 temp 71 and wind 06 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100197 - mostly uniform (2 beats at end look variable) with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100198 - Kardia reported HR 107 Tachycardia - see below. ref SDS 0 2QWB  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100199 - reported HR dropped about 80 BPM to 35, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100200 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100201 - feet PL 2, right foot Tailor's bunions PL 0, left foot #5 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100202 - blister/callus PL 0, right foot #4 top blister/callus PL 3, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100203 - meniscus PL 1, left knee patella PL 0, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100204 - PL 2 intermitant.  Took Naproxen (switched from Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100205 - Gabapentin) for pain and inflammation maagement.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100206 - carried from home for hydration, swallowing meds and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100207 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100208 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100209 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100210 - take Nuun electrolyte pill, per above. ref SDS 0 3XUT  Before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100211 - continuing hike used bench at bus stop to sit and remove right shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100212 - and sock.  Added Pediplasti interdigital spacer between right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100213 - and #5.  This slightly overlaps the top of #4 to protect against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100214 - pressure from top of shoe.  Continued hiking around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100215 - again, then hiked another 1 mile through parking lots.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100216 - at North end Student parking taking Campus Drive over summit down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100217 - hill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100218 - .5 miles.  At mile 09, turned left onto Crystal Ranch Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100219 - South 1 mile uphill 5% grade with 07 mph wind - wind helpful cooling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100220 - effect against higher temperatures today.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100221 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100222 - grade .5 miles.  Continued downhill .25 miles 5% grade.  At Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100223 - Woods Way continued uphill on Crystal Ranch Road .5 miles 6% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100224 - against wind 05 mph.  Road ends at top of hill.  Did not hike back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100225 - down hill about .25 mile and then back to top.  Stopped mile 12 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100226 - 1327, temp 75, wind 07 mph; EKG somewhat uniform seems variable as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100227 - well with severe artifact, Kardia reported HR 121 (HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100228 - cellphone connection) Tachycardia - see below. ref SDS 0 JA5M  Feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100229 - 2, left foot tailor's bunion PL 0, calves PL 0 left knee PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100230 - shoulder PL 1, left elbow PL 2, nothing to eat or drink (NPO), per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100231 - above. ref SDS 0 3XUT  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100232 - grade .5 miles.  At bottom of hill, continued uphill .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100233 - turned around at Autum Oak heading back.  Turned left onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100234 - Woods Way hiking East .5 miles uphill 6% grade with 7 mph wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100235 - summit mile 13, continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100236 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100237 - mile uphill 3% - 4% grade against wind 08 mph.  At mile 16, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100238 - Visitor Parking again at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100239 - Campus.  Hiked 1 loop through parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100240 - stopped at Administration Building mile 17, time 1504 temp 77 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100241 - 08 mph; EKG mostly uniform with no artifact (welcome improvement after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100242 - EKG at top of Crystal Ranch Road 4 miles ago).  Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100243 - Tachycardia - see below. ref SDS 0 4W7I  Both feet PL 2, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100244 - PL 0, left knee PL 2, left shoulder PL 1, neck to right shoulder PL 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100245 - imtermittantly turning head or lifting right arm, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100246 - intermittantly.  Did not take Tramadol again.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100247 - from home with water added from nearby fountain, for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100248 - swallowing nutrition - peanut butter, margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100249 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100250 - more CoQ10, per above. ref SDS 0 3XUT  Hiked loop through parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100251 - to exit college at North end Student parking, taking West bound Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100252 - Drive from Pine Hollow to North bound Campus Drive back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100253 - Valley Road.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100254 - flat grade .5 miles.  Turned left onto Crystal Ranch Road hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100255 - mile 5% grade.  With heat rising turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100256 - downhill.  Turned left on Ygnacio Valley Road heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100257 - grade .5 miles against wind 08 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100258 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100259 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100260 - concrete barriar mile 20, turned around and hiked back to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100261 - Turned left downhill on Cowell 5% grade .25 mile.  Continued .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100262 - on flat grade, then .25 mile with narrow shoulder.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100263 - heading West on Treat and crossed to North side at break in traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100264 - Took Cuneo .25 mile to Kaski and back to Cuneo and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100265 - mile 23 time 1653 temp 76, wind 05, feet PL 2, burning sensation PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100266 - right foot top #4 blister/callus PL 3 while standing, shin splints PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100267 - 0, left knee PL 2 (swollen), right knee PL 0, left shoulder PL 1, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100268 - and right shoulder PL 0 intermittantly, lower back left side PL 9,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100269 - left elbow PL 2, when lifting.  EKG looks variable, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100270 - Kardia reported HR 097 Tachycardia - see below. ref SDS 0 PQXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100280 -  ..
100281 - Kardia recorded HR 55 at 0716, Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100282 - heart beat lengths with p-waves and no artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100283 - 17 miles yesterday, ending Apixaban on 240110, and taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100284 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100285 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100286 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100287 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100290 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100291 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240417-ecg-071659_mile_00_055_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100297 -  ..
100298 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100299 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100300 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100302 -  ..
100303 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100305 -       Date       240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 240128 2  
100306 -       Miles         23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31      0     
100307 -       HR AVG       115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     no     
100308 -         MAX        137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  report    
100309 -         Min         35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55            
100310 -       El Climb Ft  715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715            
100311 -       Temp Max      77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69            
100312 -       Wind Max      10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10            
100313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100315 -              https://flow.polar.com/training/analysis/7862062013                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100318 -               ..
100320 -   
100321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100325 -  ..
100326 - EKG at mile 08 time 1143 HR 111 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100327 - Tachycardia... looks uniform (2 beats at end seem variable) with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100328 - artifact - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100331 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100332 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240417-ecg-114322_mile_08_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100336 -  ..
100337 - EKG at mile 12 time 1327 HR 121 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100338 - Tachycardia... looks uniform and variable with severe artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100339 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100342 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100343 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240417-ecg-132717_mile_12_121_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100347 -  ..
100348 - EKG at mile 17 time 1504 HR 118 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100349 - Tachycardia... looks uniform and no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100350 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100353 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100354 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240417-ecg-150431_mile_17_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100358 -  ..
100359 - End hike EKG at mile 23 time 1653 HR 115 temp 76 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100360 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100361 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100364 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100365 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240417-ecg-165325_mile_23_115_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100370 -  ..
100371 - Post hike HR profile beginning 2011 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100372 - overnight after hiking 23 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100373 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100374 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100375 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100377 -        ..
100378 -       Date      240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206  240205    
100379 -       Time       2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029    0134     
100380 -       Hours         9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11       6     
100381 -       HR AVG       62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59      61     
100382 -       HR MAX      103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     107     
100383 -       HR Min       38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41      46     
100384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100386 -              https://flow.polar.com/training/analysis/7862423201                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100389 -               ..
100391 -   
100392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100396 -  ..
100397 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100398 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100399 - Dinner - hot dog tomato onion broccoli mushrooms cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100401 -  ..
100402 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100430 -         ..
100431 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100432 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100433 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100434 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100435 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100436 -  109.  240418 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100437 -               0700....BP HR..................................................... 146 103  53  Kardia ECG reports HR status, see below. ref SDS 0 PVRU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100438 -               0705....BP HR..................................................... 142  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100439 -               0710....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100440 -               0710....80 393020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100441 -               0900....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100442 -               0900....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100443 -               0900....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100444 -               0900....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100445 -               0900... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
100446 -  ..
100447 -               1007....miles...........  15.0  78.0  252  1318 minutes  temp  79 wind 08  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100448 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100449 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100450 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
100451 -               1220....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100452 -               1220....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100453 -               1220... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100454 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100455 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100456 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100457 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100458 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100459 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100460 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100461 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100462 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100463 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100464 -               1440... Hike ends mile 15... ref SDS 0 5WPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100465 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100466 -               1455....weight.................................... 169  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100467 -               1500....BP HR..................................................... 109  77  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100468 -               1510....BP HR..................................................... 110  78  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100469 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100470 -               1700... 40 109140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
100471 -             1 0000............ 10 19640  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100472 -             1 0000............ 10 19980  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100473 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100474 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100475 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100476 -               2130... 40 85340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100477 -               2200... 1000 2102000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100478 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100479 -               2230... 80 393100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100480 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100481 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100482 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100485 -  ..
100486 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100487 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100489 -  ..
100490 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100491 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100494 -  ..
100495 - Today, hiked 15 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100496 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100497 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100498 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100499 - Hiked around main buildings, then 1 mile through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100500 - Stopped mile 7 for hydration, nutrition, and 1 Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100501 - inflammation control.  Did another loop around main buildings, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100502 - exited college heading West on Ygnacio Valley Road.  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100503 - well; instead of hiking over summit to Oak Grove, turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100504 - Cowell hiking to Treat then Cuneo.  At mile 10, feeling better.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100505 - 5 miles through residential streets then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100509 -         ..
100510 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100511 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100512 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                               
100513 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100514 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100515 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100516 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100517 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100518 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100519 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100520 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100521 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100522 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                               
100523 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100524 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100525 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
100526 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100527 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100528 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100529 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100530 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100531 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100532 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100533 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100534 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100535 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100536 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100537 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100538 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100539 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100540 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100541 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100542 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100543 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100544 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                       
100545 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                       
100546 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100547 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100548 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100549 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
100550 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
100551 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
100552 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100553 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
100554 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
100555 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100556 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100557 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100558 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100559 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                 
100560 -        Callus ring toe #4 right foot in web.........   3         60  Doctor Tang cut out core of callus 230316 starting use new pediplast interdigital spacer Doctor Tang created on 230420 - took 1 Naproxen mile 7 - may need new spacer at meeting tomorrow                                                                                                                                                                                                                                                                                                                                                    
100561 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
100562 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100563 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                    
100564 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100565 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100566 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100567 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100568 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100569 -        Burning sensation both feet..................   2         20  occurring mile 7 stop, improved after taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100570 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100571 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100572 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100573 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100574 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100575 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100576 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100577 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100578 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100579 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100580 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100582 -  ..
100583 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100585 -  ..
100586 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100588 -  ..
100589 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100591 -  ..
100592 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100593 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100595 -  ..
100596 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100597 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100598 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100599 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100600 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100604 -  ..
100605 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100606 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100607 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100608 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100609 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100610 - avocado for HDL, per above. above. ref SDS 0 U74H  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100611 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100612 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100613 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100614 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100615 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100616 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100617 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100618 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100619 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100620 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100621 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100622 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100623 - entire hike without dyspnea.  Temp started at 72, and reached 79.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100624 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100625 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100626 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100627 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100628 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100629 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100630 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100631 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100632 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100633 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100634 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100635 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100636 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100637 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100638 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100639 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100640 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100641 - West 1 mile uphill 3% - 4% grade against wind 04 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100642 - reached Visitor Parking, California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100643 - Campus.  Hiked around main campus buildings.  Since left elbow has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100644 - partially healed from PRP treatments on 231121 0700. ref SDS 27 QU4L,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100645 - stopped at training station to do 20 half-pullups, 30 half-pushups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100646 - 00 situps.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100647 - mile 07 time 1220 temp 74 and wind 07 mph; EKG mostly uniform (3 beats                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100648 - look variable) with no artifact.  Kardia reported HR 102 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100649 - see below. ref SDS 0 PVWP  Polar did not report HR dropped about 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100650 - today, see case study on 200101 0701, ref SDS 16 PY3I, and research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100651 - 240416 0942. ref SDS 34 RU6M  Both feet PL 2, burning sensation PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100652 - right foot Tailor's bunions PL 0, left foot #5 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100653 - 0, right foot #4 top blister/callus PL 4, even with pediplasti spacer,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100654 - may need new spacer during meeting with Doctor Tang in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100655 - VAMCSF tomorrow, left knee meniscus PL 1, left knee patella PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100656 - shoulder PL 2, left elbow PL 0 intermitant.  Took Naproxen (switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100657 - from Tramadol and Gabapentin) for pain and inflammation maagement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100658 - Sips softdrink carried from home for hydration and swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100659 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100660 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100661 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100662 - take Nuun electrolyte pill, per above. ref SDS 0 PSRX  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100663 - hiking around main buildings again, then exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100664 - downhill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100665 - grade .5 miles.  Did not feel well.  Hiked past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100666 - heading West uphill 3% grade .5 miles against wind 03 mph (cooling).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100667 - Crossed Cowell at stop light.  Took Cowell downhill 5% grade .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100668 - Continued .5 mile on flat grade, then .25 mile with narrow shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100669 - Turned left heading West on Treat and crossed to North side at break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100670 - in traffic.  At mile 10, took Cuneo .25 mile to Kaski.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100671 - better.  Hiked 5 miles through residential streets and back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100672 - and home.  Ended hike mile 15 time 1440 temp 79, wind 02, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100673 - burning sensation PL 3, right foot top #4 blister/callus PL 5 while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100674 - standing, shin splints PL 0, left knee PL 2 (swollen), right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100675 - 0, left shoulder PL 0, neck and right shoulder PL 0 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100676 - lower back left side PL 0, left elbow PL 1, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100677 - variable, with possible artifact, Kardia reported HR 105 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100678 - see below. ref SDS 0 5WPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100688 -  ..
100689 - Kardia recorded HR 51 at 0906, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100690 - lengths with p-waves and no artifact; no AFL after hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100691 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100692 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100693 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100694 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100695 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100698 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100699 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240418-ecg-090633_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100705 -  ..
100706 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100707 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100708 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100710 -  ..
100711 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100713 -       Date       240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 240129 2  
100714 -       Miles         15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     31     
100715 -       HR AVG       109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103    112     
100716 -         MAX        123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123    141  r  
100717 -         Min         80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     55     
100718 -       El Climb Ft  495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495    715     
100719 -       Temp Max      79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     69     
100720 -       Wind Max      08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     10     
100721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100723 -              https://flow.polar.com/training/analysis/7862679275                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100726 -               ..
100728 -   
100729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100733 -  ..
100734 - EKG at mile 08 time 1220 HR 102 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100735 - Tachycardia... looks uniform (3 beats seem variable) with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100736 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100739 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100740 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240418-ecg-122050_mile_08_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100744 -  ..
100745 - End hike EKG at mile 15 time 1440 HR 105 temp 79 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100746 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100747 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100750 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100751 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240418-ecg-144021_mile_15_105_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100756 -  ..
100757 - Post hike HR profile beginning 1944 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100758 - overnight after hiking 15 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100759 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100760 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100761 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100763 -        ..
100764 -       Date      240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207  240206    
100765 -       Time       1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939    2029     
100766 -       Hours         7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12      11     
100767 -       HR AVG       62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64      59     
100768 -       HR MAX      105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     116     
100769 -       HR Min       41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42      41     
100770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100772 -              https://flow.polar.com/training/analysis/7862846515                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100775 -               ..
100777 -   
100778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100782 -  ..
100783 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100784 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100785 - Dinner - macaroni cheese steak tomato onion broccoli mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100787 -  ..
100788 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100816 -         ..
100817 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100818 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100819 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100820 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100821 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100822 -  110.  240419 0205............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100823 -               0210....BP HR..................................................... 149  83  47  Kardia ECG reports HR status, see below. ref SDS 0 5YC8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100824 -               0215....BP HR..................................................... 168  81  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100825 -               0220....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100826 -               0220....80 393180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100827 -               0400....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100828 -               0400....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100829 -               0400....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100830 -               0400....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100831 -               0400... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100832 -               0400....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
100833 -  ..
100834 -               0402....miles...........  14.0  91.0  225  1543 minutes  temp  52 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100835 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100836 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100837 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
100838 -               0000....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100839 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100840 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100841 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100842 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100843 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100844 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100845 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100846 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100847 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100848 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
100849 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100850 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100851 -               0750... Hike ends mile 14... ref SDS 0 Q4SE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100852 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100853 -               0820....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100854 -               0825....BP HR..................................................... 117  78  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100855 -               0830....BP HR..................................................... 113  76  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100856 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100857 -               1700... 40 109180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
100858 -               1830............ 10 19650  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100859 -               1830............ 10 19990  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100860 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100861 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100862 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100863 -               2130... 40 85380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100864 -               2200... 1000 2102000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100865 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100866 -               2230... 80 393260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100867 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100868 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100869 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100873 -  ..
100874 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100875 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100877 -  ..
100878 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100879 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100882 -  ..
100883 - Today, hiked 14 miles - in San Francisco Golden Gate Park, with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100884 - 53 and wind 12; begin from VA Medical Center on Clement at 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100885 - street, hike to Point Lobos, then West 1 mile to Cliff House.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100886 - South 1 mile on Great Highway.  Turn East onto JFK through Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100887 - Park past De Young Museum out to Stanyon, and continue to Paramount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100888 - across from University of San Francisco.  At mile 7, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100889 - hiked back to Great Highway, to Point Lobos, then 42nd and to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100890 - hospital.  Did EKG at mile 6, and NPO.  Good pace entire hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100891 - including uphill last 2 miles, and with taking chia seeds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100892 - Ubiquinol CoQ10.  Nothing hurt after hike, did not take pain meds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100893 - avoid falling asleep driving home later.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100897 -         ..
100898 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100899 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100900 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                               
100901 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100902 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100903 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100904 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100905 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100906 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100907 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100908 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100909 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100910 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
100911 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100912 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100913 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
100914 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100915 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100916 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100917 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100918 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100919 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100920 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100921 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100922 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100923 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100924 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100925 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100926 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100927 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100928 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100929 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100930 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100931 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100932 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                       
100933 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                       
100934 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100935 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100936 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100937 -        Ankle left achilles heel on 220416...........   0        100  right ankle stiff - following CT for Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                                                                          
100938 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
100939 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
100940 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100941 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
100942 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
100943 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100944 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100945 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100946 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100947 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                 
100948 -        Callus ring toe #4 right foot in web.........   3         60  Doctor Tang cut out core of callus 230316 starting use new pediplast interdigital spacer Doctor Tang created on 230420 - took 1 Naproxen mile 0 - may need new spacer at meeting tomorrow                                                                                                                                                                                                                                                                                                                                                    
100949 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
100950 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100951 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                    
100952 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100953 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100954 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100955 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100956 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100957 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100958 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100959 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100960 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100961 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100962 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100963 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100964 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100965 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100966 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100967 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 0 starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100968 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100970 -  ..
100971 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100973 -  ..
100974 - Orthotic inserts see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100976 -  ..
100977 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100979 -  ..
100980 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100981 - 0701, ref SDS 16 NS7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100983 -  ..
100984 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100985 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100986 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100987 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100988 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100992 -  ..
100993 - San Francisco 14 mile route, reported on 170519, ref SDS 6 WTRS  At VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100994 - time 0345, before starting hike at the VA, took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100995 - Chondroitin for OA.  Took few sips of Coca Cola to swallow 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100996 - pill for pain management, and swallow few bites of peanut butter with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100997 - margarine and chia seeds for energy (magnesium), and avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100998 - and took Ubiquinol CoQ10 for energy and HDL, per above. ref SDS 0 LC3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100999 - Weather overcast, temperature 54, wind 14 mph.  Started hike leaving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101000 - parking lot at VAMCSF at 0402.  Hiked slowly downhill on 42nd Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101001 - to warm up.  Turned corner heading downhill West on Point Lobos to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101002 - Cliff House at mile 1.  Too dark to see anything.  Did not wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101003 - headlight.  Road bends and changes to "Great Highway" going South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101004 - along ocean beach.  At mile 2 turned onto John F Kennedy (JFK) Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101005 - entering Golden Gate Park.  Maintained pace going slightly uphill into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101006 - the park for .5 miles.  Turned corner and continued East on JFK.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101007 - dark, few widely spaced street lights, cannot see the road.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101008 - Buffalo compound, then Spreckles Lake.  Dawn starting to break - can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101009 - see the road.  Hiking past Lindley Meadow, said hello to early morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101010 - jogger going West.  Continued past Helman Hollow.  Both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101011 - level 1.  Continued hiking under bridge at Crossover Drive (part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101012 - highway 1 that goes to Golden Gate Bridge) - JFK is blocked to vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101013 - traffic the rest of the way through the park, limiting attendance to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101014 - keep people separated that minimizes spreading coronavirus.  Now that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101015 - the epidemic has been delcared over, the park continues to deny access                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101016 - to drivers on JFK.  At mile 5 past De Young Museum, have passed a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101017 - bikers and joggers heading West.  Turned onto Stanyon heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101018 - uphill.  Few more blocks downhill at Fulton.  At Portrait Way turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101019 - and hiked to the end.   Stopped mile 07, time 0558, temp 52, wind 03;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101020 - EKG mostly uniform with severe artifact.  Kardia reported HR 092                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101021 - Normal Sinus Rhythm -, ref SDS 0 8PS5  Polar reported HR dropped about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101022 - 70 today, see case study on 200101 0701, ref SDS 16 PY3I, and research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101023 - on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101024 - 0, right foot Tailor's bunions PL 0, left foot #5 top blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101025 - PL 0, right foot #4 top blister/callus PL 3, even with pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101026 - spacer.  NPO, except took CoQ10 for energy and HDL.  Heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101027 - through the park toward the ocean.  Stayed on South side against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101028 - traffic (no actual vehicle traffic in park) going Eest.  Passing De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101029 - Young Museum most everything pain level 1.  Increased pace with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101030 - endorphins rising.  Noticed Waterfall not running at 0700 this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101031 - morning, before hiking under Crossover Road bridge and past Hellman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101032 - Hollow.  Hiked past Lindley Meadow, where 9 years ago, a truck backed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101033 - up because missed a turn, and damaged Kathy's car; this got her a new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101034 - car, reported on 150729 0942. ref SDS 4 0001  Continued hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101035 - Spreckles Lake, the Buffalo compound.  Crossed over to North side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101036 - JFK going with traffic.  Turned corner and headed toward the ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101037 - Turned North onto Great Highway.  Hiked parallel to ocean toward the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101038 - Cliff House and the hospital.  Halfway to Cliff House drank rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101039 - liquid CoQ10 for energy.  Maintained pace hiking up steep hill - 5% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101040 - 6% grade.  Breathing through nose for 1.5 miles uphill all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101041 - the hospital.  At the Cliff House, turned onto Point Lobos going East;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101042 - hiked uphill for 1 mile.  Turned onto 42nd street and maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101043 - going up final steep hill to the VA campus, then walked through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101044 - hospital to cafeteria and then to Module 1 on ground floor - ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101045 - hike 14 miles - time 0750 temp 52 wind 8, feet PL 2, left foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101046 - blister PL 3, left knee PL 1, neck and right shoulder PL 5 (only when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101047 - turning head or lifting right arm), left shoulder PL 0 - getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101048 - better.  EKG looks variable with p-wave and severe artifact, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101049 - HR 102 Possible Atrial Fibrillation - see below. ref SDS 0 Q4SE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101059 -  ..
101060 - Kardia recorded HR 47 at 0215, Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101061 - with p-waves and no artifact; no AFL after hiking 17 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101062 - ending Apixaban on 240110, and taking Naproxen after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101063 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101064 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101065 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101066 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101069 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101070 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240419-ecg-021505_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101076 -  ..
101077 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101078 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101079 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101081 -  ..
101082 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101084 -       Date       240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 240130 2  
101085 -       Miles         14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     21     
101086 -       HR AVG       102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no    103     
101087 -         MAX        131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report   123     
101088 -         Min         48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        66     
101089 -       El Climb Ft  544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                       495     
101090 -       Temp Max      52     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        69     
101091 -       Wind Max      14     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        10     
101092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101094 -              https://flow.polar.com/training/analysis/7863044334                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101097 -               ..
101099 -   
101100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101104 -  ..
101105 - EKG at mile 07 time 0558 HR 092 temp 54, Kardia reported Normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101106 - Rhythm... looks uniform with severe artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101107 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101110 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101111 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240419-ecg-055825_mile_07_092_nsr_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101115 -  ..
101116 - End hike EKG at mile 14 time 0750 HR 102 temp 52 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101117 - Possible Atrial Fibrillation... looks variable with severe artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101118 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101121 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101122 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240419-ecg-075044_mile_14_102_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101127 -  ..
101128 - Post hike HR profile beginning 1941 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101129 - overnight after hiking 15 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101130 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101131 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101132 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101134 -        ..
101135 -       Date      240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208  240207    
101136 -       Time       1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325    1939     
101137 -       Hours        11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6      12     
101138 -       HR AVG       59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58      64     
101139 -       HR MAX      105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     117     
101140 -       HR Min       40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43      42     
101141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101143 -              https://flow.polar.com/training/analysis/7863598675                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101146 -               ..
101148 -   
101149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101153 -  ..
101154 - Breakfast - eggs sausage few bites at VA after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101155 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101156 - Dinner - eggs tomato onion broccoli mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101158 -  ..
101159 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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101173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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101175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101186 -         ..
101187 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101188 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101189 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101190 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101191 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101192 -  111.  240420 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101193 -               0655....BP HR..................................................... 140  78  47  Kardia ECG reports HR status, see below. ref SDS 0 9SRY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101194 -               0700....BP HR..................................................... 145  82  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101195 -               0705....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101196 -               0705....80 393340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101197 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101198 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101199 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101200 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101201 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101202 -               1140....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
101203 -  ..
101204 -         * cr  1210....miles...........  21.0 113.0  349  1872 minutes  temp  78 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101205 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101206 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101207 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
101208 -               1424....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101209 -               1424....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101210 -               1424... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101211 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101212 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101213 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101214 -               1656....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101215 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101216 -               1656... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101217 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101218 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101219 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101220 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101221 -               1821... Hike ends mile 21... ref SDS 0 U9XN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101222 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101223 -               1850....weight.................................... 169  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101224 -               1900....BP HR..................................................... 113  73 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101225 -               1910....BP HR..................................................... 109  70  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101226 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101227 -               1850... 40 109220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
101228 -             1 0000............ 10 19650  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101229 -             1 0000............ 10 19990  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101230 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101231 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101232 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101233 -               2130... 40 85420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101234 -               2200... 1000 2103000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101235 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101236 -               2230... 80 393420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101237 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101238 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101239 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101242 - * cr - hiked Crystal Ranch Road 2-mile loop with 1 major hills, just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101243 - up and down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101245 -  ..
101246 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101247 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101249 -  ..
101250 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101251 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101254 -  ..
101255 - Today, hiked 21 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101256 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101257 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.50 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101258 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101259 - Hiked around main buildings, then 1 mile through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101260 - Stopped mile 8 for hydration, nutrition, and tried 2 Naproxen for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101261 - and inflammation control.  Did another loop around main buildings, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101262 - exited college heading West on Ygnacio Valley Road.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101263 - uphill on Crystal Ranch Road, and back, then 3 miles over summit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101264 - Ygnacio Valley Road and downhill to Safeway shopping complex.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101265 - mile loop around the block.  Stopped again for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101266 - nutrition.  Hiked around complex again, then 3 miles on Oak Grove and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101267 - Treat back to Cuneo.  Did another mile in residential streets and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101268 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101272 -         ..
101273 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101274 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101275 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - seemed bloated about mile 8, did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                  
101276 -        Side ache vasodilation ischemic colitis......   3         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101277 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101278 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101279 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101280 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101281 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101282 -        Neck turning head/chest left or right........   6          5  episodes mile 18+  took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101283 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101284 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101285 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
101286 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101287 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101288 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
101289 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101290 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101291 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101292 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101293 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101294 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101295 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101296 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101297 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101298 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101299 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101300 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101301 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101302 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101303 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101304 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101305 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101306 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101307 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                       
101308 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                       
101309 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101310 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101311 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101312 -        Ankle left achilles heel on 220416...........   3         15  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - occurred 3 - 5 times for less than a minute                                                                                                                                                                                                                                                                                                                                                                                                        
101313 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
101314 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
101315 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101316 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
101317 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
101318 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101319 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101320 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101321 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101322 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                 
101323 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101324 -        Callus ring toe #4 top right foot............   1         70  Doctor Tang on 240419 made new pediplasti interdigital spacer - today tried instead neoprene cover on #4 held in place with tape to prevent blistering by top of shoe while hiking; worked somewhat with 2 naproxen at mile 8                                                                                                                                                                                                                                                                                                                
101325 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
101326 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101327 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                    
101328 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101329 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101330 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101331 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101332 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101333 -        Burning sensation both feet..................   2         30  went away after taking 2 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101334 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101335 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101336 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101337 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101338 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101339 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101340 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101341 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101342 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101343 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Naproxen mile 0 starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101344 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101346 -  ..
101347 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101349 -  ..
101350 - Orthotic inserts see case study on 200101 0701. ref SDS 16 HQ7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101352 -  ..
101353 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101355 -  ..
101356 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101357 - 0701, ref SDS 16 NS7J  Today, only needed this on right foot #4, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101358 - tried neoprene toe sleeve to protect top of toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101360 -  ..
101361 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101362 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101363 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101364 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101365 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101369 -  ..
101370 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101371 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101372 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101373 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101374 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101375 - avocado for HDL, per above. above. ref SDS 0 TC4M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101376 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101377 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101378 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101379 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101380 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101381 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101382 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101383 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101384 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101385 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101386 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101387 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101388 - entire hike without dyspnea.  Temp started at 73, and reached 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101389 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101390 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101391 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101392 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101393 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101394 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101395 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101396 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101397 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101398 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101399 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101400 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101401 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101402 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101403 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101404 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101405 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101406 - West 1 mile uphill 3% - 4% grade against wind 12 mph.  At mile 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101407 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101408 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101409 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101410 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101411 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101412 - Administration Building mile 08 time 1424 temp 76 and wind 12 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101413 - variable with artifact.  Kardia reported HR 107 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101414 - below. ref SDS 0 Q7WA  Polar reported HR did not drop today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101415 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101416 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101417 - feet PL 1, wearing new, custom orthotic inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101418 - during meeting on 240419 0900. ref SDS 35 QL4L right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101419 - bunions PL 0, right foot #4 top blister/callus PL 3, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101420 - neoprene toe sleeve applied this morning, per above is somewhat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101421 - effective, per above, ref SDS 0 QRTY; left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101422 - knee patella PL 0, left shoulder PL 2, left elbow PL 1 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101423 - Experimented taking 2 Naproxen (switched from Tramadol and Gabapentin)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101424 - for pain and inflammation maagement.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101425 - for hydration, swallowing meds and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101426 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101427 - juice) for energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101428 - for HDL and energy to complete hike.  Did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101429 - pill, per above. ref SDS 0 QPYT  Continued hiking around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101430 - buildings again, then hiked another 1 mile through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101431 - Exited college at North end Student parking taking Campus Drive over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101432 - summit down hill.  Turned left onto Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101433 - on flat grade .5 miles.  At mile 10, turned left onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101434 - Road.  Hiked South 1 mile uphill 5% grade with 10 mph wind - wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101435 - helpful cooling effect against higher temperatures today.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101436 - this well breathing through nose without dyspnea nor stopping.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101437 - summit continued flat grade .5 miles.  Feeling heat`dDecided not to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101438 - normal 8-mile loop.  Turned around at Hiddencrest Court and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101439 - North downhill 1.5 miles.  Turned left onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101440 - heading West uphill 3% grade .5 miles against wind 10 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101441 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101442 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101443 - grade to summit.  At end of concrete barriar mile 13, hiked West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101444 - miles downhill 3% grade; crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101445 - Road.  Crossed Oak Grove at traffic light.  Hiked 1 mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101446 - block at Safeway shopping complex.  Stopped near Mod Pizza mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101447 - time 1656 temp 78 and wind 10 mph; EKG uniform with possible some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101448 - artifact.  Kardia reported HR 118 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101449 - ID3V Did not take 3rd Naproxen for pain and inflammation management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101450 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101451 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101452 - peanut butter, margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101453 - HDL, per above. ref SDS 0 QPYT  Not noticably wobbly, loopy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101454 - staggering, as occurred with Tramadol.  Might be veering slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101455 - right at times.  Continued Turned left onto Oak Grove.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101456 - North on asphalt shoulder.  Crossed Treat at street light.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101457 - mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101458 - .75 miles on Treat uphill 5% grade temp 77.  Polar GPS/HR monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101459 - showed HR > 130 +/- continually, i.e., "engine running hot" on ascent,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101460 - but declined after continuing on flat grade, as normal, much better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101461 - than when AFL occurred taking Tramadol same location on 240401, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101462 - above. ref SDS 0 O18N  At summit, mile 19, hiked another mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101463 - Cuneo.  Continued .25 mile to Cowell and back to Cuneo, then up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101464 - back to Kaski, and home.  Ended hike mile 21 time 1821 temp 74, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101465 - 12, feet PL 1, shin splints PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101466 - 3, left knee PL 2 (swollen), right knee PL 0, left shoulder PL 2, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101467 - and right shoulder PL 6, when turning head, lower back left side PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101468 - left elbow PL 1, when lifting.  EKG looks uniform, with artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101469 - Kardia reported HR 120 Tachycardia - see below. ref SDS 0 U9XN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101478 -  ..
101479 - Kardia recorded HR 47 at 0705, Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101480 - with p-waves and no artifact; no AFL after hiking 14 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101481 - ending Apixaban on 240110, and taking Naproxen after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101482 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101483 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101484 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101485 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101488 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101489 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240420-ecg-070549_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101495 -  ..
101496 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101497 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101498 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101500 -  ..
101501 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101503 -       Date       240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 240131 2  
101504 -       Miles         21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0      0     
101505 -       HR AVG       115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     no     
101506 -         MAX        142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport report    
101507 -         Min         48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                        
101508 -       El Climb Ft  600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                        
101509 -       Temp Max      78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                        
101510 -       Wind Max      12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                        
101511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101513 -              https://flow.polar.com/training/analysis/7863861554                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101516 -               ..
101518 -   
101519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101523 -  ..
101524 - EKG at mile 08 time 1424 HR 107 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101525 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101526 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101529 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101530 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240420-ecg-142454_mile_08_107_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101535 -  ..
101536 - EKG at mile 16 time 1656 HR 187 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101537 - Tachycardia... looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101538 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101541 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101542 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240420-ecg-165607_mile_16_118_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101546 -  ..
101547 - End hike EKG at mile 21, time 1821 HR 120 temp 74 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101548 - Tachycardia...looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101549 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101552 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101553 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240420-ecg-182111_mile_21_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101558 -  ..
101559 - Post hike HR profile beginning 2253 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101560 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101561 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101562 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101563 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101565 -        ..
101566 -       Date      240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209  240208    
101567 -       Time       2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332    0325     
101568 -       Hours        10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8       6     
101569 -       HR AVG       63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65      58     
101570 -       HR MAX      115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150      96     
101571 -       HR Min       36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39      43     
101572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101574 -              https://flow.polar.com/training/analysis/7864328878                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101577 -               ..
101579 -   
101580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101584 -  ..
101585 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101586 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101587 - Dinner - hot dog tomato onion broccoli cauliflower avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101589 -  ..
101590 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101617 -         ..
101618 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101619 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101620 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101621 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101622 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101623 -  112.  240421 0702............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101624 -               0705....BP HR..................................................... 139  77  53  Kardia ECG reports HR status, see below. ref SDS 0 IXPV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101625 -               0710....BP HR..................................................... 139  83  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101626 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101627 -               0715....80 393500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101628 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101629 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101630 -               0920....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101631 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101632 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101633 -               0920....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
101634 -  ..
101635 -         * cr  0945....miles...........  21.0 134.0  362  2254 minutes  temp  84 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101636 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101637 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101638 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
101639 -               1200....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101640 -               1200....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101641 -               1200... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101642 -               1312....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101643 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101644 -               1455....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101645 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101646 -               1455....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101647 -               1455... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101648 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101649 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101650 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101651 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101652 -               1623... Hike ends mile 21... ref SDS 0 Q7B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101653 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101654 -               1635....weight.................................... 167  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101655 -               1640....BP HR..................................................... 101  68 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101656 -               1650....BP HR..................................................... 104  72 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101657 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101658 -               1700... 40 109260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
101659 -               1830............ 10 19660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101660 -               1830............ 10 20000  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101661 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101662 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101663 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101664 -               2130... 40 85460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101665 -               2200... 1000 2104000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101666 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101667 -               2230... 80 393580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101668 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101669 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101670 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101673 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101674 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101675 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101676 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101677 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101678 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101679 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101680 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101683 -  ..
101684 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101685 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101687 -  ..
101688 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101689 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101692 -  ..
101693 - Today, hiked 21 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101694 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101695 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101696 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101697 - Hiked around main buildings, then 1 mile through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101698 - Stopped mile 7 for hydration, nutrition, and took 1 Naproxen for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101699 - and inflammation control.  Exited college heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101700 - Valley Road, and hiked 8-mile uphill through Crystal Ranch residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101701 - development.  Back at college stopped mile 17, for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101702 - nutrition.  Hiked another mile through parking lots, then 2 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101703 - summit Ygnacio Valley Road.  Turned around hiked back to Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101704 - to Treat and home.  Hottest day of year noticably reduced energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101705 - after mile 10 - decided not to hike back up Crystal Ranch Road, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101706 - getting to top; and, decided against hiking over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101707 - Valley Road and doing 10 mile loop on Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101711 -         ..
101712 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101713 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101714 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - seemed bloated about mile 10, took Simethicone going up Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                             
101715 -        Side ache vasodilation ischemic colitis......   3         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101716 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101717 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101718 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101719 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101720 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101721 -        Neck turning head/chest left or right........   6          5  episodes mile 18+  took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101722 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101723 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101724 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                               
101725 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101726 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101727 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
101728 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101729 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101730 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101731 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101732 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101733 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101734 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101735 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101736 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101737 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101738 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101739 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101740 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101741 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101742 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101743 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101744 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101745 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101746 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                       
101747 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                       
101748 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101749 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101750 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101751 -        Ankle left achilles heel on 220416...........   3         15  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - occurred 3 - 5 times for less than a minute                                                                                                                                                                                                                                                                                                                                                                                                        
101752 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
101753 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
101754 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101755 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
101756 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
101757 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101758 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101759 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101760 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101761 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                 
101762 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101763 -        Callus ring toe #4 top right foot............   1         70  Doctor Tang on 240419 made new pediplasti interdigital spacer - today tried instead neoprene cover on #4 held in place with tape to prevent blistering by top of shoe while hiking; worked somewhat with 2 naproxen at mile 8                                                                                                                                                                                                                                                                                                                
101764 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
101765 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101766 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                    
101767 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101768 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101769 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101770 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101771 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101772 -        Burning sensation both feet..................   2         30  went away after taking 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101773 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101774 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101775 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101776 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101777 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101778 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101779 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101780 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101781 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101782 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 0 starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101783 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101785 -  ..
101786 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101788 -  ..
101789 - Orthotic inserts see case study on 200101 0701. ref SDS 16 HQ7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101791 -  ..
101792 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101794 -  ..
101795 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101796 - 0701, ref SDS 16 NS7J  Today, only needed this on right foot #4, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101797 - tried neoprene toe sleeve to cover top of toe, secured with tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101799 -  ..
101800 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101801 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101802 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101803 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101804 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101808 -  ..
101809 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101810 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101811 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101812 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101813 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101814 - avocado for HDL, per above. above. ref SDS 0 PF3M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101815 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101816 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101817 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101818 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101819 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101820 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101821 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101822 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101823 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101824 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101825 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101826 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101827 - entire hike without dyspnea.  Temp started at 73, and reached 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101828 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101829 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101830 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101831 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101832 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101833 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101834 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101835 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101836 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101837 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101838 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101839 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101840 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101841 - West past Stop Light at Michigan Boulevard.  Stopped at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101842 - Texaco Gas Station store mile 5, said hello to Kim and staff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101843 - Continued on Ygnacio Valley Road; turned left hiked 0.50 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101844 - Pine Hollow.  Turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101845 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101846 - mph.  At mile 07, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101847 - University East Bay Concord Campus.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101848 - buildings.  Since left elbow has partially healed from PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101849 - on 231121 0700. ref SDS 27 QU4L, stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101850 - half-pullups, 30 half-pushups and 00 situps.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101851 - stopped at Administration Building mile 07 time 1200 temp 73 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101852 - 04 mph; EKG variable with no artifact.  Kardia reported HR 099                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101853 - Unclassified - see below. ref SDS 0 SXP6  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101854 - drop today, during pause for EKG, hydration and nutrition, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101855 - study on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101856 - ref SDS 34 RU6M  Both feet PL 1, wearing new, custom orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101857 - created by Doctor Tang during meeting on 240419 0900. ref SDS 35 QL4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101858 - right foot Tailor's bunions PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101859 - 2, indicating neoprene toe sleeve applied this morning, per above is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101860 - somewhat effective, per above, ref SDS 0 QVXS, left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101861 - 1, left shoulder PL 1, left elbow PL 1 intermitant.  May be slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101862 - bloated with NSAID colitis; experimented taking 1 Naproxen (switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101863 - from Tramadol and Gabapentin) for pain and inflammation maagement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101864 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101865 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101866 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101867 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101868 - not take Nuun electrolyte pill, per above. ref SDS 0 9U2D  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101869 - college at Visitor Parking taking Campus Drive down hill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101870 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101871 - 08, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101872 - grade against 06 mph wind - wind helpful cooling effect against higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101873 - temperatures today.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101874 - dyspnea nor stopping.  About mile 9, took Simethicone to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101875 - bloating, possibly NSAID colitis - this was effective.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101876 - continued flat grade .5 miles.  At mile 08, turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101877 - Ranch Road.  Hiked South 1 mile uphill 5% grade with 04 mph wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101878 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101879 - At summit continued flat grade .5 miles, then downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101880 - grade.  At Rolling Woods Way continued uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101881 - miles 6% grade against wind 05 mph.  Road ends at top of hill.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101882 - back down hill about .25 mile and then back to top.  Stopped mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101883 - time 1312, temp 76, wind 05 mph; EKG uniform with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101884 - reported HR 118 (HR - no wait to get cellphone connection... not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101885 - unusually high for level of effort and temperature at this station...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101886 - Tachycardia - see below. ref SDS 0 L4EG  Feet PL 1, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101887 - PL 2, right foot #4, top protected with neoprene toe sleeve and tape,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101888 - per above, ref SDS 0 QVXS, still PL 2 with pressure from top of shoe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101889 - left foot tailor's bunion PL 0, calves PL 0 left knee PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101890 - shoulder PL 1, left elbow PL 0, nothing to eat or drink (NPO), per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101891 - above. ref SDS 0 9U2D  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101892 - grade .5 miles.  At bottom of hill, continued uphill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101893 - grade,  At Autum Oak Circle, turned around hiked back and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101894 - onto Rolling Woods Way hiking East .5 miles uphill 6% grade with 4 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101895 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101896 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101897 - mile uphill 3% - 4% grade against wind 05 mph.  At mile 15, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101898 - California State University East Bay Concord Campus.  Hiked 2 1.5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101899 - loops through parking lots.  Since left elbow has partially healed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101900 - from PRP treatments on 231121 0700. ref SDS 27 QU4L, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101901 - training station to do 20 half-pullups, 30 half-pushups and 00 situps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101902 - Back at Visitor Parking stopped at Administration Building mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101903 - time 1455 temp 81 and wind 07 mph; EKG variable with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101904 - Kardia reported HR 120 Tachycardia - see below. ref SDS 0 MW7E  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101905 - reported HR did not drop today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101906 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101907 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, wearing new,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101908 - custom orthotic inserts created by Doctor Tang during meeting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101909 - 240419 0900. ref SDS 35 QL4L right foot Tailor's bunions PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101910 - foot #4 top blister/callus PL 3 (after hiking 17 miles and taking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101911 - Naproxen), indicating neoprene toe sleeve applied this morning, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101912 - above is somewhat effective, per above, ref SDS 0 QVXS, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101913 - meniscus PL 1, left shoulder PL 2, left elbow PL 1 intermitant.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101914 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101915 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101916 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101917 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101918 - Nuun electrolyte pill, per above. ref SDS 0 9U2D  Hiked another 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101919 - partial loop through parking lots.  Exited college at North end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101920 - Student parking heading West 100 yards on Campus Drive over summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101921 - Road bends North .25 mile.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101922 - Hiked West on flat grade .5 miles.  At mile 18, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101923 - Ranch Road uphill 3% grade .5 miles against wind 04 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101924 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101925 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101926 - grade to summit.  At end of concrete barriar mile 19, hiked back .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101927 - miles.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101928 - grade.  Continued flat grade .25 miles, then .5 miles with narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101929 - shoulder against oncoming afternoon commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101930 - Treat hiking West .25 miles back to Cuneo and home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101931 - 21 time 1623 temp 84, wind 05, feet PL 2, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101932 - blister/callus PL 3 (after hiking 21 miles and taking 1 Naproxen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101933 - indicating neoprene toe sleeve applied this morning, per above is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101934 - somewhat effective, per above, ref SDS 0 QVXS, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101935 - knee PL 2 (swollen), right knee PL 0, left shoulder PL 1, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101936 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101937 - elbow PL 0, when lifting.  EKG looks variable, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101938 - Kardia reported HR 114 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101939 - ref SDS 0 Q7B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101948 -  ..
101949 - Kardia recorded HR 53 at 0918, Unclassified, variable heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101950 - with p-waves and no artifact; no AFL after hiking 21 miles yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101951 - ending Apixaban on 240110, and taking Naproxen after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101952 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101953 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101954 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101955 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101958 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101959 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240421-ecg-091846_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101965 -  ..
101966 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101967 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101968 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101970 -  ..
101971 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101973 -       Date       240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 240201 2  
101974 -       Miles         21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0      0     
101975 -       HR AVG       113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     no     
101976 -         MAX        142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report  eport r  
101977 -         Min         78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                                 
101978 -       El Climb Ft  715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                                 
101979 -       Temp Max      84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                                 
101980 -       Wind Max      10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                                 
101981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101983 -              https://flow.polar.com/training/analysis/7864554601                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101986 -               ..
101988 -   
101989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101993 -  ..
101994 - EKG at mile 07 time 1200 HR 099 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101995 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101996 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101999 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102000 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240421-ecg-120032_mile_07_099_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102005 -  ..
102006 - EKG at mile 11 time 1312 HR 118 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102007 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102008 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102011 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102012 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240421-ecg-131219_mile_11_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102017 -  ..
102018 - EKG at mile 17 time 1455 HR 120 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102019 - Tachycardia... looks variable with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102020 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102023 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102024 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240421-ecg-145536_mile_17_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102028 -  ..
102029 - End hike EKG at mile 21, time 1623 HR 114 temp 84 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102030 - Possible Atrial fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102031 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102034 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102035 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240421-ecg-162357_mile_21_114_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102040 -  ..
102041 - Post hike HR profile beginning 2144 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102042 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102043 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102044 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102045 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102047 -        ..
102048 -       Date      240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210  240209    
102049 -       Time       2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131    2332     
102050 -       Hours         9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13       8     
102051 -       HR AVG       66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56      65     
102052 -       HR MAX      130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     150     
102053 -       HR Min       45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40      39     
102054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102056 -              https://flow.polar.com/training/analysis/7864846749                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102059 -               ..
102061 -   
102062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102066 -  ..
102067 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102068 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102069 - Dinner - eggs macaroni cheese steak tomato onion broccoli cauliflower avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102071 -  ..
102072 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102098 -         ..
102099 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102100 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102101 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102102 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102103 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102104 -  113.  240422 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102105 -               0700....BP HR..................................................... 136  78  51  Kardia ECG reports HR status, see below. ref SDS 0 7J2V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102106 -               0705....BP HR..................................................... 139  81  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102107 -               0710....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102108 -               0710....80 393660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102109 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102110 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102111 -               0920....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102112 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102113 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102114 -               0920....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
102115 -  ..
102116 -         * cr  0942....miles...........  15.0  15.0  249   249 minutes  temp  82 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102117 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102118 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102119 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
102120 -               1143....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102121 -               1143....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102122 -               1143... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102123 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102124 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102125 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102126 -               1656....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102127 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102128 -               1656... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102129 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102130 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102131 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102132 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102133 -               1821... Hike ends mile 21... ref SDS 0 U9XN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102134 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102135 -               1450....weight.................................... 167  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102136 -               1455....BP HR..................................................... 115  83 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102137 -               1500....BP HR..................................................... 104  72 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102138 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102139 -               1700... 40 109300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
102140 -             1 0000............ 10 19660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102141 -             1 0000............ 10 20000  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
102142 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102143 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102144 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102145 -               2130... 40 85500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102146 -               2200... 1000 2105000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102147 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102148 -               2230... 80 393740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102149 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102150 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102151 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102154 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102155 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102156 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102157 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102158 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102159 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102160 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102161 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102164 -  ..
102165 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102166 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102168 -  ..
102169 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102170 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102173 -  ..
102174 - Today, hiked 15 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102175 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102176 - Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102177 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102178 - Hiked around main buildings, Stopped mile 7 for hydration, nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102179 - and took 2 Naproxen for pain and inflammation control, and testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102180 - causation AFL compared to Tramadol.  Hiked another mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102181 - parking lots.  Exited college heading West on Ygnacio Valley Road, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102182 - hiked uphill 1.5 miles on Crystal Ranch road.  Turned around hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102183 - back and then West uphill 1 mile on Ygnacio Valley Road.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102184 - turned around hiked back to Cowell, then to Treat and home.  Body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102185 - still getting acclimated to temp 80+.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102188 -         ..
102189 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102190 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102191 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - seemed bloated about mile 09, took Simethicone going up Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                             
102192 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102193 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102194 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102195 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102196 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102197 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102198 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102199 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102200 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102201 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                               
102202 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102203 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102204 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
102205 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102206 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102207 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102208 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102209 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102210 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102211 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102212 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102213 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102214 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102215 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102216 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102217 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102218 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102219 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102220 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102221 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102222 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102223 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                       
102224 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                       
102225 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102226 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102227 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102228 -        Ankle left achilles heel on 220416...........   3         15  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - occurred 3 - 5 times for less than a minute                                                                                                                                                                                                                                                                                                                                                                                                        
102229 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
102230 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
102231 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102232 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
102233 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
102234 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102235 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102236 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102237 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102238 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 2 Naproxen mile 0                                                                                                                                                                                                                                                                                                                                 
102239 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102240 -        Callus ring toe #4 top right foot............   1         70  Doctor Tang on 240419 made new pediplasti interdigital spacer - today tried instead neoprene cover on #4 held in place with tape to prevent blistering by top of shoe while hiking; worked somewhat with 2 naproxen at mile 7                                                                                                                                                                                                                                                                                                                
102241 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
102242 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102243 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                    
102244 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102245 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102246 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102247 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102248 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102249 -        Burning sensation both feet..................   2         30  went away after taking 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102250 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102251 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102252 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102253 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102254 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102255 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102256 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102257 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102258 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102259 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Naproxen mile 7 starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102260 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102262 -  ..
102263 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102265 -  ..
102266 - Orthotic inserts see case study on 200101 0701. ref SDS 16 HQ7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102268 -  ..
102269 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102271 -  ..
102272 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102273 - 0701, ref SDS 16 NS7J  Used only neoprene toe sleeve on right foot #4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102275 -  ..
102276 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102277 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102278 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102279 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102280 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102284 -  ..
102285 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102286 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102287 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102288 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102289 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102290 - avocado for HDL, per above. above. ref SDS 0 1Z7G  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102291 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102292 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102293 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102294 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102295 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102296 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102297 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102298 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102299 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102300 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102301 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102302 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102303 - entire hike without dyspnea.  Temp started at 69, and reached 81.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102304 - West wind 12 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102305 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102306 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102307 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102308 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102309 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102310 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102311 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102312 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102313 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102314 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102315 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102316 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102317 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102318 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102319 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102320 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102321 - West 1 mile uphill 3% - 4% grade against wind 04 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102322 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102323 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102324 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102325 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102326 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102327 - Administration Building mile 07 time 1148 temp 79 and wind 02 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102328 - variable with no artifact.  Kardia reported HR 105 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102329 - below. ref SDS 0 RE28  Polar reported HR did not drop today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102330 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102331 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102332 - feet PL 2, wearing new, custom orthotic inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102333 - during meeting on 240419 0900. ref SDS 35 QL4L, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102334 - bunions PL 0, right foot #4 top blister/callus PL 2, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102335 - neoprene toe sleeve applied this morning, is somewhat effective, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102336 - above. ref SDS 0 RQQX  Wore only 1 pair socks, may have helped, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102337 - less comfortable to feet.  Left knee meniscus PL 1, left knee patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102338 - PL 0, left shoulder PL 3, left elbow PL 2 intermitant.  Experimented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102339 - taking 2 Naproxen (switched from Tramadol and Gabapentin) for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102340 - inflammation maagement.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102341 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102342 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102343 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102344 - energy to complete hike.  Did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102345 - above. ref SDS 0 QYUX  Continued hiking another 1 mile through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102346 - lots.  Exited college at North end Student parking taking Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102347 - over summit down hill.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102348 - West on flat grade .5 miles.  At mile 09, turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102349 - Ranch Road.  Hiked South 1 mile uphill 5% grade with 09 mph wind -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102350 - wind helpful cooling effect against higher temperatures today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102351 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102352 - At summit continued flat grade .5 miles.  Feeling heat`dDecided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102353 - do normal 8-mile loop.  Turned around at Mapplegate Court and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102354 - North downhill 1.5 miles.  At mile 12, turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102355 - Road heading West uphill 3% grade .5 miles against wind 07 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102356 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102357 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102358 - uphill 3% grade to summit.  At end of concrete barriar mile 13, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102359 - back .5 miles.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102360 - downhill 5% grade.  Continued flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102361 - narrow shoulder against oncoming traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102362 - hiking West .25 miles back to Cuneo and home.  Ended hike mile 15 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102363 - 1424 temp 82, wind 12, feet PL 2, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102364 - 2 (after hiking 25 miles and taking 2 Naproxen), indicating neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102365 - toe sleeve applied this morning, per above is somewhat effective, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102366 - above, ref SDS 0 RQQX, shin splints PL 0, left knee PL 1 (not very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102367 - swollen), right knee PL 0, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102368 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102369 - lifting.  EKG looks mostly uniform, with artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102370 - 107 Tachycardia - see below. ref SDS 0 RS5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102380 -  ..
102381 - Kardia recorded HR 52 at 0736, Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102382 - heart beat lengths with p-waves and no artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102383 - 21 miles yesterday, ending Apixaban on 240110, and taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102384 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102385 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102386 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102387 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102390 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102391 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240422-ecg-073607_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102397 -  ..
102398 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102399 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102400 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102402 -  ..
102403 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102405 -       Date       240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 240202 2  
102406 -       Miles         15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0      0     
102407 -       HR AVG       108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     no     
102408 -         MAX        131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report report    
102409 -         Min         75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                          
102410 -       El Climb Ft  600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                          
102411 -       Temp Max      82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                          
102412 -       Wind Max      12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                          
102413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102415 -              https://flow.polar.com/training/analysis/7865163044                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102418 -               ..
102420 -   
102421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102425 -  ..
102426 - EKG at mile 07 time 1148 HR 105 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102427 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102428 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102431 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102432 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240422-ecg-114843_mile_07_105_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102436 -  ..
102437 - End hike EKG at mile 15, time 1424 HR 107 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102438 - Tachycardia...looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102439 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102442 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102443 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240422-ecg-142417_mile_15_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102448 -  ..
102449 - Post hike HR profile beginning 2215 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102450 - overnight after hiking 15 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102451 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102452 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102453 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102455 -        ..
102456 -       Date      240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211  240210    
102457 -       Time       2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131    2131     
102458 -       Hours         7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6      13     
102459 -       HR AVG       63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65      56     
102460 -       HR MAX      106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     105     
102461 -       HR Min       38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48      40     
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102464 -              https://flow.polar.com/training/analysis/7865430979                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
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102467 -               ..
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102474 -  ..
102475 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102476 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102477 - Dinner - eggs macaroni cheese steak tomato onion broccoli cauliflower avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102479 -  ..
102480 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
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102507 -         ..
102508 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102509 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102510 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102511 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102512 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102513 -  114.  240423 0510............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102514 -               0510....BP HR..................................................... 141  80  49  Kardia ECG reports HR status, see below. ref SDS 0 RVW4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102515 -               0515....BP HR..................................................... 144  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102516 -               0520....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102517 -               0520....80 393880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102518 -               1010....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102519 -               1010....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102520 -               1010....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102521 -               1010....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102522 -               1010... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102523 -               1010....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
102524 -  ..
102525 -         * cr  1027....miles...........  27.0  42.0  472   721 minutes  temp  65 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102526 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102527 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102528 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
102529 -               1241....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102530 -               1241....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102531 -               1241... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102532 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102533 -               1414....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102534 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102535 -               1622....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102536 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102537 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102538 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102539 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102540 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102541 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102542 -               1854... Hike ends mile 27... ref SDS 0 U9XN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102543 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102544 -               1915....weight.................................... 168  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102545 -               1920....BP HR..................................................... 115  83 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102546 -               1925....BP HR..................................................... 109  74  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102547 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102548 -               1920... 40 109340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
102549 -               2000............ 10 19670  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102550 -               2000............ 10 20010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
102551 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102552 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102553 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102554 -               2130... 40 85540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102555 -               2200... 1000 2106000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102556 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102557 -               2230... 80 393960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102558 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102559 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102560 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102563 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102564 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102565 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102566 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102567 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102568 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102569 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102570 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102573 -  ..
102574 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102575 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102577 -  ..
102578 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102579 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102582 -  ..
102583 - Today, hiked 28 miles - 1 mile while at UCSF, then 27 at home, with 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102584 - mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102585 - Road, Ayers to Clayton Road, then West on Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102586 - on Pine Hollow 0.25 mile East.  Then back and hiked West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102587 - Campus Drive to college.  Hiked twice around main buildings, Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102588 - mile 7 for hydration, nutrition, and took 1 Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102589 - inflammation control, and testing causation AFL compared to Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102590 - Hiked 8-mile loop through Crystal Ranch residential area, back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102591 - college.  Hiked 4 miles through parking lots.  Took 2nd Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102592 - Hiked 4 miles over summit on Ygnacio Valley Road.  Loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102593 - Safeway shopping complex, then 5 miles on Oak Grove, Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102594 - then to Treat and home.  Hike much easier today with temperature in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102595 - 60s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102598 -         ..
102599 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102600 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102601 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not seem bloated today, so did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                
102602 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102603 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102604 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102605 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102606 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102607 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102608 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102609 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 2 Naproxen mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102610 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102611 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                      
102612 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102613 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102614 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
102615 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102616 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102617 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102618 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                          
102619 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102620 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102621 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102622 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102623 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102624 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102625 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102626 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102627 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102628 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102629 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102630 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102631 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102632 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102633 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                              
102634 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                              
102635 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102636 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102637 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102638 -        Ankle left achilles heel on 220416...........   3         15  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - occurred 3 - 5 times for less than a minute                                                                                                                                                                                                                                                                                                                                                                                                        
102639 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
102640 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
102641 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102642 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
102643 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
102644 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102645 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102646 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102647 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102648 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                        
102649 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102650 -        Callus ring toe #4 top right foot............   2         30  Doctor Tang on 240419 made new pediplasti interdigital spacer - today tried instead neoprene cover on #4 held in place with tape to prevent blistering by top of shoe while hiking; worked somewhat took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                          
102651 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
102652 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102653 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                           
102654 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102655 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102656 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102657 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                         
102658 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102659 -        Burning sensation both feet..................   2         30  went away after took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102660 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102661 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102662 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102663 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102664 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102665 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102666 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102667 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102668 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102669 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102670 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102672 -  ..
102673 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102675 -  ..
102676 - Orthotic inserts - switched back to older inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102677 - 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102679 -  ..
102680 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102682 -  ..
102683 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102684 - 0701, ref SDS 16 NS7J  Today, did not start hike with protection.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102685 - mile 8, removed shoe and socks to apply neoprene toe sleeve held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102686 - place with tape, and wearing 2 pair socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102688 -  ..
102689 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102690 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102691 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102692 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102693 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102697 -  ..
102698 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102699 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102700 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102701 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102702 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102703 - avocado for HDL, per above. above. ref SDS 0 TN6H  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102704 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102705 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102706 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102707 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102708 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102709 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102710 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102711 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102712 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102713 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102714 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102715 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102716 - entire hike without dyspnea.  Temp started at 62, and reached 65.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102717 - West wind 14 mph and mostly 10 mph.  Hike much easier today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102718 - cooler temperature than past 2 days.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102719 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102720 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102721 - traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102722 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102723 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102724 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102725 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102726 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102727 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102728 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102729 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102730 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102731 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102732 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102733 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102734 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102735 - West 1 mile uphill 3% - 4% grade against wind 04 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102736 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102737 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102738 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102739 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102740 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102741 - Administration Building mile 08 time 1241 temp 63 and wind 12 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102742 - uniform with artifact.  Kardia reported HR 087 Normal Sinus Rhythm -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102743 - see below. ref SDS 0 6WRQ  Polar reported HR 38, dropping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102744 - significantly during pause for EKG, hydration and nutrition, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102745 - study on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102746 - ref SDS 34 RU6M  Both feet PL 2, wearing older custom orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102747 - created by Doctor Tang during meeting on 230831 0900, ref SDS 26 KN3H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102748 - right foot Tailor's bunions PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102749 - 3.  Before resuming hike, removed shoe and socks to apply neoprene toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102750 - sleeve with tape to keep in place, per above, ref SDS 0 RUVU, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102751 - 2 pair socks this was more effective with taking Naproxen today.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102752 - knee meniscus PL 2, left knee patella PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102753 - elbow PL 2 intermitant.  Took only 1 Naproxen (switched from Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102754 - and Gabapentin) for pain and inflammation maagement.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102755 - carried from home for hydration, swallowing meds and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102756 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102757 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102758 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102759 - take Nuun electrolyte pill, per above. ref SDS 0 RTPY  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102760 - hiking another loop around main buildings.  Exited college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102761 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102762 - Hiked West on flat grade .5 miles.  At mile 09, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102763 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade with 09 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102764 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102765 - stopping.  At summit continued flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102766 - downhill .25 miles 5% grade.  At Rolling Woods Way continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102767 - Crystal Ranch Road .5 miles 6% grade against wind 11 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102768 - at top of hill.  Did not hiked back down hill about .25 mile and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102769 - back to top.  Stopped mile 12 time 1414, temp 64, wind 13 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102770 - uniform with no artifact, Kardia reported HR 102 (HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102771 - cellphone connection... unusually low for level of effort at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102772 - station) Tachycardia - see below. ref SDS 0 ID7M  Feet PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102773 - sensation PL 2, left foot tailor's bunion PL 0, calves PL 0 left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102774 - PL 1, left shoulder PL 2, left elbow PL 0, nothing to eat or drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102775 - (NPO), per above. ref SDS 0 RTPY  Continued downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102776 - Road 6% grade .5 miles.  At bottom of hill, turned right onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102777 - Woods Way hiking East .5 miles uphill 6% grade with 10 mph wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102778 - summit continued downhill .66 miles.  Turned left onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102779 - Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102780 - uphill 3% - 4% grade against wind 08 mph.  At mile 16, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102781 - Parking again at California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102782 - Hiked 2 loops through parking lots.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102783 - at Administration Building mile 19, time 1622, temp 63, and wind 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102784 - mph; EKG uniform with no artifact, Kardia reported HR 102 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102785 - - see below. ref SDS 0 J3V6  Both feet PL 2, right foot #4 top PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102786 - burning sensation PL 2, shin splints PL 1, left knee PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102787 - shoulder PL 0, neck to right shoulder PL 0 imtermittantly, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102788 - PL 1 intermittantly.  Took 2nd Naproxen.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102789 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102790 - and chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102791 - electrolyte pill, took more CoQ10, per above. ref SDS 0 RTPY  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102792 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102793 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102794 - past Crystal Ranch Road uphill 3% grade .5 miles against wind 06 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102795 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102796 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102797 - uphill 3% grade to summit.  At end of concrete barriar mile 21, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102798 - West 2 miles downhill 3% grade; crossed back to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102799 - Valley Road.  Crossed Oak Grove at traffic light.  Hiked 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102800 - around block at Safeway shopping complex.  Today, did not Stop near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102801 - Mod Pizza mile 23, time ____.  Fortunately still daylight and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102802 - noticably wobbly, loopy, staggering.  Continued hiking 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102803 - around the block - turned right onto path parallel to Via Monte hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102804 - North .25 miles, turned right onto Shadelands hiking .25 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102805 - turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102806 - Crossed Treat at street light.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102807 - concrete sidewalk.  At San Miguel continued .75 miles on Treat uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102808 - 5% grade temp 59.  Handled this well.  At summit, mile 25, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102809 - another mile to Cuneo.  Continued .25 mile to Cowell and back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102810 - then to Kaski and back home.  Ended hike mile 27 time 1854 temp 59,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102811 - wind 13, feet PL 2, burning sensation PL 2, shin splints PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102812 - knee PL 1 (swollen), right knee PL 2, left shoulder PL 1, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102813 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102814 - elbow PL 0, when lifting.  EKG looks uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102815 - reported HR 100 Normal Sinus Rhythm - see below. ref SDS 0 R7SA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102826 -  ..
102827 - Kardia recorded HR 49 at 0528, Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102828 - heart beat lengths with p-waves and no artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102829 - 15 miles yesterday, ending Apixaban on 240110, and taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102830 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102831 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102832 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102833 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102836 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102837 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240423-ecg-052843_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102843 -  ..
102844 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102845 - hike 27 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102846 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102848 -  ..
102849 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102851 -       Date       240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 240203 2  
102852 -       Miles         27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0      0     
102853 -       HR AVG       103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     no     
102854 -         MAX        129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report report r  
102855 -         Min         38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37                   
102856 -       El Climb Ft  715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495                   
102857 -       Temp Max      65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60                   
102858 -       Wind Max      14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10                   
102859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102861 -              https://flow.polar.com/training/analysis/7865860357                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102864 -               ..
102866 -   
102867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102871 -  ..
102872 - EKG at mile 08 time 1241 HR 087 temp 63, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102873 - Rhythm... looks uniform with artifact - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102874 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102877 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102878 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240423-ecg-124100_mile_08_087_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102882 -  ..
102883 - EKG at mile 12 time 1414 HR 102 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102884 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102885 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102888 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102889 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240423-ecg-141458_mile_12_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102893 -  ..
102894 - EKG at mile 19 time 1622 HR 102 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102895 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102896 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102899 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102900 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240423-ecg-162251_mile_19_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102904 -  ..
102905 - End hike EKG at mile 27, time 1854 HR 100 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102906 - Normal Sinus Rhythm... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102907 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102910 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102911 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240423-ecg-185449_mile_27_100_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102916 -  ..
102917 - Post hike HR profile beginning 2145 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102918 - overnight after hiking 27 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102919 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102920 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102921 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102923 -        ..
102924 -       Date      240422  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212  240211    
102925 -       Time       2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047    2131     
102926 -       Hours        10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11       6     
102927 -       HR AVG       61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68      65     
102928 -       HR MAX       95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     118     
102929 -       HR Min       32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47      48     
102930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102932 -              https://flow.polar.com/training/analysis/7866207629                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102935 -               ..
102937 -   
102938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102942 -  ..
102943 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102944 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102945 - Dinner - eggs hamburger onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102947 -  ..
102948 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102976 -         ..
102977 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102978 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102979 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102980 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102981 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102982 -  115.  240424 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102983 -               0710....BP HR..................................................... 168  87  52  Kardia ECG reports HR status, see below. ref SDS 0 SE4C                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102984 -               0715....BP HR..................................................... 146  88  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102985 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102986 -               0720....80 394040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102987 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102988 -               1210....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102989 -               1210....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102990 -               1210....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102991 -               1210... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102992 -               1210....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
102993 -  ..
102994 -         * cr  1235....miles...........  19.0  61.0  320  1041 minutes  temp  66 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102995 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102996 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102997 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
102998 -               1448....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102999 -               1448....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103000 -               1448... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103001 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103002 -               1612....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103003 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103004 -               1724....mile 15 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103005 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103006 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103007 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103008 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103009 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103010 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103011 -               1842... Hike ends mile 19... ref SDS 0 U9XN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103012 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103013 -               1900....weight.................................... 169  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103014 -               1905....BP HR..................................................... 113  76 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103015 -               1915....BP HR..................................................... 108  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103016 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103017 -               1910... 40 109380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
103018 -             1 0000............ 10 19670  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103019 -             1 0000............ 10 20010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
103020 -               0000... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103021 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103022 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103023 -               2130... 40 85580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103024 -               2200... 1000 2107000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103025 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103026 -               2230... 80 394120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103027 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103028 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103029 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103032 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103033 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103034 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103035 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103036 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103037 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103038 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103039 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103042 -  ..
103043 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103044 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103046 -  ..
103047 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103048 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103051 -  ..
103052 - Today, hiked 19 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103053 - - Treat, Turtle Creek Road (had to stop mile 1.5 to take 2 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103054 - for pain and inflammation control), Ayers to Clayton Road, then West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103055 - on Ygnacio Valley Road.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103056 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103057 - Hiked around main buildings, then stopped mile at 7, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103058 - hydration and nutrition.  Exited college heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103059 - Valley Road, and hiked 8-mile uphill through Crystal Ranch residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103060 - development.  Back at college stopped mile 16, for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103061 - nutrition.  Hiked around main buildings, then 2 miles to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103062 - Ygnacio Valley Road.  Turned around hiked back to Cowell, then 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103063 - to Treat and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103066 -         ..
103067 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103068 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103069 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not seem bloated today, so did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                
103070 -        Side ache vasodilation ischemic colitis......   2         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103071 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103072 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103073 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103074 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103075 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103076 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103077 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103078 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103079 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                             
103080 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103081 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103082 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
103083 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103084 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103085 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103086 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103087 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103088 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103089 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103090 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103091 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103092 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103093 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103094 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103095 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103096 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103097 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103098 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 2 Naproxen mile 1.5 - self inflicted injury over scrapping callus last night                                                                                                                                                                                                                                                                                                                                                                                                                       
103099 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103100 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103101 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                     
103102 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                     
103103 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103104 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103105 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103106 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
103107 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
103108 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
103109 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103110 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
103111 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
103112 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103113 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103114 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103115 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103116 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                        
103117 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103118 -        Callus ring toe #4 top right foot............   2         30  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103119 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
103120 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103121 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                           
103122 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103123 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103124 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103125 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8 and 2nd Naproxen mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                         
103126 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103127 -        Burning sensation both feet..................   2         30  went away after took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103128 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103129 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103130 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103131 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103132 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103133 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103134 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103135 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103136 -        AFL...5th ablation on 231214.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103137 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Naproxen mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103138 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103140 -  ..
103141 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103143 -  ..
103144 - Orthotic inserts - switched back to older inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103145 - 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103147 -  ..
103148 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103150 -  ..
103151 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103152 - 0701, ref SDS 16 NS7J  Applied newest spacer for right foot #4 and 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103153 - created by Doctor Tang on 240419 0900. ref SDS 35 TJ6G  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103154 - protecting right foot #4 for most of hike with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103156 -  ..
103157 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103158 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103159 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103160 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103161 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103165 -  ..
103166 - Concord 19 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103167 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103168 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103169 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103170 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103171 - avocado for HDL, per above. above. ref SDS 0 HQ9F  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103172 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103173 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103174 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103175 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103176 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103177 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103178 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103179 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103180 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103181 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103182 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103183 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103184 - entire hike without dyspnea.  Temp started at 62, and reached 65.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103185 - West wind 14 mph and mostly 10 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103186 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103187 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103188 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103189 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103190 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103191 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103192 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103193 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103194 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103195 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103196 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103197 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103198 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103199 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103200 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103201 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103202 - West 1 mile uphill 3% - 4% grade against wind 12 mph.  At mile 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103203 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103204 - Concord Campus.  Hiked around main campus buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103205 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103206 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103207 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103208 - Administration Building mile 07 time 1448 temp 65 and wind 07 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103209 - uniform with no artifact.  Kardia reported HR 089 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103210 - below. ref SDS 0 S4BT  Polar reported HR dropped today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103211 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103212 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103213 - feet PL 0, wearing old, custom orthotic inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103214 - during meeting on 230831 0900, ref SDS 26 KN3H, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103215 - bunions PL 0, right foot #4 top blister/callus PL 1, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103216 - pediplasti interdigital spacer applied this morning is somewhat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103217 - effective, per above, ref SDS 0 SPSU, left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103218 - shoulder PL 0, left elbow PL 0 intermitant.  Lower pain levels (PL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103219 - indicates taking 2 Naproxen at mile 1.5, has been effective.  May be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103220 - slightly bloated with NSAID colitis, after taking 2 Naproxen about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103221 - mile 1.5 on Turtle Creek for pain and inflammation maagement.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103222 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103223 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103224 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103225 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103226 - not take Nuun electrolyte pill, per above. ref SDS 0 RXWW  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103227 - college at Visitor Parking taking Campus Drive down hill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103228 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103229 - 08, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103230 - grade against 12 mph wind - wind helpful cooling effect against higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103231 - temperatures today.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103232 - dyspnea nor stopping.  About mile 9, took Simethicone to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103233 - bloating, possibly NSAID colitis - this was effective.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103234 - continued flat grade .5 miles, then downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103235 - Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5 miles 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103236 - grade against wind 10 mph.  Road ends at top of hill.  Hike back down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103237 - hill about .25 mile and then back to top.  Stopped mile 11 time 1612,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103238 - temp 65, wind 12 mph; EKG variable with some artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103239 - HR 111 (HR - wait 5 minutes different locations to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103240 - connection... low for level of effort and temperature at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103241 - station...) Unclassified - see below. ref SDS 0 SREU  Feet PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103242 - burning sensation PL 0, right foot #4, top PL 2 with pressure from top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103243 - of shoe, left foot tailor's bunion PL 0, calves PL 0 left knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103244 - left shoulder PL 1, left elbow PL 0, nothing to eat or drink (NPO),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103245 - per above. ref SDS 0 RXWW  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103246 - grade .5 miles.  At bottom of hill, turned right onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103247 - Way hiking East .5 miles uphill 6% grade against 12 mph wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103248 - summit continued downhill .66 miles.  Turned left onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103249 - Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103250 - uphill 3% - 4% grade against wind 10 mph.  After crossing over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103251 - Campus Drive from Pine Hollow, noticed a woman 200 yards ahead.  While                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103252 - continuing toward her, 2 dogs came out of tall grass.  There were 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103253 - cars driving fast during afternoon commute traffic, coming from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103254 - Ygnacio Valley Road and bending toward where the woman was waiting for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103255 - her dogs.  I yelled to leash the dogs to prevent them running in front                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103256 - of oncoming cars.  The dogs bolted across the street and jumped on me.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103257 - The cars braked in time to avoid hitting the dogs and causing a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103258 - pileup.  The woman ran across the street and leashed her dogs.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103259 - woman driving the lead car waved and smiled driving by.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103260 - the hike.  At mile 15, reached California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103261 - Concord Campus.  Hiked loop around main buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103262 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103263 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103264 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103265 - Administration Building mile 15, time 1724, temp 64 and wind 14 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103266 - EKG variable with minor artifact.  Polar GPS/HR monitor reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103267 - momentary spike HR 153; Kardia reported HR 105 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103268 - below. ref SDS 0 ARTV  No evident cause for HR spike, i.e., no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103269 - running, nothing surprising occurred.  Polar reported HR did not drop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103270 - today, during pause for EKG, hydration and nutrition, see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103271 - on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103272 - ref SDS 34 RU6M  Both feet PL 1, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103273 - right foot #4 top blister/callus PL 2 (after hiking 15 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103274 - taking 2 Naproxen), indicating pediplasti interdigital spacer applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103275 - this morning is somewhat effective, per above, ref SDS 0 SPSU, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103276 - knee meniscus PL 1, left shoulder PL 0, left elbow PL 2 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103277 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103278 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103279 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103280 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103281 - not take Nuun electrolyte pill, per above. ref SDS 0 RXWW  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103282 - college North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103283 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 16,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103284 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103285 - wind 14 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103286 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103287 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103288 - mile 17, hiked back .5 miles.  Turned left onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103289 - .25 miles downhill 5% grade.  Continued flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103290 - miles with narrow shoulder against oncoming afternoon commute traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103291 - Turned left onto Treat hiking West .25 miles back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103292 - Ended hike mile 19 time 1841 temp 60, wind 16, feet PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103293 - #4 top blister/callus PL 2, right foot Tailor's bunions PL 4 (Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103294 - wearing off after cutting this location shaving callus last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103295 - shin splints PL 2, left knee PL 3 (swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103296 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103297 - left side PL 0, left elbow PL 1, when lifting.  EKG looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103298 - with artifact, Kardia reported HR 104 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103299 - ref SDS 0 F52W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103311 -  ..
103312 - Kardia recorded HR 50 at 0931, Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103313 - lengths with p-waves and no artifact; no AFL after hiking 27 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103314 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103315 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103316 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103317 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103318 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103322 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240424-ecg-093136_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103328 -  ..
103329 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103330 - hike 19 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103331 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103333 -  ..
103334 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103336 -       Date       240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 240204 2  
103337 -       Miles         19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25      0     
103338 -       HR AVG       104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     no     
103339 -         MAX        153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  report r  
103340 -         Min         46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37            
103341 -       El Climb Ft  715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495            
103342 -       Temp Max      66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60            
103343 -       Wind Max      14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10            
103344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103346 -              https://flow.polar.com/training/analysis/7866500009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103349 -               ..
103351 -   
103352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103356 -  ..
103357 - EKG at mile 07 time 1448 HR 089 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103358 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103359 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103362 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103363 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240424-ecg-144819_mile_07_089_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103367 -  ..
103368 - EKG at mile 11 time 1612 HR 111 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103369 - Unclassified... looks variable with some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103370 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103373 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103374 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240424-ecg-161208_mile_11_111_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103378 -  ..
103379 - EKG at mile 15 time 1724 HR 102 (...Polar GPS/HR monitor reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103380 - momentary spike HR 153...) temp 63, Kardia reported Tachycardia...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103381 - looks variable with minor artifact - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103382 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103385 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103386 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240424-ecg-172449_mile_15_105_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103390 -  ..
103391 - End hike EKG at mile 19, time 1841 HR 104 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103392 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103393 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103396 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103397 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240424-ecg-184106_mile_19_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103402 -  ..
103403 - Post hike HR profile beginning 2126 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103404 - overnight after hiking 19 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103405 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103406 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103407 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103409 -        ..
103410 -       Date      240423  240422  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213  240212    
103411 -       Time       2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009    2047     
103412 -       Hours         9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8      11     
103413 -       HR AVG       62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59      68     
103414 -       HR MAX      135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     123     
103415 -       HR Min       34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40      47     
103416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103418 -              https://flow.polar.com/training/analysis/7866776819                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103421 -               ..
103423 -   
103424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103428 -  ..
103429 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103430 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103431 - Dinner - eggs hamburger onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103432 - tomato, avocado, olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103434 -  ..
103435 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103463 -         ..
103464 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103465 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103466 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103467 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103468 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103469 -  116.  240425 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103470 -               0650....BP HR..................................................... 142  72  48  Kardia ECG reports HR status, see below. ref SDS 0 C7JQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103471 -               0655....BP HR..................................................... 139  74  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103472 -               0700....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103473 -               0700....80 394200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103474 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103475 -               1210....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103476 -               1210....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103477 -               1210....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103478 -               1210... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103479 -               1210....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
103480 -  ..
103481 -               1004....miles...........  11.0  72.0  193  1234 minutes  temp  65 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103482 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103483 -               0000....mile 05 stopped EKG and chia seeds peanut butter avocado margarine and carbonated softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103484 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
103485 -               1235....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103486 -               1235....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103487 -               1235... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103488 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103489 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103490 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103491 -               0000....mile 15 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103492 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103493 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103494 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103495 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103496 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103497 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103498 -               1403... Hike ends mile 11... ref SDS 0 8WVS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103499 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103500 -               1412....weight.................................... 169  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103501 -               1415....BP HR...................AFL............................... 109  72 132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103502 -               1420....BP HR...................AFL............................... 106  73 132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103503 -               1508.......HR.............Polar.AFL...............................         187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103504 -               1510... 20   20 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103505 -               1515.......HR.............Polar.AFL...............................         130                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103506 -               1522.......HR.............Polar...................................         240  this was mistake reading "Time" for "HR on Polar monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103507 -               1524.......HR.............Polar...................................         258  this was mistake reading "Time" for "HR on Polar monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103508 -               1524... 20   40 Metoprolol Tartrate restore sinus                               thinking HR 258 and rising, took 2nd Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103509 -               1610....BP HR...................AFL............................... 118  87 126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103510 -               1630....BP HR...................AFL............................... 117  93 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103511 -               1810....BP HR...................AFL............................... 109  87 128                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103512 -               2144....BP HR...................AFL............................... 110  84 132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103513 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103514 -               1700... 40 109420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
103515 -               1830............ 10 19680  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103516 -               1830............ 10 20020  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
103517 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103518 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103519 -               2130... 40 85620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103520 -               2200... 1000 2108000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103521 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103522 -               2230... 80 394280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103523 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103524 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103525 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103529 -  ..
103530 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103531 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103533 -  ..
103534 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103535 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103538 -  ..
103539 - Today, hiked 11 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103540 - - Treat, Turtle Creek Road, Ayers to Clayton Road, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103541 - Ygnacio Valley Road.  Appears HR flipped ino AFL mile 2, where Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103542 - Creek goes uphill and then turning onto Ayers heading East, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103543 - turning South on Clayton; at mile 4, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103544 - Road for a mile.  Hiked on Pine Hollow 0.25 mile East.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103545 - and hiked back.  Turned West 1 mile on Campus Drive to college.  Along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103546 - this uphill route, Polar indicates may have switched back to sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103547 - Hiked 2 miles through parking lots. then stopped mile at 8, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103548 - hydration and nutrition.  EKG showed likely in AFL, sent letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103549 - Doctor Pelligrini and team at VAMCSF.  HR appears erratic, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103550 - becomes stable again in AFL.  Intended to take 2 Naproxen to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103551 - hiking with relief right foot PL 5.  Considered could not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103552 - Naproxen, because that may have caused flipping into AFL.  Actually,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103553 - AFL occurred without taking Naproxen today.  This presents question of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103554 - what caused the arrythmia?  Took 1 Naproxen, and hiked 3 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103557 -         ..
103558 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103559 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103560 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not seem bloated today, so did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                
103561 -        Side ache vasodilation ischemic colitis......   2         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103562 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103563 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103564 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103565 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103566 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103567 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103568 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103569 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103570 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                               
103571 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103572 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103573 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
103574 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103575 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103576 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103577 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103578 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103579 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103580 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103581 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103582 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103583 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103584 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103585 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103586 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103587 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103588 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103589 -        Tailor's Bunion right foot..PRP 21 705.......   2         20  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8 - self inflicted injury over scrapping callus last night                                                                                                                                                                                                                                                                                                                                                                                                                         
103590 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103591 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103592 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                       
103593 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                       
103594 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103595 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103596 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103597 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
103598 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
103599 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
103600 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103601 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
103602 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
103603 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103604 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103605 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103606 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103607 -        Callus little toe right foot..top of toe.....   0        100  omitted pediplast interdigital spacer Doctor Tang created on 230420 - today, before hike used tool provided by Doctor Tang to scrape callus down, cannot see it, but worked by feel - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                 
103608 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103609 -        Callus ring toe #4 top right foot............   3         80  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103610 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
103611 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103612 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                    
103613 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103614 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103615 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103616 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103617 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103618 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103619 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103620 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103621 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103622 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103623 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103624 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103625 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103626 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103627 -        AFL...5th ablation on 231214.................   4         75  Polar shows AFL started about mile 2 at Turtle Creek and Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103628 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103629 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103631 -  ..
103632 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103634 -  ..
103635 - Orthotic inserts - switched back to older inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103636 - 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103638 -  ..
103639 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103641 -  ..
103642 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103643 - 0701, ref SDS 16 NS7J  Applied newest spacer for right foot #4 and 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103644 - created by Doctor Tang on 240419 0900. ref SDS 35 TJ6G  Did not work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103645 - very well protecting right foot #4 for most of hike; needed 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103646 - Naproxen at mile 8, but only took 1, because flipped into AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103648 -  ..
103649 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103650 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103651 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103652 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103653 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103657 -  ..
103658 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103659 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103660 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103661 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103662 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103663 - avocado for HDL, per above. above. ref SDS 0 Y97M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103664 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103665 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103666 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103667 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103668 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103669 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103670 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103671 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103672 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103673 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103674 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103675 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103676 - entire hike without dyspnea.  Temp started at 60, and reached 63.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103677 - West wind 14 mph and mostly 10 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103678 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103679 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103680 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103681 - Continued on Turtle Creek Road uphill 4% grade.  Polar GPS/HR monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103682 - shows HR flipped into AFL on this uphill - did not notice at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103683 - time.  Turned left onto Ayers hiking East .75 miles on asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103684 - shoulder.  At mile 3, turned right onto Clayton Road hiking South .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103685 - miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103686 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103687 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103688 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103689 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103690 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103691 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103692 - Did not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103693 - Continued on Ygnacio Valley Road; turned left hiked 0.25 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103694 - Pine Hollow.  Turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103695 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103696 - mph.  Polar monitor indicates AFL may have flipped back to sinus.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103697 - mile 07, reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103698 - Bay Concord Campus.  Hiked through Faculty then Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103699 - Back at Visitor Parking stopped at Administration Building mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103700 - time 1235 temp 63 and wind 10 mph; EKG uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103701 - Kardia reported HR 154 (indicating AFL) Possible Atrial Fibrillation -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103702 - see below. ref SDS 0 S4LQ  In another record, submitted Kardia report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103703 - to Doctor Pellegrini and Doctor Simpson, reported on 240425 1229.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103704 - ref SDS 36 XP5H  Polar reported HR dropped severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103705 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103706 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103707 - feet PL 2, wearing old, custom orthotic inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103708 - during meeting on 230831 0900, ref SDS 26 KN3H, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103709 - bunions PL 5, right foot #4 top blister/callus PL 3, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103710 - pediplasti interdigital spacer applied this morning is somewhat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103711 - effective, per above, ref SDS 0 SURQ, left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103712 - shoulder PL 2, left elbow PL 1 intermitant.  Wanted to take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103713 - Naproxen.  With AFL took only 1 Naproxen to hike home.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103714 - carried from home for hydration, swallowing meds and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103715 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103716 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103717 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103718 - take Nuun electrolyte pill, per above. ref SDS 0 SSVT  Noticed Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103719 - reported HR 110, so did another EKG to verify flipped back to sinus;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103720 - however, Kardia reported HR 136, confirming still in AFL.  Sent EKG to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103721 - Doctor Pellegrini and Doctor Simpson, reported in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103722 - 240425 1229. ref SDS 36 N97M  Exited college at Visitor Parking taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103723 - Campus Drive down hill.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103724 - West on flat grade .5 miles.  At mile 09, continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103725 - Road uphill 3% grade .5 miles against wind 12 mph.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103726 - Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103727 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103728 - afternoon commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103729 - miles back to Cuneo and home.  Ended hike mile 11 time 1404 temp 65,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103730 - wind 12, feet PL 1, right foot #4 top blister/callus PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103731 - Tailor's bunions PL 2, shin splints PL 0, left knee PL 0, right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103732 - PL 0, left shoulder PL 1, neck and right shoulder PL 0 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103733 - lower back left side PL 0, left elbow PL 1, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103734 - uniform, with no artifact, Kardia reported HR 151 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103735 - Fibrillation (...from experience this is AFL...) - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103736 - ref SDS 0 8WVS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103745 -  ..
103746 - Kardia recorded HR 50 at 0925, Normal Sinus Rhythm, mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103747 - heart beat lengths with p-waves and no artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103748 - 19 miles yesterday, ending Apixaban on 240110, and taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103749 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103750 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103751 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103752 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103755 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240425-ecg-091522_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103762 -  ..
103763 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103764 - hike 11 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103765 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103767 -  ..
103768 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103770 -       Date       240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 240206 240205 2  
103771 -       Miles         11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0      0     25     
103772 -       HR AVG       114    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     no    119     
103773 -         MAX        151    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report report   143  r  
103774 -         Min         43     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76                   37     
103775 -       El Climb Ft  450    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495                  495     
103776 -       Temp Max      65     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55                   60     
103777 -       Wind Max      14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08                   10     
103778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103780 -              https://flow.polar.com/training/analysis/7867079852                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103783 -               ..
103785 -   
103786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103790 -  ..
103791 - EKG at mile 08 time 1235 HR 154 temp 63, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103792 - Atrial Fibrillation... looks perfectly uniform with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103793 - indicating atrial flutter (AFL) - medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103794 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103797 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103798 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240425-ecg-123530_mile_08_154_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103802 -  ..
103803 - End hike EKG at mile 11, time 1403 HR 151 temp 65 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103804 - Possible Atrial Fibrillation... looks uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103805 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103808 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103809 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240425-ecg-140347_mile_11_151_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103812 -  ..
103813 - Another EKG after hike at mile 00, time 1948 HR 128 temp - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103814 - reported Tachycardia... looks uniform with no artifact, indicating AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103815 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103818 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103819 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240425-ecg-194831_mile_00_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103825 -  ..
103826 - Post hike HR profile beginning 1440 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103827 - overnight after hiking 11 miles and extended period steady elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103828 - > 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103829 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103831 -        ..
103832 -       Date      240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214  240213    
103833 -       Time       1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939    0009     
103834 -       Hours         9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11       8     
103835 -       HR AVG      123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62      59     
103836 -       HR MAX      152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     109     
103837 -       HR Min       39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38      40     
103838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103840 -              https://flow.polar.com/training/analysis/7867354330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103843 -               ..
103845 -   
103846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103850 -  ..
103851 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103852 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103853 - Dinner - eggs hamburger onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103854 - tomato, avocado, olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103856 -  ..
103857 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103885 -         ..
103886 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103887 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103888 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103889 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103890 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103891 -  117.  240426 0510............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103892 -               0510....BP HR..................................................... 100  62 136  Kardia ECG reports HR status, see below. ref SDS 0 A3QV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103893 -               0515....BP HR..................................................... 102  60 135                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103894 -               0520....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103895 -               0520....80 394200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103896 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103897 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103898 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103899 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103900 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103901 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103902 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103903 -               1700... 40 109420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
103904 -             1 0000............ 10 19680  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103905 -             1 0000............ 10 20020  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
103906 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103907 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103908 -               2130... 40 85620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103909 -               2200... 1000 2108000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103910 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103911 -               2230... 80 394280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103912 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103913 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103914 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103916 -  ..
103917 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103918 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103920 -  ..
103921 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103922 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103928 -  ..
103929 - Kardia recorded HR 136 at 0537, Tachycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103930 - lengths with p-waves and no artifact; AFL after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103931 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103932 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103933 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103934 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103935 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103938 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103939 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240426-ecg-053712_mile_00_136_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103944 -  ..
103945 - Post hike HR profile - no hiking testing AFL... beginning 0600 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103946 - with indoor activity overnight after hiking 11 miles and extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103947 - period steady elevated HR > 130, indicates AFL, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103948 - ablation on 231214 0630. ref SDS 28 JG7N  See patient history on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103949 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103951 -        ..
103952 -       Date      240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215  240214    
103953 -       Time       0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312    1939     
103954 -       Hours        15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10      11     
103955 -       HR AVG      134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67      62     
103956 -       HR MAX      147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     108     
103957 -       HR Min       35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37      38     
103958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103960 -              https://flow.polar.com/training/analysis/7868041648                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103963 -               ..
103965 -   
103966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103969 -  ..
103970 - Continue post hike HR profile - continuing test AFL... beginning 2237                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103971 - aligns with indoor activity overnight after hiking 00 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103972 - extended period steady elevated HR > 130, indicates AFL, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103973 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103974 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103976 -        ..
103977 -       Date      240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216  240215    
103978 -       Time       2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020    2312     
103979 -       Hours         8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11      10     
103980 -       HR AVG      105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71      67     
103981 -       HR MAX      145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     121     
103982 -       HR Min       42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41      37     
103983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103985 -              https://flow.polar.com/training/analysis/7868041688                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103988 -               ..
103990 -   
103991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103994 -  ..
103995 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103996 - Lunch - sandwich ham cheese at VAMCSF cafeteria                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103997 - Dinner - eggs hamburger onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103998 - tomato, avocado, olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104000 -  ..
104001 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104029 -         ..
104030 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104031 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104032 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104033 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104034 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104035 -  118.  240427 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104036 -               0650....BP HR..................................................... 110  86 140  Kardia ECG reports HR status, see below. ref SDS 0 BF7X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104037 -               0855....BP HR..................................................... 119  93 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104038 -               0700....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104039 -               0700....80 394360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104040 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104041 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104042 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104043 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104044 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104045 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
104046 -  ..
104047 -         * cr  1106....miles...........  14.0  86.0  242  1476 minutes  temp  72 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104048 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104049 -               1337....mile 02 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104050 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
104051 -               1337....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104052 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104053 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104054 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104055 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104056 -               1539....mile 09 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104057 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104058 -               1539... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104059 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104060 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104061 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104062 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104063 -               1709... Hike ends mile 14... ref SDS 0 U9XN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104064 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104065 -               1720....weight.................................... 170  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104066 -               1730....BP HR.....................................................  90  80 145                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104067 -               1735....BP HR..................................................... 105  88 142                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104068 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104069 -               1730... 40 109460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
104070 -               1830............ 10 19690  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104071 -               1830............ 10 20030  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
104072 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104073 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104074 -               2130... 40 85660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104075 -               2200... 1000 2109000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104076 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104077 -               2230... 80 394440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104078 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104079 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104080 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104083 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104084 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104085 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104086 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104087 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104088 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104089 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104090 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104093 -  ..
104094 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104095 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104097 -  ..
104098 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104099 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104102 -  ..
104103 - Today, hiked 14 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104104 - - Treat, Turtle Creek Road.  Had to stop about mile 2, at Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104105 - Community Park to take Naproxen for pain relief right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104106 - Bunion, continued on Ayers to Clayton Road, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104107 - Valley Road for a mile.  Hiked on Pine Hollow 0.25 mile East.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104108 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104109 - Hiked 3 miles through parking lots.  Stopped mile at 9, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104110 - hydration and nutrition.  EKG showed likely still in AFL, hiked 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104111 - miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104114 -         ..
104115 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104116 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104117 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not seem bloated today, so did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                
104118 -        Side ache vasodilation ischemic colitis......   2         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104119 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104120 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104121 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104122 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104123 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104124 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104125 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104126 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104127 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                               
104128 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104129 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104130 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
104131 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104132 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104133 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104134 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104135 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104136 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104137 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104138 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104139 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104140 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104141 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104142 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104143 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104144 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104145 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104146 -        Tailor's Bunion right foot..PRP 21 705.......   5          5  Doctor Tang shaved calluses 240304 - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104147 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104148 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104149 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                       
104150 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                       
104151 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104152 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104153 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104154 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
104155 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
104156 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
104157 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104158 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
104159 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
104160 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104161 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104162 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104163 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104164 -        Callus little toe right foot..top of toe.....   2         20  pediplast interdigital spacer Doctor Tang created on 230420 - today - took 2 Naproxen mile 2, still hurt last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                        
104165 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104166 -        Callus ring toe #4 top right foot............   2         80  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104167 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
104168 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104169 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                    
104170 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104171 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104172 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104173 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104174 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104175 -        Burning sensation both feet..................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104176 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104177 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104178 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104179 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104180 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104181 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104182 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104183 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104184 -        AFL...5th ablation on 231214.................   4        100  Polar shows AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104185 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Naproxen mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104186 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104188 -  ..
104189 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104191 -  ..
104192 - Orthotic inserts - switched back to older inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104193 - 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104195 -  ..
104196 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104198 -  ..
104199 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104200 - 0701, ref SDS 16 NS7J  Applied newest spacer for right foot #4 and 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104201 - created by Doctor Tang on 240419 0900. ref SDS 35 TJ6G  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104202 - somewhat protecting right foot #4 and #5 for most of hike with 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104203 - Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104205 -  ..
104206 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104207 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104208 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104209 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104210 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104214 -  ..
104215 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104216 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104217 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104218 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104219 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104220 - avocado for HDL, per above. above. ref SDS 0 RK8M  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104221 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104222 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104223 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104224 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104225 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104226 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104227 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104228 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104229 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104230 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104231 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104232 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104233 - entire hike without dyspnea.  Temp started at 70, and reached 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104234 - West wind 14 mph and mostly 10 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104235 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104236 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104237 - traffic.  Stopped at Newhall Community Park mile 2 time 1337, temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104238 - and wind 08 mph; EKG uniform with no artifact.  Kardia reported HR 165                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104239 - (indicating AFL) Possible Atrial Fibrillation - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104240 - 3EYS  Polar reported HR dropped severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104241 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104242 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104243 - wearing old, custom orthotic inserts created by Doctor Tang during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104244 - meeting on 230831 0900, ref SDS 26 KN3H, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104245 - PL 5, right foot #4 top blister/callus PL 0, indicating pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104246 - interdigital spacer applied this morning is somewhat effective, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104247 - above, ref SDS 0 T1HT, left knee meniscus PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104248 - left elbow PL 0 intermitant.  Took 2 Naproxen because of Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104249 - Bunion PL 5 - assumes Naproxen does not stimulate AFL, as Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104250 - seems to.  Sips softdrink carried from home for hydration, swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104251 - meds and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104252 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104253 - for HDL.  Nutrition in this case primarily helps swallow Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104254 - pills to prevent ulcerating LESV, as reported during EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104255 - procedure on 161115 0800. ref SDS 8 9K9G   Since only at mile 2, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104256 - not need Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104257 - Did not take Nuun electrolyte pill, per above. ref SDS 0 TRWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104258 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104259 - Ayers hiking East .75 miles on asphalt road shoulder.  While cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104260 - arrythmia nominally in atrial flutter (AFL), Polar HR entries appear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104261 - to more closely align with atrial fibrillation, i.e., erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104262 - saw-tooth-like graph during 1st 3 miles of hike.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104263 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104264 - parking lots of shopping complex.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104265 - light and continued on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104266 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104267 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104268 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104269 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104270 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104271 - Station store mile 5, time ____.  Continued on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104272 - turned left hiked 0.25 miles East on Pine Hollow.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104273 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104274 - uphill 3% - 4% grade against wind 12 mph.  Polar monitor indicates AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104275 - may have flipped back to sinus.  At mile 07, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104276 - at California State University East Bay Concord Campus.  Hiked through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104277 - Faculty then Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104278 - Administration Building mile 09 time 1539 temp 72 and wind 14 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104279 - uniform with no artifact.  Kardia reported HR 150 (indicating AFL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104280 - Unclassified - see below. ref SDS 0 TVPU  Polar reported HR dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104281 - severely today, during pause for EKG, hydration and nutrition, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104282 - case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104283 - 0942. ref SDS 34 RU6M  Both feet PL 1, wearing old, custom orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104284 - inserts created by Doctor Tang during meeting on 230831 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104285 - ref SDS 26 KN3H, burning sensation PL 2, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104286 - PL 0, right foot #4 top blister/callus PL 0, #5 edge callus/blister PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104287 - 3, indicating pediplasti interdigital spacer applied this morning is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104288 - somewhat effective, per above, ref SDS 0 T1HT, left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104289 - 1, left shoulder PL 1, left elbow PL 0 intermitant.  Since took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104290 - Naproxen at mile 2, and ending hike in a few miles, did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104291 - Naproxen.  Sips softdrink carried from home for hydration, swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104292 - meds and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104293 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104294 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104295 - hike.  Did not take Nuun electrolyte pill, per above. ref SDS 0 TRWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104296 - Hiked another half loop through Faculty and Student parking lots.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104297 - mile 10, exited at North end Student Parking onto Campus Drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104298 - West bending and merging with Campus Drive North downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104299 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104300 - mile 11, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104301 - against wind 14 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104302 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104303 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104304 - barriar mile 12, hiked back .5 miles.  Turned left onto Cowell heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104305 - North .25 miles downhill 5% grade.  Continued flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104306 - then .5 miles with narrow shoulder against oncoming afternoon weekend                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104307 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104308 - and home.  Ended hike mile 14 time 1709 temp 71, wind 14, feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104309 - burning sensation PL 1, right foot #4 top blister/callus PL 1, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104310 - PL 3, right foot Tailor's bunions PL 0 shin splints PL 0, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104311 - 0, right knee PL 0, left shoulder PL 1, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104312 - intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104313 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 150                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104314 - Unclassified - see below. ref SDS 0 N7RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104323 -  ..
104324 - Kardia recorded HR 135 at 0745, Tachycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104325 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104326 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104327 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104328 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104329 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104330 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104333 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104334 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240427-ecg-074506_mile_00_135_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104340 -  ..
104341 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104342 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104343 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104345 -  ..
104346 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104348 -       Date       240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 240207 2  
104349 -       Miles         14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22      0     
104350 -       HR AVG       143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     no     
104351 -         MAX        158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  report r  
104352 -         Min         83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76            
104353 -       El Climb Ft  600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495            
104354 -       Temp Max      72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55            
104355 -       Wind Max      14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08            
104356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104358 -              https://flow.polar.com/training/analysis/7868317476                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104361 -               ..
104363 -   
104364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104368 -  ..
104369 - EKG at mile 02 time 1337 HR 165 temp 71, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104370 - Atrial Fibrillation... looks perfectly uniform with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104371 - indicating atrial flutter (AFL) - medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104372 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104375 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104376 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240427-ecg-133757_mile_02_165_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104380 -  ..
104381 - EKG at mile 09 time 1539 HR 150 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104382 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104383 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104386 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104387 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240427-ecg-153938_mile_09_150_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104391 -  ..
104392 - End hike EKG at mile 14, time 1709 HR 150 temp 71 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104393 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104394 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104397 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104398 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240427-ecg-170917_mile_14_150_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104403 -  ..
104404 - Post hike HR profile - continuing test AFL... beginning 1920 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104405 - with indoor activity overnight after hiking 14 miles and extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104406 - period steady elevated HR > 130, indicates AFL, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104407 - ablation on 231214 0630. ref SDS 28 JG7N  See patient history on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104408 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104410 -        ..
104411 -       Date      240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217  240216    
104412 -       Time       1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922    2020     
104413 -       Hours        12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12      11     
104414 -       HR AVG      120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64      71     
104415 -       HR MAX      151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     125     
104416 -       HR Min       37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46      41     
104417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104419 -              https://flow.polar.com/training/analysis/7868740266                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104422 -               ..
104424 -   
104425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104428 -  ..
104429 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104430 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104431 - Dinner - eggs hamburger onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104432 - tomato, avocado, olives, crutons                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104434 -  ..
104435 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104462 -         ..
104463 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104464 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104465 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104466 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104467 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104468 -  119.  240428 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104469 -               0725....BP HR...................AFL............................... 113  88 140  Kardia ECG reports HR status, see below. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104470 -               0730....BP HR...................AFL............................... 117  87 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104471 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104472 -               0735....80 394520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104473 -               1010....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104474 -               1010....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104475 -               1010....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104476 -               1010....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104477 -               1010... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104478 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
104479 -  ..
104480 -         * cr  1041....miles...........  20.0 106.0  344  1820 minutes  temp  74 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104481 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104482 -               1300....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104483 -               1300....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104484 -               1300... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104485 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104486 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
104487 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104488 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104489 -               0000....mile 15 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104490 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104491 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104492 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104493 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104494 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104495 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104496 -               1642... Hike ends mile 20... ref SDS 0 TW3P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104497 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104498 -               1700....weight.................................... 170  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104499 -               1705....BP HR...................AFL............................... 101  74 149                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104500 -               1715....BP HR...................AFL...............................  98  77 142                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104501 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104502 -               1730... 40 109500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
104503 -             1 0000............ 10 19690  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104504 -             1 0000............ 10 20030  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
104505 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104506 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104507 -               2130... 40 85700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104508 -               2200... 1000 2110000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104509 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104510 -               2230... 80 394690 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104511 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104512 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104513 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104516 - * cr - hiked Crystal Ranch Road 1-mile loop with 1 major hill, just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104517 - up to 3rd street light pole and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104520 -  ..
104521 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104522 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104524 -  ..
104525 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104526 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104529 -  ..
104530 - Today, hiked 20 miles - 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104531 - - Treat, Turtle Creek Road.  Continued on Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104532 - West on Ygnacio Valley Road for a mile.  Hiked East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104533 - 0.75 miles.  Turned around and hiked back.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104534 - Campus Drive to college.  Hiked 2 miles through parking lots.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104535 - mile at 9, for EKG, hydration and nutrition.  EKG showed still in AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104536 - Left college hiking 1 mile South and uphill on Crystal Ranch Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104537 - mile 12, feeling bloated with colitis from Statins or possibly NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104538 - Naproxen - took Simethicone.  Hiked back and turned left heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104539 - over summit Ygnacio Valley Road.  Did 1 mile loop around shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104540 - complex.  Did not stop for EKG, nutrition, hydration nor pain meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104541 - At mile 17, hiked 1 mile North on Oak Grove.  Turned East onto Teat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104542 - hiking 2 miles home.  Was in AFL entire hike.  Did not feel distress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104543 - Feet and knee injuries were less painful than normal, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104544 - only 1 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104547 -         ..
104548 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104549 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104550 -        Stomach pain ischemic colitis bloating.......   2         15  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - felt bloated mile 12 - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
104551 -        Side ache vasodilation ischemic colitis......   2         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104552 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104553 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104554 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104555 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104556 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104557 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104558 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104559 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104560 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                               
104561 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104562 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104563 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
104564 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104565 -        Shin splint pain both legs...................   2         10  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104566 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104567 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104568 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104569 -   ***  Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104570 -   ***  Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104571 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104572 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104573 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104574 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104575 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104576 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104577 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104578 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104579 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104580 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104581 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104582 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                       
104583 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                       
104584 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104585 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104586 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104587 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
104588 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
104589 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
104590 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104591 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
104592 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
104593 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104594 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104595 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104596 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104597 -        Callus little toe right foot..top of toe.....   1         20  shaved callus before hike today - took 1 Naproxen mile 9, still hurt last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104598 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104599 -        Callus ring toe #4 top right foot............   1         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104600 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
104601 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104602 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                    
104603 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104604 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104605 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104606 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104607 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104608 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104609 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104610 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104611 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104612 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104613 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104614 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104615 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104616 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104617 -        AFL...5th ablation on 231214.................   4        100  Polar shows AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104618 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104619 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104621 -  ..
104622 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104624 -  ..
104625 - Orthotic inserts - switched back to older inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104626 - 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104628 -  ..
104629 - Socks see case study on 200101 0701. ref SDS 16 0S6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104631 -  ..
104632 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104633 - 0701, ref SDS 16 NS7J  Applied newest spacer for right foot #4 and 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104634 - created by Doctor Tang on 240419 0900. ref SDS 35 TJ6G  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104635 - somewhat protecting right foot #4 and #5 for most of hike with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104636 - Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104638 -  ..
104639 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104640 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104641 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104642 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104643 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104647 -  ..
104648 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104649 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104650 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104651 - CoQ10 depleted by statins, which increases energy and HDL.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104652 - amount peanut butter and margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104653 - avocado for HDL, per above. above. ref SDS 0 B7AN  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104654 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104655 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104656 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104657 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104658 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104659 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104660 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104661 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104662 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104663 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104664 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104665 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104666 - entire hike without dyspnea.  Temp started at 66, and reached 74.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104667 - West wind 14 mph and mostly 12 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104668 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104669 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104670 - traffic.  Did not hike across Newhall Community Park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104671 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104672 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104673 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104674 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104675 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104676 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104677 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104678 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104679 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104680 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104681 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104682 - Valley Road; turned left hiked 0.75 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104683 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104684 - West 1 mile uphill 3% - 4% grade against wind 14 mph.  At mile 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104685 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104686 - Concord Campus.  Hiked through Faculty then Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104687 - Back at Visitor Parking stopped at Administration Building mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104688 - time 1300 temp 72 and wind 12 mph; EKG uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104689 - Kardia reported HR 148 (indicating AFL) Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104690 - ref SDS 0 U4KE  Polar did not report HR dropped severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104691 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104692 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104693 - feet PL 1, wearing old, custom orthotic inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104694 - during meeting on 230831 0900, ref SDS 26 KN3H, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104695 - 0, right foot Tailor's bunions PL 0, right foot #4 top blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104696 - PL 1, #5 edge callus/blister PL 1, indicating pediplasti interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104697 - spacer applied this morning is somewhat effective, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104698 - ref SDS 0 TUQW, equally, shaving edge #5 was also effective, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104699 - meniscus PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104700 - 1 Naproxen.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104701 - swallowing meds and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104702 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104703 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104704 - to complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104705 - ref SDS 0 TSVU  Hiked 2 loops through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104706 - lots.  At mile 10, exited at North end Student Parking onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104707 - Drive heading West bending and merging with Campus Drive North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104708 - downhill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104709 - grade .5 miles.  At mile 11, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104710 - Hiked South 1 mile uphill 5% grade against 12 mph wind - wind helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104711 - cooling effect against higher temperatures today.  Handled this well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104712 - breathing through nose without dyspnea nor stopping.  Took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104713 - to relieve bloating, possibly NSAID colitis - this was effective.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104714 - 3rd street light pole, about halfway to summit, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104715 - hiked back.  Turned West continuing on Ygnacio Valley Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104716 - grade .5 miles against wind 14 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104717 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104718 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104719 - concrete barriar mile 13, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104720 - Road to use wider shoulder.  Continued 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104721 - Crossed again to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104722 - traffic light.  At mile 15, hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104723 - shopping complex.  Today, did not Stop near Mod Pizza mile 16, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104724 - ____.  Continued hiking 1-mile loop around the block - turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104725 - onto path parallel to Via Monte hiking North .25 miles, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104726 - onto Shadelands hiking .25 miles, and turned left onto Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104727 - Hiked 1 mile North on asphalt shoulder.  Crossed Treat at street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104728 - light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104729 - Miguel continued .75 miles on Treat uphill 5% grade against wind 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104730 - mph, temp 74.  Handled this well.  At summit, mile 19, hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104731 - mile to Cuneo and home.  Ended hike mile 20 time 1642 temp 74, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104732 - 14, feet PL 1, burning sensation PL 0, shin splints PL 2, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104733 - 1 (swollen slightly), right knee PL 0, left shoulder PL 2, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104734 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104735 - elbow PL 0, when lifting.  EKG looks mostly uniform, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104736 - Kardia reported HR 155 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104737 - ref SDS 0 TW3P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104745 -  ..
104746 - Kardia recorded HR 141 at 0753, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104747 - lengths with p-waves and no artifact; AFL after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104748 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104749 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104750 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104751 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104752 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104755 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240428-ecg-075346_mile_00_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104762 -  ..
104763 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104764 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104765 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104767 -  ..
104768 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104770 -       Date       240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 240208 2  
104771 -       Miles         20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     22     
104772 -       HR AVG       147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114    116     
104773 -         MAX        160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147    133  r  
104774 -         Min         73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     76     
104775 -       El Climb Ft  600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495    495     
104776 -       Temp Max      74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     55     
104777 -       Wind Max      14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     08     
104778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104780 -              https://flow.polar.com/training/analysis/7869036510                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104783 -               ..
104785 -   
104786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104790 -  ..
104791 - EKG at mile 08 time 1300 HR 148 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104792 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104793 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104796 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104797 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240428-ecg-130019_mile_08_148_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104801 -  ..
104802 - End hike EKG at mile 20, time 1642 HR 155 temp 74 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104803 - Possible Atrial Fibrillation... looks mostly uniform with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104804 - signalling AFL - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104805 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104808 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104809 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240428-ecg-164225_mile_20_155_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104814 -  ..
104815 - Post hike HR profile - continuing test AFL... beginning 1954 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104816 - with indoor activity overnight after hiking 20 miles and extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104817 - period steady elevated HR > 130, indicates AFL, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104818 - ablation on 231214 0630. ref SDS 28 JG7N  See patient history on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104819 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104821 -        ..
104822 -       Date      240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218  240217    
104823 -       Time       1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940    1922     
104824 -       Hours        12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14      12     
104825 -       HR AVG       83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66      64     
104826 -       HR MAX      153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     111     
104827 -       HR Min       37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44      46     
104828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104830 -              https://flow.polar.com/training/analysis/7869370486                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104833 -               ..
104835 -   
104836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104839 -  ..
104840 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104841 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104842 - Dinner - eggs hamburger onion broccoli cauliflower mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104843 - tomato potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104845 -  ..
104846 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104874 -         ..
104875 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104876 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104877 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104878 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104879 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104880 -  120.  240429 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104881 -               0715....BP HR....................AFL.............................. 129 100 139  Kardia ECG reports HR status, see below. ref SDS 0 8E6T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104882 -               0720....BP HR..................................................... 142  98  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104883 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104884 -               0725....80 394680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104885 -               0910....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104886 -               0910....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104887 -               0910....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104888 -               0910....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104889 -               0910... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104890 -               0910....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
104891 -  ..
104892 -         * cr  0938....miles...........  20.0  20.0  337   337 minutes  temp  74 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104893 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104894 -               1238....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104895 -               1000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104896 -               1238... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104897 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104898 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
104899 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104900 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104901 -               1347....mile 13 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104902 -               1347....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104903 -               1347... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104904 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104905 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104906 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104907 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104908 -               1600... Hike ends mile 20... ref SDS 0 U82P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104909 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104910 -               1620....weight.................................... 170  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104911 -               1625....BP HR.......................AFL........................... 109  81 146                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104912 -               1635....BP HR.......................AFL........................... 113  84 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104913 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104914 -               1700... 40 109540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
104915 -               1830............ 10 19700  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104916 -               1830............ 10 20040  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
104917 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104918 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104919 -               2130... 40 85740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104920 -               2200... 1000 2111000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104921 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104922 -               2230... 80 394760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104923 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104924 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104925 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104928 - * cr - hiked Crystal Ranch Road 2-miles up and back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104931 -  ..
104932 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104933 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104935 -  ..
104936 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104937 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104940 -  ..
104941 - Today, hiked 20 miles - took Naproxen to start, 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104942 - through South Concord streets - Treat, Turtle Creek Road.  Had to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104943 - at mile 1 to remove neoprene toe sleeve - wasn't working.  Also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104944 - removed 2nd pair socks.  This extra room and Naproxen enabled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104945 - completing hike with tolerable pain.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104946 - Road, then West on Ygnacio Valley Road for a mile.  Hiked East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104947 - Hollow 0.25 miles.  Turned around and hiked back.  Turned West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104948 - on Campus Drive to college.  Hiked 2 miles through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104949 - Stopped mile at 9, for EKG, hydration and nutrition.  EKG showed still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104950 - in AFL.  Left college hiking 2 miles South and uphill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104951 - Road to Rolling Woods Way.  Stopped at mile 13, for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104952 - nutrition.  Took another Naproxen.  Hiked 2 miles back and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104953 - heading West over .5 mile on Ygnacio Valley Road.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104954 - Cowell downhill, then flat for 1 mile.  Headed West on Treat, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104955 - North on Kaski, and 4 miles through residential streets and home.  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104956 - in AFL entire hike.  Did not feel distress.  Feet and knee injuries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104957 - were less painful than normal, taking 2 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104960 -         ..
104961 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104962 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104963 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
104964 -        Side ache vasodilation ischemic colitis......   2         10  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104965 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104966 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104967 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104968 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104969 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104970 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104971 -        Shoulder left myopathy statins...............   1         40  episodic pain when lifting arm to end hike - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104972 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104973 -        Elbow left arm PRP on 231121.................   1         40  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                        
104974 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104975 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104976 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
104977 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104978 -        Shin splint pain both legs...................   2         10  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104979 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104980 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                            
104981 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104982 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104983 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104984 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104985 -        Knee right meniscus PRP 190816...............   2         10  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104986 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104987 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104988 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104989 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104990 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104991 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104992 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104993 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104994 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104995 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                
104996 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                
104997 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104998 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104999 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105000 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105001 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
105002 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
105003 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105004 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
105005 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
105006 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105007 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105008 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105009 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105010 -        Callus little toe right foot..top of toe.....   4         10  shaved callus before hike today - took 1 Naproxen mile 0 and 1 Naproxen mile 13, still hurt at end of mile 1, had to stop and remove shoe, sock, and remove neoprene cover                                                                                                                                                                                                                                                                                                                                                                   
105011 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105012 -        Callus ring toe #4 top right foot............   1         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                
105013 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
105014 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105015 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                             
105016 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105017 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105018 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105019 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                           
105020 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105021 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105022 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105023 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105024 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105025 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105026 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105027 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105028 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105029 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105030 -        AFL...5th ablation on 231214.................   4        100  Polar shows AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105031 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 0 and 1 Naproxen mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105032 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105034 -  ..
105035 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105037 -  ..
105038 - Orthotic inserts - switched back to older inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105039 - 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105041 -  ..
105042 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105043 - pair today, which reduced pressure on right foot #5, from edge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105044 - shoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105046 -  ..
105047 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105048 - 0701, ref SDS 16 NS7J  Applied newest spacer for right foot #4 and 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105049 - created by Doctor Tang on 240419 0900. ref SDS 35 TJ6G  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105050 - somewhat protecting right foot #4 and #5 for most of hike with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105051 - Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105053 -  ..
105054 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105055 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105056 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105057 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105058 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105062 -  ..
105063 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105064 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105065 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105066 - CoQ10 depleted by statins, which increases energy and HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105067 - Naproxen for pain management.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105068 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105069 - above. ref SDS 0 TWXR  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105070 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105071 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105072 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105073 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105074 - specifically reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105075 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105076 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105077 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105078 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105079 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105080 - starting hike feeling like pins and needles - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105081 - taking statins.  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105082 - Temp started at 64, and reached 74.  West wind 15 mph and mostly 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105083 - mph.  Hiked East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105084 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105085 - some places 2% uphill, and very light traffic.  Had to stop at mile 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105086 - to remove right shoe and sock to remove neoprene toe sleeve on #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105087 - The thickness created pressure from side of shoe.  After removing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105088 - pain was tolerable rest of hike, after taking Naproxen at mile 0, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105089 - later at mile 13.  At mile 2, hiked across Newhall Community Park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105090 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105091 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105092 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105093 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105094 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105095 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105096 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105097 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105098 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105099 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105100 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105101 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105102 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105103 - West 1 mile uphill 3% - 4% grade against wind 15 mph.  At mile 07,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105104 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105105 - Concord Campus.  Hiked through Faculty then Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105106 - Back at Visitor Parking stopped at Administration Building mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105107 - time 1238 temp 70 and wind 12 mph; EKG uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105108 - Kardia reported HR 148 (indicating AFL) Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105109 - ref SDS 0 CP7Y  Polar reported HR dropped severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105110 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105111 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105112 - feet PL 1, wearing old, custom orthotic inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105113 - during meeting on 230831 0900, ref SDS 26 KN3H, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105114 - 0, right foot Tailor's bunions PL 0, right foot #4 top blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105115 - PL 0, #5 edge callus/blister PL 0, indicating pediplasti interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105116 - spacer applied this morning is somewhat effective, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105117 - ref SDS 0 TYTP, equally, shaving edge #5, before hike was also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105118 - effective, except may have cut the toe; tried to protect with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105119 - neoproene cover and tape, but had to remove this at mile 1, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105120 - made foot too wide for shoe, cause pressure from shoe, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105121 - meniscus PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105122 - not take 1 Naproxen, because took, this before starting hike.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105123 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105124 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105125 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105126 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105127 - not take Nuun electrolyte pill, per above. ref SDS 0 TWXR  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105128 - loops through Faculty and Student parking lots.  At mile 10, exited at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105129 - North end Student Parking onto Campus Drive heading West bending and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105130 - merging with Campus Drive North downhill.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105131 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105132 - left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105133 - against 12 mph wind.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105134 - dyspnea nor stopping.  At summit continued flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105135 - Continued downhill .25 miles 5% grade.  At Rolling Woods Way stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105136 - mile 13 time 1347, temp 72, wind 08 mph; EKG uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105137 - artifact, Kardia reported HR 149 (HR - no wait to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105138 - connection...  Unclassified - see below. ref SDS 0 KE2M  Feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105139 - right foot #5 PL 2, #4 top PL 1, left foot tailor's bunion PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105140 - calves PL 0 left knee PL 1, left shoulder PL 1, left elbow PL 2, Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105141 - 2nd Naproxen.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105142 - swallowing meds and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105143 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105144 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105145 - to complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105146 - ref SDS 0 TWXR  Turned around and hiked back .5 miles uphill North 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105147 - grade, then .5 mile flat grade, then 1 mile downhill 5% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105148 - West continuing on Ygnacio Valley Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105149 - against wind 14 mph.  Crossed Cowell at stop light.  Hiked on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105150 - heading North .25 miles downhill 5% grade.  Continued flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105151 - miles, then .5 miles with narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105152 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105153 - Hiked 3 miles through residential streets Kaski, Hitchcock and Court                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105154 - Lane, Cuneo and home.  Ended hike mile 20 time 1600 temp 74, wind 15,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105155 - feet PL 1, burning sensation PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105156 - 1, #5 edge PL 1, right foot Tailor's bunions PL 0 shin splints PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105157 - left knee PL 0, right knee PL 3, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105158 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105159 - 1, when lifting.  EKG looks uniform, with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105160 - HR 149 Unclassified (meaning AFL) - see below. ref SDS 0 U82P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105168 -  ..
105169 - Kardia recorded HR 141 at 0757, Possible Atrial Fibrillation, uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105170 - heart beat lengths with p-waves and no artifact; shows continuing AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105171 - after hiking 20 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105172 - Naproxen after ending Tramadol and Gabapentin on 240406, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105173 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105174 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105175 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105178 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105179 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240429-ecg-075752_mile_00_141_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105185 -  ..
105186 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105187 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105188 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105190 -  ..
105191 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105194 -       Date       240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 240212 240211 240210 240209 2  
105195 -       Miles         20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27      0     25     25     20     
105196 -       HR AVG       146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     no    115    113    114     
105197 -         MAX        159    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  report   129    131    147     
105198 -         Min         56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80            74     48     45     
105199 -       El Climb Ft  600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495           495    495    495     
105200 -       Temp Max      74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60            60     62     57     
105201 -       Wind Max      15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10            10     10     06     
105202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105204 -              https://flow.polar.com/training/analysis/7869708516                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105207 -               ..
105209 -   
105210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105214 -  ..
105215 - EKG at mile 09 time 1238 HR 148 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105216 - Unclassified... looks uniform with no artifact (meaning AFL) - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105217 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105220 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105221 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240429-ecg-123823_mile_09_148_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105226 -  ..
105227 - EKG at mile 13 time 1347 HR 149 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105228 - Unclassified... looks uniform with no artifact (meaning AFL) - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105229 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105232 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105233 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240429-ecg-134701_mile_13_149_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105237 -  ..
105238 - End hike EKG at mile 20, time 1600 HR 149 temp 74 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105239 - Unclassified... looks mostly uniform with no artifact (meaning AFL) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105240 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105243 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105244 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240429-ecg-160022_mile_20_149_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105249 -  ..
105250 - Post hike HR profile - continuing test AFL... beginning 1955 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105251 - with indoor activity overnight after hiking 20 miles and extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105252 - period steady elevated HR > 130, indicates AFL, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105253 - ablation on 231214 0630. ref SDS 28 JG7N  See patient history on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105254 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105256 -        ..
105257 -       Date      240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219  240218    
105258 -       Time       1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115    1940     
105259 -       Hours        11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10      14     
105260 -       HR AVG       93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67      66     
105261 -       HR MAX      150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     115     
105262 -       HR Min       39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41      44     
105263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105266 -              https://flow.polar.com/training/analysis/7870037444                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105269 -               ..
105271 -   
105272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105275 -  ..
105276 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105277 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105278 - Dinner - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105280 -  ..
105281 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105308 -         ..
105309 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105310 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105311 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105312 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105313 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105314 -  121.  240430 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105315 -               0705....BP HR......................AFL............................ 129  96 138  Kardia ECG reports HR status, see below. ref SDS 0 9UPD                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105316 -               0710....BP HR......................AFL............................ 124  95 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105317 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105318 -               0715....80 394840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105319 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105320 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105321 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105322 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105323 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105324 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105325 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105326 -               1700... 40 109580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
105327 -             1 0000............ 10 19700  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105328 -             1 0000............ 10 20040  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
105329 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105330 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105331 -               2130... 40 85780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105332 -               2200... 1000 2112000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105333 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105334 -               2230... 80 394920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105335 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105336 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105337 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105340 -  ..
105341 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105342 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105344 -  ..
105345 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105346 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105350 -  ..
105351 - Kardia recorded HR 141 at 0643, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105352 - lengths with p-waves and no artifact; AFL after hiking 20 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105353 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105354 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105355 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105356 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105357 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105360 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105361 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240430-ecg-064337_mile_00_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105366 -  ..
105367 - Post hike HR profile - continuing test AFL... beginning 1916 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105368 - with indoor activity overnight after hiking 00 miles and extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105369 - period steady elevated HR > 130, indicates AFL until about 1930, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105370 - abrupt drop occurred, and has not returned to elevated HR, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105371 - sinus, and after 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105372 - See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105374 -        ..
105375 -       Date      240429  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220  240219    
105376 -       Time       1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917    2115     
105377 -       Hours        12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6      10     
105378 -       HR AVG       80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72      67     
105379 -       HR MAX      150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     109     
105380 -       HR Min       44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39      41     
105381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105383 -              https://flow.polar.com/training/analysis/7870815412                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105386 -               ..
105388 -   
105389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105392 -  ..
105393 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105394 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105395 - Dinner - macaroni cheese steak (cut up) broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105397 -  ..
105398 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105426 -         ..
105427 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105428 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105429 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105430 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105431 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105432 -  122.  240501 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105433 -               0700....BP HR..................................................... 146  91  75  Kardia ECG reports HR status, see below. ref SDS 0 5MA8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105434 -               0705....BP HR..................................................... 141  92  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105435 -               0710....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105436 -               0710....80 395000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105437 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105438 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105439 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105440 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105441 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105442 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105443 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105444 -               1700... 40 109620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
105445 -               1830............ 10 19710  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105446 -               1830............ 10 20050  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
105447 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105448 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105449 -               2130... 40 85820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105450 -               2200... 1000 2113000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105451 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105452 -               2230... 80 395080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105453 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105454 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105455 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105458 -  ..
105459 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105460 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105462 -  ..
105463 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105464 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105469 -  ..
105470 - Kardia recorded HR 075 at 0644, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105471 - lengths with p-waves and some artifact; not AFL (maybe sinus) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105472 - hiking 00 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105473 - Naproxen after ending Tramadol and Gabapentin on 240406, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105474 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105475 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105476 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105479 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105480 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240501-ecg-064453_mile_00_075_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105485 -  ..
105486 - Kardia recorded HR 050 at 1246, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105487 - lengths with p-waves and some artifact; not AFL (maybe sinus) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105488 - hiking 00 miles today, showing despite normalized HR, heart seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105489 - still under stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105493 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105494 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240501-ecg-124612_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105499 -  ..
105500 - Post hike HR profile - continuing test AFL... beginning 1837 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105501 - with indoor activity overnight after hiking 00 miles and no extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105502 - period steady elevated HR > 130, indicates no AFL indicating possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105503 - sinus, however, EKG continues to report Unclassified, and has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105504 - reported sinus, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105505 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105507 -        ..
105508 -       Date      240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221  240220    
105509 -       Time       1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005    1917     
105510 -       Hours        12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12       6     
105511 -       HR AVG       62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67      72     
105512 -       HR MAX      116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     115     
105513 -       HR Min       42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43      39     
105514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105516 -              https://flow.polar.com/training/analysis/7871463506                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105519 -               ..
105521 -   
105522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105525 -  ..
105526 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105527 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105528 - Dinner - macaroni cheese steak (cut up) broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105530 -  ..
105531 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105558 -         ..
105559 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105560 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105561 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105562 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105563 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105564 -  123.  240502 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105565 -               0710....BP HR..................................................... 146  91  75  Kardia ECG reports HR status, see below. ref SDS 0 VPUS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105566 -               0715....BP HR..................................................... 135  79  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105567 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105568 -               0720....80 395160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105569 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105570 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105571 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105572 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105573 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105574 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105575 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105576 -               1700... 40 109660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
105577 -             1 0000............ 10 19710  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105578 -             1 0000............ 10 20050  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
105579 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105580 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105581 -               2130... 40 85860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105582 -               2200... 1000 2114000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105583 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105584 -               2230... 80 395240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105585 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105586 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105587 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105590 -  ..
105591 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105592 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105594 -  ..
105595 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105596 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105602 -  ..
105603 - Kardia recorded HR 071 at 0727, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105604 - lengths with p-waves and some artifact; not AFL (maybe sinus) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105605 - hiking 00 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105606 - Naproxen after ending Tramadol and Gabapentin on 240406, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105607 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105608 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105609 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105612 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105613 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240502-ecg-072738_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105618 -  ..
105619 - Post hike HR profile - continuing test AFL... beginning 2022 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105620 - with indoor activity overnight after hiking 00 miles and no extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105621 - period steady elevated HR > 130, indicates no AFL indicating possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105622 - sinus, however, EKG continues to report Unclassified, and has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105623 - reported sinus, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105624 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105626 -        ..
105627 -       Date      240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222  240221    
105628 -       Time       2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039    2005     
105629 -       Hours        11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8      12     
105630 -       HR AVG       63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62      67     
105631 -       HR MAX      103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     104     
105632 -       HR Min       42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47      43     
105633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105635 -              https://flow.polar.com/training/analysis/7872122348                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105638 -               ..
105640 -   
105641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105644 -  ..
105645 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105646 - Lunch - grilled cheese sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105647 - Dinner - macaroni cheese steak (cut up) broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105649 -  ..
105650 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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105666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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105671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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105674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105678 -         ..
105679 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105680 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105681 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105682 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105683 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105684 -  124.  240503 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105685 -               0700....BP HR..................................................... 144 103  55  Kardia ECG reports HR status, see below. ref SDS 0 4QF7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105686 -               0705....BP HR..................................................... 141  86  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105687 -               0710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105688 -               0710....80 395320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105689 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105690 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105691 -               1040....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105692 -               1040....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105693 -               1040... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105694 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
105695 -  ..
105696 -               1108....miles...........  22.0  42.0  381   718 minutes  temp  78 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105697 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105698 -               1350....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105699 -               1350....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105700 -               1350... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105701 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105702 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
105703 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105704 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105705 -               1530....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105706 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105707 -               1530... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105708 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105709 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105710 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105711 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105712 -               1600... Hike ends mile 20... ref SDS 0 U82P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105713 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105714 -               1815....weight.................................... 168  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105715 -               1820....BP HR..................................................... 118  76 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105716 -               1830....BP HR..................................................... 108  69  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105717 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105718 -               1830... 40 109700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
105719 -               1930............ 10 19720  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105720 -               1930............ 10 20060  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
105721 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105722 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105723 -               2130... 40 85900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105724 -               2200... 1000 2114000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105725 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105726 -               2230... 80 395400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105727 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105728 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105729 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105732 -  ..
105733 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105734 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105736 -  ..
105737 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105738 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105741 -  ..
105742 - Today, hiked 22 miles - took Naproxen to start, 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105743 - through South Concord streets - Treat, Turtle Creek Road.  Helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105744 - minimal feet pain.  At mile 1.5, had to return home to get softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105745 - left in freezer.  Now mile 4, continued on Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105746 - West on Ygnacio Valley Road for a mile.  Hiked East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105747 - 0.25 miles.  Turned around and hiked back.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105748 - Campus Drive to college.  Hiked 2 miles through parking lots.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105749 - mile at 9, for EKG, hydration and nutrition.  EKG showed Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105750 - first time in over a week.  Continued 1 mile through parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105751 - again, then 4 miles over summit on Ygnacio Valley Road to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105752 - Did 2 1-mile loops around Safeway shopping complex.  Stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105753 - nutrition, then 4 miles to Cuneo.  Did another 2 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105754 - residential streets.  Feet and knee injuries were less painful than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105755 - normal, taking 1 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105758 -         ..
105759 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105760 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105761 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
105762 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105763 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105764 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105765 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105766 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105767 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105768 -        Neck turning head/chest left or right........   6          5  episodes mile 18+  took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105769 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105770 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105771 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
105772 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105773 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105774 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
105775 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105776 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105777 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105778 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
105779 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105780 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105781 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105782 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105783 -        Knee right meniscus PRP 190816...............   0        100  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105784 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105785 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105786 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105787 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105788 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105789 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105790 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105791 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105792 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105793 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
105794 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
105795 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105796 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105797 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105798 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105799 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
105800 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
105801 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105802 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
105803 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
105804 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105805 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105806 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105807 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105808 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105809 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105810 -        Callus ring toe #4 top right foot............   1         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
105811 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
105812 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105813 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                             
105814 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105815 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105816 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105817 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
105818 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105819 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105820 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105821 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105822 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105823 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105824 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105825 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105826 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105827 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105828 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105829 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105830 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105832 -  ..
105833 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105835 -  ..
105836 - Orthotic inserts - switched to new inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105837 - 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105839 -  ..
105840 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105841 - today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105843 -  ..
105844 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105845 - 0701, ref SDS 16 NS7J  Applied newest spacer for right foot #4 and 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105846 - created by Doctor Tang on 240419 0900. ref SDS 35 TJ6G  Did not wear;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105847 - carried with on hike, but did no apply during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105849 -  ..
105850 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105851 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105852 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105853 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105854 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105858 -  ..
105859 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105860 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105861 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105862 - CoQ10 depleted by statins, which increases energy and HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105863 - Naproxen for pain management.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105864 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105865 - ref SDS 0 I85K  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105866 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105867 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105868 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105869 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105870 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105871 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105872 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105873 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105874 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105875 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105876 - feeling like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105877 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105878 - 72, and reached 78.  West wind 15 mph and mostly 12 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105879 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105880 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105881 - uphill, and very light traffic.  About mile 1.5, noticed forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105882 - softdrink - realized left in freezeer getting cold, so hiked home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105883 - rescued from frig and hiked back.  At mile 4, did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105884 - Newhall Community Park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105885 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105886 - asphalt road shoulder.  At mile 5, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105887 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105888 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105889 - concrete sidewalk .5 miles.  At mile 6, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105890 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105891 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105892 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105893 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105894 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 7,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105895 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 0.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105896 - miles East on Pine Hollow.  Turned around and hiked back to YV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105897 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105898 - against wind 15 mph.  At mile 9, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105899 - State University East Bay Concord Campus.  Stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105900 - Building mile 09 time 1350 temp 78 and wind 12 mph; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105901 - with minor artifact.  Kardia reported HR 112 (indicating no AFL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105902 - Tachycardia (1st time not "Unclassified" since 240427, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105903 - ref SDS 0 S4LQ) - see below. ref SDS 0 VR2F  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105904 - drop severely today, during pause for EKG, hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105905 - see case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105906 - 0942. ref SDS 34 RU6M  Both feet PL 1, wearing new, custom orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105907 - inserts created by Doctor Tang during meeting on 240419 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105908 - ref SDS 35 EQ8N, burning sensation PL 0, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105909 - PL 0, right foot #4 top blister/callus PL 0, #5 edge callus/blister PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105910 - 0, indicating pediplasti interdigital spacer not applied this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105911 - is effective, per above, ref SDS 0 VPVT, equally, shaving edge #5, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105912 - Monday, before hike was also effective, since cut on toe has healed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105913 - left knee meniscus PL 0, left shoulder PL 1, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105914 - intermitant.  Took 1 Naproxen for pain and inflammation management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105915 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105916 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105917 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105918 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105919 - not take Nuun electrolyte pill, per above. ref SDS 0 UYPR  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105920 - loop through Faculty and Student parking lots.  Exited at North end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105921 - Student Parking onto Campus Drive heading West bending and merging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105922 - with Campus Drive South uphill back to Visitor Parking.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105923 - heading downhill, North on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105924 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105925 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105926 - wind 14 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105927 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105928 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105929 - mile 13, crossed back to South side Ygnacio Valley Road to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105930 - shoulder.  Continued 2 miles downhill 3-4% grade.  Crossed again to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105931 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105932 - At mile 14, hiked 2 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105933 - complex.  Today, stopped near Mod Pizza mile 16, about time 1530, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105934 - 77 and wind 12 mph; for some reason forgot to do Kardia mobile EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105935 - ___.  Both feet PL 1, wearing new, custom orthotic inserts created by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105936 - Doctor Tang during meeting on 240419 0900. ref SDS 35 EQ8N, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105937 - sensation PL 0, right foot Tailor's bunions PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105938 - blister/callus PL 0, #5 edge callus/blister PL 0, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105939 - PL 2 (slightly swollen), left shoulder PL 2, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105940 - intermitant.  Did not take Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105941 - management - trying to avoid reaching critical mass that triggers AFL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105942 - per research on 240428 1939. ref SDS 37 PC9L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105943 - from home for hydration, swallowing meds and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105944 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105945 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105946 - CoQ10 0.6 ml for HDL and energy to complete hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105947 - electrolyte pill, per above. ref SDS 0 UYPR  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105948 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105949 - hiking North .25 miles, turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105950 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105951 - shoulder.  At Treat traffic light was red.  Turned right heading East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105952 - .25 mile.  Crossed to North side at break in traffic.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105953 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105954 - miles on Treat uphill 5% grade with wind 16 mph, temp 77.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105955 - this well.  At summit, mile 19, hiked another mile to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105956 - Continued .25 mile to Cowell.  Turned around hiking back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105957 - right onto Cuneo heading North.  Hiked 2 miles in residential streets.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105958 - Ended hike mile 22 time 1804 temp 75, wind 13, feet PL 1, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105959 - sensation PL 0, shin splints PL 0, left knee PL 1 (swollen slightly),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105960 - right knee PL 0, left shoulder PL 2, neck and right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105961 - intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105962 - lifting.  EKG mostly uniform, with no artifact, Kardia reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105963 - Tachycardia - see below. ref SDS 0 VR7S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105972 -  ..
105973 - Kardia recorded HR 047 at 0731, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105974 - lengths with p-waves and some artifact; not AFL (maybe sinus) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105975 - hiking 00 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105976 - Naproxen after ending Tramadol and Gabapentin on 240406, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105977 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105978 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105979 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105982 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105983 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240503-ecg-073152_mile_00_047_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105989 -  ..
105990 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105991 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105992 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105994 -  ..
105995 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105998 -       Date       240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 240215 240214 240213 2  
105999 -       Miles         22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     31      0     27     
106000 -       HR AVG       117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no    115     no    115     
106001 -         MAX        134  report report report   159    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report   134  report   132  r  
106002 -         Min         48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          69            80     
106003 -       El Climb Ft  600                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                         658           495     
106004 -       Temp Max      78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          64            60     
106005 -       Wind Max      15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          10            10     
106006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106008 -              https://flow.polar.com/training/analysis/7872426155                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106011 -               ..
106013 -   
106014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106018 -  ..
106019 - EKG at mile 09 time 1350 HR 112 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106020 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106021 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106024 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106025 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240503-ecg-135033_mile_09_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106029 -  ..
106030 - End hike EKG at mile 22, time 1804 HR 115 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106031 - Tachycardia... looks mostly uniform with no artifact (meaning no AFL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106032 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106035 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106036 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240503-ecg-180441_mile_22_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106041 -  ..
106042 - Post hike HR profile beginning 0023 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106043 - overnight after hiking 22 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106044 - HR > 130, indicates no AFL indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106045 - continues to report Unclassified, and has not reported sinus, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106046 - after 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106047 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106049 -        ..
106050 -       Date      240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223  240222    
106051 -       Time       0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039    0039     
106052 -       Hours        11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8       8     
106053 -       HR AVG       60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62      62     
106054 -       HR MAX      104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95      95     
106055 -       HR Min       40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47      47     
106056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106058 -              https://flow.polar.com/training/analysis/7872960812                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106061 -               ..
106063 -   
106064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106067 -  ..
106068 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106069 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106070 - Dinner - eggs macaroni cheese steak (cut up) broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106072 -  ..
106073 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106103 -         ..
106104 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106105 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106106 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106107 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106108 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106109 -  125.  240504 0800............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106110 -               0800....BP HR..................................................... 139  74  53  Kardia ECG reports HR status, see below. ref SDS 0 W5PS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106111 -               0805....BP HR..................................................... 135  55  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106112 -               0810....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106113 -               0810....80 395480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106114 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106115 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106116 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106117 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106118 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106119 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106120 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106121 -               1830... 40 109740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
106122 -             1 0000............ 10 19720  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106123 -             1 0000............ 10 20060  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106124 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106125 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106126 -               2130... 40 85940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106127 -               2200... 1000 2115000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106128 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106129 -               2230... 80 395560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106130 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106131 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106132 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106135 -  ..
106136 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106137 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106139 -  ..
106140 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106141 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106145 -  ..
106146 - Middle of night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106148 -  ..
106149 - Kardia recorded HR 065 at 0255, Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106150 - heart beat lengths with p-waves and some artifact; not AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106151 - after hiking 22 miles yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106153 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106154 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240504-ecg-025541_mile_00_065_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106156 -  ..
106157 - Morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106159 -  ..
106160 - Kardia recorded HR 046 at 0904, Bradycardia, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106161 - lengths with p-waves and some artifact; not AFL (maybe sinus) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106162 - hiking 22 miles yesterday, ending Apixaban on 240110, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106163 - Naproxen after ending Tramadol and Gabapentin on 240406, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106164 - cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106165 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106166 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106169 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106170 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240504-ecg-090439_mile_00_046_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106175 -  ..
106176 - Post hike HR profile beginning 1938 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106177 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106178 - HR > 130, indicates no AFL, indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106179 - finally reported sinus, first since 240425, ref SDS 0 C7JQ, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106180 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106181 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106183 -        ..
106184 -       Date      240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224  240223    
106185 -       Time       1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037    0039     
106186 -       Hours        12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13       8     
106187 -       HR AVG       63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61      62     
106188 -       HR MAX      121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124      95     
106189 -       HR Min       42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41      47     
106190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106192 -              https://flow.polar.com/training/analysis/7873495053                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106195 -               ..
106197 -   
106198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106201 -  ..
106202 - Breakfast - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106203 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106204 - Dinner - broccoli onion hamburger cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106206 -  ..
106207 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106235 -         ..
106236 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106237 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106238 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106239 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106240 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106241 -  126.  240505 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106242 -               0710....BP HR..................................................... 139  74  53  Kardia ECG reports HR status, see below. ref SDS 0 V72R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106243 -               0715....BP HR..................................................... 151  85  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106244 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106245 -               0720....80 395640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106246 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106247 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106248 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106249 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106250 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106251 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106252 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106253 -               1830... 40 109780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
106254 -               1830............ 10 19730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106255 -               1830............ 10 20070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106256 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106257 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106258 -               2130... 40 85980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106259 -               2200... 1000 2116000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106260 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106261 -               2230... 80 395720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106262 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106263 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106264 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106267 -  ..
106268 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106269 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106271 -  ..
106272 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106273 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106278 -  ..
106279 - Kardia recorded HR 050 at 0703, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106280 - beat lengths with p-waves and no artifact; not AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106281 - miles yesterday, ending Apixaban on 240110, and taking Naproxen after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106282 - ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106283 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106284 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106285 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106288 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106289 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240505-ecg-070352_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106294 -  ..
106295 - Post hike HR profile beginning 2037 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106296 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106297 - HR > 130, indicates no AFL, indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106298 - finally reported sinus, first since 240425, ref SDS 0 C7JQ, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106299 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106300 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106302 -        ..
106303 -       Date      240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225  240224    
106304 -       Time       2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148    2037     
106305 -       Hours        11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8      13     
106306 -       HR AVG       60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66      61     
106307 -       HR MAX      108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     124     
106308 -       HR Min       40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48      41     
106309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106311 -              https://flow.polar.com/training/analysis/7874134842                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106314 -               ..
106316 -   
106317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106320 -  ..
106321 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106322 - Lunch - sandwich balogna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106323 - Dinner - tuna broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106325 -  ..
106326 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106354 -         ..
106355 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106356 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106357 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106358 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106359 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106360 -  127.  240506 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106361 -               0710....BP HR..................................................... 152  75  56  Kardia ECG reports HR status, see below. ref SDS 0 VRQP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106362 -               0715....BP HR..................................................... 149  79  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106363 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106364 -               0720....80 395640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106365 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106366 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106367 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106368 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106369 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106370 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
106371 -  ..
106372 -         * cr  0939....miles...........  18.0  18.0  300   300 minutes  temp  68 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106373 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106374 -               1142....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106375 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106376 -               1142... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106377 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106378 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
106379 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106380 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106381 -               0000....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106382 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106383 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106384 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106385 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106386 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106387 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106388 -               1504... Hike ends mile 18... ref SDS 0 E8ZG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106389 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106390 -               1510....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106391 -               1520....BP HR..................................................... 118  76 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106392 -               1525....BP HR..................................................... 126  79  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106393 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106394 -               1830... 40 109780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
106395 -             1 0000............ 10 19730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106396 -             1 0000............ 10 20070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106397 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106398 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106399 -               2130... 40 85980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106400 -               2200... 1000 2116000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106401 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106402 -               2230... 80 395720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106403 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106404 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106405 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106408 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106409 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106410 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106411 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106412 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106413 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106414 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106415 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106418 -  ..
106419 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106420 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106422 -  ..
106423 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106424 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106427 -  ..
106428 - Today, hiked 18 miles - did not take Naproxen in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106429 - suspected trigger for atrial flutter (AFL) that occurred on 240447,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106430 - per above, ref SDS 0 Y97M, and explained in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106431 - ref SDS 37 YP8F -- started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106432 - streets - Treat, Turtle Creek Road.  Helpful minimal feet pain.  Now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106433 - mile 4, continued on Ayers to Clayton Road, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106434 - Valley Road for a mile.  Hiked East on Pine Hollow 0.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106435 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106436 - Hiked 2 miles through parking lots.  Stopped mile at 7, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106437 - hydration and nutrition.  Continued 1 mile through parking lots again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106438 - then 4 miles over summit on Ygnacio Valley Road to Oak Grove.  Did 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106439 - 1-mile loops around Safeway shopping complex, then 4 miles to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106440 - and home.  Feet and knee injuries were less painful than usual, so did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106441 - not need Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106444 -         ..
106445 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106446 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106447 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
106448 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106449 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106450 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106451 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106452 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106453 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106454 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106455 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106456 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106457 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
106458 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106459 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106460 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
106461 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106462 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106463 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106464 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
106465 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106466 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106467 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106468 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106469 -        Knee right meniscus PRP 190816...............   0        100  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106470 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106471 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106472 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106473 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106474 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106475 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106476 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106477 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106478 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106479 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
106480 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
106481 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106482 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106483 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106484 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
106485 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
106486 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
106487 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106488 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
106489 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
106490 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106491 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106492 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106493 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106494 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106495 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106496 -        Callus ring toe #4 top right foot............   1         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
106497 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
106498 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106499 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                             
106500 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106501 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106502 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106503 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
106504 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106505 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106506 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106507 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106508 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106509 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106510 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106511 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106512 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106513 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106514 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106515 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 9 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106516 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106518 -  ..
106519 - Shoes see case study on 200101 0701. ref SDS 16 SO4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106521 -  ..
106522 - Orthotic inserts - switched to new inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106523 - 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106525 -  ..
106526 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106527 - today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106529 -  ..
106530 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106531 - 0701, ref SDS 16 NS7J  Today, switched to old version spacer for right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106532 - foot #4 and 5.  This worked better than expected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106534 -  ..
106535 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106536 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106537 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106538 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106539 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106543 -  ..
106544 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106545 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106546 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106547 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106548 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106549 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106550 - Had small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106551 - energy, and avocado for HDL, per above. ref SDS 0 5H3N  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106552 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106553 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106554 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106555 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106556 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106557 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106558 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106559 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106560 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106561 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106562 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106563 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106564 - entire hike without dyspnea.  Temp started at 61, and reached 68.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106565 - West wind 15 mph and mostly 12 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106566 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106567 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106568 - traffic.  At mile 2, did not hike across Newhall Community Park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106569 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106570 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106571 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106572 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106573 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106574 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106575 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106576 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106577 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106578 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106579 - Texaco Gas Station store mile 7, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106580 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106581 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106582 - West 1 mile uphill 3% - 4% grade against wind 15 mph.  At mile 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106583 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106584 - Concord Campus.  Hiked loop around main buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106585 - Administration Building mile 07 time 1142 temp 63 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106586 - mostly uniform with minor artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106587 - (indicating no AFL) Tachycardia - see below. ref SDS 0 NRUF  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106588 - reported HR dropped severely today, during pause for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106589 - and nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106590 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, wearing new,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106591 - custom orthotic inserts created by Doctor Tang during meeting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106592 - 240419 0900. ref SDS 35 EQ8N, burning sensation PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106593 - Tailor's bunions PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106594 - callus/blister PL 0, indicating pediplasti interdigital spacer applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106595 - this morning is effective, per above, ref SDS 0 VPXS, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106596 - meniscus PL 0, left shoulder PL 1, left elbow PL 2 intermitant.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106597 - not take Naproxen for pain and inflammation management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106598 - minimal pain, so minimal inflammation, and because Naproxen may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106599 - trigger AFL, reported in research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106600 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106601 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106602 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106603 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106604 - take Nuun electrolyte pill, per above. ref SDS 0 UYRU  Hiked 1 loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106605 - through Faculty and Student parking lots.  Exited at North end Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106606 - Parking onto Campus Drive heading West bending and merging with Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106607 - Drive heading downhill, North on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106608 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 9,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106609 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106610 - wind 14 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106611 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106612 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106613 - mile 10, crossed back to South side Ygnacio Valley Road to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106614 - shoulder.  Continued 2 miles downhill 3-4% grade.  Crossed again to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106615 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106616 - At mile 12, hiked 2 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106617 - complex.  Did not stop today, near Mod Pizza mile 16, about time ___,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106618 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106619 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106620 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106621 - mile North on asphalt shoulder.  Crossed Treat on green traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106622 - Hiked 1 mile East on flat grade concrete sidewalk.  At San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106623 - continued .75 miles on Treat uphill 5% grade with wind 16 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106624 - 77.  Handled this well.  At summit, mile 17, hiked another mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106625 - Cuneo.  Continued .25 mile to Cowell.  Turned around hiking back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106626 - Turned right onto Cuneo and home.  Ended hike mile 18 time 1504 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106627 - 69, wind 11, feet PL 2, burning sensation PL 0, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106628 - left knee PL 1 (swollen slightly), right knee PL 1, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106629 - 2, neck and right shoulder PL 0 intermittantly, lower back left side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106630 - PL 0, left elbow PL 2, when lifting.  EKG mostly uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106631 - artifact, Kardia reported HR 110 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106632 - E8ZG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106639 -  ..
106640 - Kardia recorded HR 062 at 0916, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106641 - lengths with p-waves and no artifact; not AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106642 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106643 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106644 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106645 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106646 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106649 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106650 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240506-ecg-091659_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106656 -  ..
106657 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106658 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106659 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106661 -  ..
106662 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106665 -       Date       240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 240217 240216 2  
106666 -       Miles         18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0      0      0     
106667 -       HR AVG       114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     no     no     
106668 -         MAX        132  report report   134  report report report   159    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report report report    
106669 -         Min         56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36                          
106670 -       El Climb Ft  495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495                          
106671 -       Temp Max      68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65                          
106672 -       Wind Max      15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22                          
106673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106675 -              https://flow.polar.com/training/analysis/7874432738                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106678 -               ..
106680 -   
106681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106685 -  ..
106686 - EKG at mile 07 time 1142 HR 105 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106687 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106688 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106691 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106692 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240506-ecg-114240_mile_07_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106696 -  ..
106697 - End hike EKG at mile 18, time 1504 HR 110 temp 69 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106698 - Tachycardia... looks mostly uniform with no artifact (meaning no AFL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106699 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106702 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106703 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240506-ecg-150414_mile_18_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106707 -  ..
106708 - Post hike HR profile beginning 2124 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106709 - overnight after hiking 18 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106710 - HR > 130, indicates no AFL, indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106711 - finally reported sinus, first since 240425, ref SDS 0 C7JQ, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106712 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106713 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106715 -        ..
106716 -       Date      240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226  240225    
106717 -       Time       2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121    2148     
106718 -       Hours         9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10       8     
106719 -       HR AVG       62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66      66     
106720 -       HR MAX      106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     105     
106721 -       HR Min       43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43      48     
106722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106724 -              https://flow.polar.com/training/analysis/7874790261                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106727 -               ..
106729 -   
106730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106733 -  ..
106734 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106735 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106736 - Dinner - tuna broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106738 -  ..
106739 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106768 -         ..
106769 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106770 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106771 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106772 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106773 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106774 -  128.  240507 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106775 -               0650....BP HR..................................................... 142  75  50  Kardia ECG reports HR status, see below. ref SDS 0 VRQP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106776 -               0655....BP HR..................................................... 144  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106777 -               0700....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106778 -               0700....80 395640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106779 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106780 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106781 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106782 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106783 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106784 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106785 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106786 -               1700... 40 109780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
106787 -               1830............ 10 19730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106788 -               1830............ 10 20070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106789 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106790 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106791 -               2130... 40 85980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106792 -               2200... 1000 2116000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106793 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106794 -               2230... 80 395720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106795 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106796 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106797 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106800 -  ..
106801 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106802 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106804 -  ..
106805 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106806 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106811 -  ..
106812 - Kardia recorded HR 051 at 0738, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106813 - lengths with p-waves and some artifact; not AFL after hiking 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106814 - yesterday, ending Apixaban on 240110, and taking Naproxen after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106815 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106816 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106817 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106818 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106821 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106822 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240507-ecg-073834_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106827 -  ..
106828 - Post hike HR profile beginning 2036 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106829 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106830 - HR > 130, indicates no AFL, indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106831 - finally reported sinus, first since 240425, ref SDS 0 C7JQ, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106832 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106833 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106835 -        ..
106836 -       Date      240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227  240226    
106837 -       Time       2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137    2121     
106838 -       Hours        11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7      10     
106839 -       HR AVG       66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71      66     
106840 -       HR MAX      152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     107     
106841 -       HR Min       41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47      43     
106842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106844 -              https://flow.polar.com/training/analysis/7875516873                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106847 -               ..
106849 -   
106850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106853 -  ..
106854 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106855 - Lunch - half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106856 - Dinner - hamburger tomato broccoli onion cottage cheese potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106858 -  ..
106859 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106890 -         ..
106891 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106892 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106893 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106894 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106895 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106896 -  129.  240508 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106897 -               0700....BP HR..................................................... 158  84  49  Kardia ECG reports HR status, see below. ref SDS 0 W9NX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106898 -               0705....BP HR..................................................... 131  67  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106899 -               0710....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106900 -               0710....80 395800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106901 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106902 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106903 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106904 -               1200....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106905 -               1200... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106906 -               1200... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106907 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
106908 -  ..
106909 -               1223....miles...........  12.0  30.0  203   503 minutes  temp  80 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106910 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106911 -               1445....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106912 -               1445....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106913 -               1445... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106914 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106915 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
106916 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106917 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106918 -               0000....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106919 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106920 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106921 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106922 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106923 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106924 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106925 -               1605... Hike ends mile 12... ref SDS 0 CQ2M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106926 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106927 -               1620....weight.................................... 170  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106928 -               1625....BP HR..................................................... 108  72 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106929 -               1630....BP HR..................................................... 112  76  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106930 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106931 -               1700... 40 109820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
106932 -             1 0000............ 10 19730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106933 -             1 0000............ 10 20070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106934 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106935 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106936 -               2130... 40 85620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106937 -               2200... 1000 2117000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106938 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106939 -               2230... 80 395880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106940 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106941 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106942 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106944 -  ..
106945 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106946 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106948 -  ..
106949 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106950 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106953 -  ..
106954 - Today, hiked 12 miles - did not take Naproxen in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106955 - suspected trigger for atrial flutter (AFL) that occurred on 240427,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106956 - per above, ref SDS 0 Y97M, and explained in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106957 - ref SDS 37 YP8F -- tried taking Magnesium 400 mg to complement Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106958 - Seeds -- started 5 mile semi-loop through South Concord streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106959 - Treat, Turtle Creek Road.  Helpful minimal feet pain.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106960 - Ayers to Clayton Road, mile 3, then West on Ygnacio Valley Road for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106961 - mile.  Hiked East on Pine Hollow 0.25 miles.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106962 - back.  Turned West 1 mile on Campus Drive to college.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106963 - through parking lots.  Stopped mile at 8, for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106964 - nutrition.  Continued 2 miles to summit Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106965 - around and hiked 2 miles home.  Wore older Hoka Bondi 6 wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106966 - with 1 pair socks.  Worked better than expected.  Feet and knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106967 - injuries less painful than usual.  Took Naproxen testing for AFL with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106968 - temperature elevated 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106971 -         ..
106972 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106973 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106974 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
106975 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106976 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106977 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106978 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106979 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106980 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106981 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106982 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106983 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106984 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
106985 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106986 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106987 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
106988 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106989 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106990 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106991 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
106992 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106993 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106994 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106995 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106996 -        Knee right meniscus PRP 190816...............   1         25  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106997 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106998 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106999 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107000 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107001 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107002 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107003 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107004 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107005 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107006 -        Metatarsalgia left foot...PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
107007 -        Metatarsalgia right foot..PRP 210705.........   1         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
107008 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107009 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107010 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107011 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
107012 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
107013 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
107014 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107015 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
107016 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
107017 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107018 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107019 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107020 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107021 -        Callus little toe right foot..top of toe.....   3         30  shaved callus before hike today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107022 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107023 -        Callus ring toe #4 top right foot............   1         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
107024 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
107025 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107026 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                             
107027 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107028 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107029 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107030 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
107031 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107032 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107033 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107034 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107035 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107036 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107037 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107038 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107039 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107040 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107041 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107042 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107043 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107045 -  ..
107046 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Tried Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107047 - 5 wide size 10, instead of Brooks Ghost extra wide size 10s.  Testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107048 - extra cushioning of Hoka shoes.  Worked better than expected, only PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107049 - 1 on #5 both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107051 -  ..
107052 - Orthotic inserts - wore older Stable Elite instead of new custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107053 - inserts. see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107055 -  ..
107056 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore only 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107057 - today, to reduce lateral pressure on edges of feet, i.e., both #5s,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107058 - since wearing Hoka Bondi 6 wide, and not "extra wide" shoes.  However,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107059 - only 1 pair of socks increases wear.  Tomorrow will try 2 pair with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107060 - Hoka Bondi 6 shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107062 -  ..
107063 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107064 - 0701, ref SDS 16 NS7J  Today, did not use spacer for right foot #4 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107065 - 5, because this pushes #5 latterly, in narrower Hoka Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107066 - shoes, increases pressure causing injuries.  This worked better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107067 - expected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107069 -  ..
107070 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107071 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107072 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107073 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107074 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107078 -  ..
107079 - Concord 12 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107080 - protection, mainly left knee, treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107081 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107082 - depleted by statins and age.  CoQ10 increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107083 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107084 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107085 - Had small amount peanut butter and margarine.  Took Magnesium 400 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107086 - pill for energy. per above. ref SDS 0 EB5K  Carried chia seeds to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107087 - during hike for energy, and avocado for HDL, Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107088 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107089 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107090 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107091 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107092 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107093 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107094 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107095 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107096 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107097 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107098 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107099 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107100 - entire hike without dyspnea.  Temp started at 71, and reached 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107101 - West wind 15 mph and mostly 10 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107102 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107103 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107104 - traffic.  At mile 2, did not hike across Newhall Community Park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107105 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107106 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107107 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107108 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107109 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107110 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107111 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107112 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107113 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107114 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107115 - Texaco Gas Station store mile 7, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107116 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107117 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107118 - West 1 mile uphill 3% - 4% grade against wind 15 mph.  At mile 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107119 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107120 - Concord Campus.  Hiked loop around main buildings and another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107121 - through Faculty and Student parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107122 - stopped at Administration Building mile 08 time 1445 temp 78 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107123 - 12 mph; EKG variable with no artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107124 - (indicating no AFL) Unclassified - see below. ref SDS 0 GWB2  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107125 - reported HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107126 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107127 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107128 - wearing Hoka Bondi 6 size 10 wide shoes with older Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107129 - orthotic inserts instead of new custom inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107130 - during meeting on 240419 0900. ref SDS 35 EQ8N, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107131 - 1, right foot Tailor's bunions PL 0, right foot #4 top blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107132 - PL 0, #5 edge callus/blister PL 1, indicating not wearing pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107133 - interdigital spacer today, was okay, per above, ref SDS 0 VUXY, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107134 - foot #5 PL 2, left knee meniscus PL 0, left shoulder PL 2, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107135 - PL 2 intermitant.  Took Naproxen for pain and inflammation management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107136 - despite minimal pain, so minimal inflammation, and to test Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107137 - triggering AFL with elevated temperature, reported in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107138 - 240428 1939. ref SDS 37 YP8F  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107139 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107140 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107141 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107142 - hike.  Did not take Nuun electrolyte pill, per above. ref SDS 0 VTTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107143 - Did not hike another loop through Faculty and Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107144 - Exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107145 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107146 - 9, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107147 - wind 14 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107148 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107149 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107150 - mile 10, feeling strong and minimal pain.  Decided not to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107151 - West and do a longer 20 mile hike in order to avoid wear and tear on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107152 - socks, wearing only 1 pair, instead of usual 2 pair, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107153 - ref SDS 0 VUYV  Turned around hiked back .5 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107154 - Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107155 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107156 - afternoon weekend traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107157 - miles back to Cuneo and home.  Ended hike mile 12 time 1605 temp 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107158 - wind 15, feet PL 1, burning sensation PL 2, right foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107159 - blister/callus PL 1, right foot Tailor's bunions PL 0 shin splints PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107160 - 0, left knee PL 0, right knee posterior cruciate ligament (PCL) PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107161 - left shoulder PL 2, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107162 - back left side PL 0, left elbow PL 2, when lifting.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107163 - uniform, with no artifact, Kardia reported HR 111 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107164 - below. ref SDS 0 CQ2M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107172 -  ..
107173 - Kardia recorded HR 060 at 0913, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107174 - beat lengths with p-waves and minor artifact; not AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107175 - miles yesterday, ending Apixaban on 240110, and taking Naproxen after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107176 - ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107177 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107178 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107179 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107182 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107183 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240508-ecg-091356_mile_00_060_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107188 -  ..
107189 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107190 - hike 12 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107191 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107193 -  ..
107194 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107197 -       Date       240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221 240220 240219 240218 2  
107198 -       Miles         12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0      0     12      0     
107199 -       HR AVG       114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     no    117     no     
107200 -         MAX        128  report   132  report report   134  report report report   159    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report report   140  report r  
107201 -         Min         78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49                   36            
107202 -       El Climb Ft  495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495                  495            
107203 -       Temp Max      80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62                   65            
107204 -       Wind Max      15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8                   22            
107205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107207 -              https://flow.polar.com/training/analysis/7875772565                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107210 -               ..
107212 -   
107213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107217 -  ..
107218 - EKG at mile 08 time 1445 HR 105 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107219 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107220 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107223 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107224 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240508-ecg-144553_mile_08_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107228 -  ..
107229 - End hike EKG at mile 12, time 1605 HR 111 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107230 - Tachycardia... looks mostly uniform with no artifact (meaning no AFL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107231 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107234 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107235 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240508-ecg-160502_mile_12_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107239 -  ..
107240 - Post hike HR profile beginning 2053 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107241 - overnight after hiking 12 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107242 - HR > 130, indicates no AFL, indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107243 - reported Unclassified again after "Sinus" yesterday, first since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107244 - 240425, ref SDS 0 C7JQ, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107245 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107247 -        ..
107248 -       Date      240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228  240227    
107249 -       Time       2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005    2137     
107250 -       Hours        11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9       7     
107251 -       HR AVG       58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68      71     
107252 -       HR MAX      111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     117     
107253 -       HR Min       41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47      47     
107254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107256 -              https://flow.polar.com/training/analysis/7876228675                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107259 -               ..
107261 -   
107262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107265 -  ..
107266 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107267 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107268 - Dinner - eggs macaroni cheese steak broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107270 -  ..
107271 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107302 -         ..
107303 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107304 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107305 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107306 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107307 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107308 -  130.  240509 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107309 -               0715....BP HR..................................................... 146  87  50  Kardia ECG reports HR status, see below. ref SDS 0 VNSW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107310 -               0720....BP HR..................................................... 139  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107311 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107312 -               0725....80 395960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107313 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107314 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107315 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107316 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107317 -               0000... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107318 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107319 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107320 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107321 -               1700... 40 109860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
107322 -               1830............ 10 19740  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107323 -               1830............ 10 20080  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
107324 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107325 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107326 -               2130... 40 85660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107327 -               2200... 1000 2118000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107328 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107329 -               2230... 80 396040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107330 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107331 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107332 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107335 -  ..
107336 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107337 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107339 -  ..
107340 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107341 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107345 -  ..
107346 - Kardia recorded HR 048 at 0935, Unclassified, mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107347 - beat lengths with p-waves and no artifact; not AFL after hiking 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107348 - miles yesterday, and taking Naproxen yesterday, after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107349 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107350 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107351 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107352 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107355 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107356 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240509-ecg-093542_mile_00_048_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107361 -  ..
107362 - Post hike HR profile beginning 1907 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107363 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107364 - HR > 130, indicates no AFL, indicating possible sinus, however, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107365 - reported Unclassified again after "Sinus" on 240508, first since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107366 - 240425, ref SDS 0 C7JQ, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107367 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107369 -        ..
107370 -       Date      240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229  240228    
107371 -       Time       1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201    0005     
107372 -       Hours         9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10       9     
107373 -       HR AVG       70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68      68     
107374 -       HR MAX      131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     107     
107375 -       HR Min       43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45      47     
107376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107378 -              https://flow.polar.com/training/analysis/7876734482                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107381 -               ..
107383 -   
107384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107387 -  ..
107388 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107389 - Lunch - sandwich balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107390 - Dinner - salmon broccoli onion mushroom tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107392 -  ..
107393 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107422 -         ..
107423 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107424 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107425 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107426 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107427 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107428 -  131.  240510 0410............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107429 -               0415....BP HR..................................................... 143  80  51  Kardia ECG reports HR status, see below. ref SDS 0 WRTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107430 -               0420....BP HR..................................................... 146  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107431 -               0425....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107432 -               0425....80 396120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107433 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107434 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107435 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107436 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107437 -               0000... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107438 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107439 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107440 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107441 -               1700... 40 109900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
107442 -             1 0000............ 10 19740  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107443 -             1 0000............ 10 20080  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
107444 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107445 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107446 -               2130... 40 85700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107447 -               2200... 1000 2119000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107448 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107449 -               2230... 80 396200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107450 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107451 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107452 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107455 -  ..
107456 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107457 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107459 -  ..
107460 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107461 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107466 -  ..
107467 - Kardia recorded HR 051 at 0416, Normal Sinus Rhythm, mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107468 - heart beat lengths with p-waves and some artifact; not AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107469 - hiking 00 miles yesterday, and not taking Naproxen yesterday, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107470 - ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107471 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107472 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107473 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107476 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107477 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240510-ecg-041621_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107482 -  ..
107483 - Post hike HR profile beginning 1903 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107484 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107485 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107486 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107487 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107489 -        ..
107490 -       Date      240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301  240229    
107491 -       Time       1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129    2201     
107492 -       Hours        12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11      10     
107493 -       HR AVG       58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67      68     
107494 -       HR MAX       97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     110     
107495 -       HR Min       34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43      45     
107496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107498 -              https://flow.polar.com/training/analysis/7877574847                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107501 -               ..
107503 -   
107504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107507 -  ..
107508 - Breakfast - eggs sausage hash browns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107509 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107510 - Dinner - hot dog broccoli onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107512 -  ..
107513 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107541 -         ..
107542 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107543 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107544 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107545 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107546 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107547 -  132.  240511 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107548 -               0725....BP HR..................................................... 139  76  48  Kardia ECG reports HR status, see below. ref SDS 0 M5LE                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107549 -               0730....BP HR..................................................... 154  85  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107550 -               0735....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107551 -               0735....80 396280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107552 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107553 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107554 -               1000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107555 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107556 -               1000... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107557 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107558 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
107559 -  ..
107560 -         * cr  1034....miles...........  21.0  51.0  355   858 minutes  temp  88 wind 16  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107561 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107562 -               1247....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107563 -               1257....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107564 -               1247... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107565 -               1247....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107566 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
107567 -               1358....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107568 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107569 -               1516....mile 15 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107570 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107571 -               1516... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107572 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107573 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107574 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107575 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107576 -               1706... Hike ends mile 21... ref SDS 0 LUW8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107577 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107578 -               1720....weight.................................... 166  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107579 -               1725....BP HR.....................................................  98  66 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107580 -               1740....BP HR..................................................... 109  73 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107581 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107582 -               1730... 40 109940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
107583 -               1830............ 10 19750  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107584 -               1830............ 10 20090  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
107585 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107586 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107587 -               2130... 40 85740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107588 -               2200... 1000 2120000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107589 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107590 -               2230... 80 396360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107591 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107592 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107593 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107596 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107597 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107598 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107599 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107600 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107601 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107602 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107603 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107606 -  ..
107607 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107608 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107610 -  ..
107611 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107612 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107615 -  ..
107616 - Today, hiked 21 miles - took Magnesium 400 mg pill, could not swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107617 - hole, so allowed to breakup in mouth - ate chia seeds with it. --                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107618 - started 5 mile semi-loop through South Concord streets - Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107619 - Creek Road.  Helpful minimal feet pain.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107620 - Road, mile 3, then West on Ygnacio Valley Road for a mile.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107621 - on Pine Hollow 0.25 miles.  Turned around and hiked back.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107622 - 1 mile on Campus Drive to college.  Hiked 2 miles through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107623 - lots.  Stopped mile at 8, for EKG, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107624 - Naproxen manage pain and inflammation.  Took CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107625 - Hiked 8-mile Crystal Ranch road loop back to college mile 16.  More                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107626 - hydration and nutrition.  Hiked another 1-mile loop through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107627 - lots.  Exited college mile 17, on Campus Drive.  Hiked 4 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107628 - Wore older Hoka Bondi 6 wide shoes with 2 pair socks.  Worked great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107629 - for hiking, but re-injured #5 edges both feet.  Did not flip into AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107630 - taking Naproxen with temperature elevated 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107633 -         ..
107634 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107635 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107636 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
107637 -        Side ache vasodilation ischemic colitis......   3         30  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107638 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107639 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107640 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107641 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107642 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107643 -        Neck turning head/chest left or right........   6          2  episodes mile 18+  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107644 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107645 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107646 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
107647 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107648 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107649 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
107650 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107651 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107652 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107653 -        Knee left meniscus...PRP 231121..............   2         10  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
107654 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107655 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107656 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107657 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107658 -        Knee right meniscus PRP 190816...............   1         25  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107659 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107660 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107661 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107662 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107663 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107664 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107665 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107666 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107667 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107668 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
107669 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
107670 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107671 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107672 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107673 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
107674 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
107675 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
107676 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107677 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
107678 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
107679 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107680 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107681 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107682 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107683 -        Callus little toe right foot..top of toe.....   2         30  shaved callus before hike today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107684 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107685 -        Callus ring toe #4 top right foot............   0        100  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
107686 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
107687 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107688 -        Callus little toe #5 left foot...PRP 210705..   2         30  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                             
107689 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107690 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107691 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107692 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
107693 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107694 -        Burning sensation both feet..................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107695 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107696 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107697 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107698 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107699 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107700 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107701 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107702 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107703 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107704 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107705 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107707 -  ..
107708 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore older Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107709 - Bondi 6 wide - worked great for hiking, but too narrow - pinched both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107710 - #5's even with padding.  Right foot worked better.  Didn't have left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107711 - foot padding positioned exactly correct - cannot see the location,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107712 - working by feel.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107714 -  ..
107715 - Orthotic inserts - switched to new inserts. see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107716 - 200101 0701. ref SDS 16 NY7K  Wore new set Stable Elite with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107717 - Bondi 6 shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107719 -  ..
107720 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107721 - today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107723 -  ..
107724 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107725 - 0701, ref SDS 16 NS7J  Today, did not wear any spacers.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107727 -  ..
107728 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107729 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107730 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107731 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107732 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107736 -  ..
107737 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107738 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107739 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107740 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107741 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107742 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107743 - Took Magnesium 400 mg extra strength - pills designed to swallow, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107744 - too big to slip through LESV; chewed in mouth and...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107745 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107746 - HDL, per above. ref SDS 0 5H3N  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107747 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107748 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107749 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107750 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107751 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107752 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107753 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107754 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107755 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107756 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107757 - left, onto Treat.  Feet starting hike feeling like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107758 - peripheral neuropathy taking statins.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107759 - hike without dyspnea.  Temp started at 75, and reached 88.  West wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107760 - 15 mph and mostly 10 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107761 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107762 - mostly flat grade, some places 2% uphill, and very light traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107763 - mile 2, did not hike across Newhall Community Park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107764 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107765 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107766 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107767 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107768 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107769 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107770 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107771 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107772 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107773 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107774 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107775 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107776 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107777 - West 1 mile uphill 3% - 4% grade against wind 15 mph.  At mile 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107778 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107779 - Concord Campus.  Hiked loop around main buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107780 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107781 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107782 - half-pushups and 00 situps.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107783 - Administration Building mile 07 time 1247 temp 84 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107784 - mostly uniform with some artifact.  Kardia reported HR 120 (indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107785 - no AFL) Tachycardia - see below. ref SDS 0 4WXH  Polar reported HR did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107786 - not drop severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107787 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107788 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107789 - older Hoka Bondi 6 wide shoes, with older Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107790 - inserts bought from On-The-Run a year ago, and 2 pair double ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107791 - socks, per above. ref SDS 0 WUSY  B urning sensation PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107792 - Tailor's bunions PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107793 - callus/blister PL 2, did not use pediplasti interdigital spacer today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107794 - per, ref SDS 0 WUUP left knee meniscus PL 0, left shoulder PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107795 - elbow PL 2 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107796 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107797 - in research on 240428 1939. ref SDS 37 YP8F  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107798 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107799 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107800 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107801 - energy to complete hike.  Because elevated temp, took Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107802 - pill, per above. ref SDS 0 WSYQ  Exited college heading North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107803 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107804 - flat grade .5 miles.  At mile 9, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107805 - Hiked South 1 mile uphill 5% grade against 08 mph wind - wind helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107806 - cooling effect against higher temperatures today.  Handled this well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107807 - breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107808 - continued flat grade .5 miles, then downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107809 - Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5 miles 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107810 - grade with wind 05 mph.  Road ends at top of hill.  Did not hike back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107811 - down hill about .25 mile and then back to top.  Stopped mile 11 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107812 - 1358, temp 86, wind 10 mph; EKG uniform with no artifact -- looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107813 - AFL -- Kardia reported HR 137 (...  HR - did not have to wait 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107814 - minutes different locations to get cellphone connection...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107815 - Unclassified (...typical for AFL...) - see below. ref SDS 0 R5EC  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107816 - PL 1, burning sensation PL 0, both right and left feet #5 PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107817 - pressure from edge of shoe, left foot tailor's bunion PL 0, calves PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107818 - 0 left knee PL 0, left shoulder PL 1, left elbow PL 2, nothing to eat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107819 - or drink (NPO), per above. ref SDS 0 WSYQ  Continued downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107820 - Crystal Ranch Road 6% grade .5 miles.  At bottom of hill continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107821 - uphill .25 mile.  Turned around at Autum Oak Circle; hiked back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107822 - turned left onto Rolling Woods Way hiking East .5 miles uphill 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107823 - grade against 14 mph wind.  At summit continued downhill .66 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107824 - Turned left onto Pine Hollow.  Hiked 1 mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107825 - Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107826 - mph.  At mile 15, reached California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107827 - Campus.  Hiked loop around main buildings.  Since left elbow has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107828 - partially healed from PRP treatments on 231121 0700. ref SDS 27 QU4L,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107829 - stopped at training station to do 20 half-pullups, 30 half-pushups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107830 - 00 situps.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107831 - 2nd pass mile 15, time 1516, temp 88 and wind 14 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107832 - uniform with no artifact; Kardia reported HR 130 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107833 - below. ref SDS 0 EM3J  Polar reported HR did not drop today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107834 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107835 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107836 - feet PL 1, burning sensation PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107837 - right foot #5 callus PL 2 (after hiking 15 miles and taking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107838 - Naproxen), left foot #5 callus PL 2, indicating callus pads partially                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107839 - worked, per above, ref SDS 0 WUSY, left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107840 - shoulder PL 2, left elbow PL 1 intermitant.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107841 - from home for hydration, and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107842 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107843 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107844 - energy to complete hike.  Did not take more Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107845 - above. ref SDS 0 WSYQ   Hiked 2 loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107846 - parking.  At mile 17, exited college North end Student Parking heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107847 - West on Campus Drive and bending North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107848 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107849 - miles.  At mile 18, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107850 - .5 miles against wind 14 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107851 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107852 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107853 - barriar mile 19, hiked back .5 miles.  Turned left onto Cowell heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107854 - North .25 miles downhill 5% grade.  Continued flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107855 - then .5 miles with narrow shoulder against light, oncoming afternoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107856 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107857 - and home.  Ended hike mile 21 time 1706 temp 86, wind 16, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107858 - right foot #4 blister/callus PL 3, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107859 - left foot #5 blister/callus PL 3 (Naproxen wearing off) - indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107860 - latteral pressure with 2 pair dual-ply socks, callus pads need better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107861 - positioning, especially left foot, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107862 - (not swollen), right knee PL 0, left shoulder PL 2, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107863 - shoulder PL 6 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107864 - 1, when lifting.  EKG looks variable, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107865 - reported HR 131 Possible Atrial Fibrillation - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107866 - LUW8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107876 -  ..
107877 - Kardia recorded HR 061 at 0806, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107878 - beat lengths with p-waves and minor artifact; not AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107879 - miles yesterday, and not taking Naproxen yesterday, after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107880 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107881 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107882 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107883 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107886 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107887 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240511-ecg-080615_mile_00_061_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107892 -  ..
107893 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107894 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107895 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107897 -  ..
107898 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107901 -       Date        240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224 240223 240222 240221   
107902 -       Miles         21      0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30      0     25      0     
107903 -       HR AVG       128     no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     no    117     no     
107904 -         MAX        155  report report   128  report   132  report report   134  report report report   159    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  report   136  report r  
107905 -         Min         52                   78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78            49            
107906 -       El Climb Ft  715                  495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495           495            
107907 -       Temp Max      88                   80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73            62            
107908 -       Wind Max      15                   15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10             8            
107909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107911 -              https://flow.polar.com/training/analysis/7877801568                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107914 -               ..
107916 -   
107917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107921 -  ..
107922 - EKG at mile 07 time 1247 HR 120 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107923 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107924 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107927 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107928 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240511-ecg-124721_mile_07_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107932 -  ..
107933 - EKG at mile 11 time 1358 HR 137 temp 86, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107934 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107935 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107938 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107939 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240511-ecg-135853_mile_11_137_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107943 -  ..
107944 - EKG at mile 15 time 1516 HR 130 temp 88, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107945 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107946 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107949 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107950 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240511-ecg-151656_mile_15_130_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107954 -  ..
107955 - End hike EKG at mile 21, time 1706 HR 131 temp 86 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107956 - Possible Atrial Fibrillation... looks mostly uniform with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107957 - (meaning no AFL) - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107958 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107961 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107962 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240511-ecg-170631_mile_21_131_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107966 -  ..
107967 - Post hike HR profile beginning 2112 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107968 - overnight after hiking 21 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107969 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107970 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107971 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107973 -        ..
107974 -       Date      240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302  240301    
107975 -       Time       2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154    2129     
107976 -       Hours        11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10      11     
107977 -       HR AVG       54      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65      67     
107978 -       HR MAX      119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     108     
107979 -       HR Min       44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42      43     
107980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107982 -              https://flow.polar.com/training/analysis/7878227564                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107985 -               ..
107987 -   
107988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107991 -  ..
107992 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107993 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107994 - Dinner - hot dog broccoli tomato onion potato (only few bites)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107996 -  ..
107997 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108022 -         ..
108023 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108024 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108025 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108026 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108027 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108028 -  133.  240512 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108029 -               0715....BP HR..................................................... 147  82  49  Kardia ECG reports HR status, see below. ref SDS 0 WDP4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108030 -               0720....BP HR..................................................... 135  82  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108031 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108032 -               0725....80 396440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108033 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108034 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108035 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108036 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108037 -               0000... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108038 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108039 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108040 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108041 -               1700... 40 109980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
108042 -             1 0000............ 10 19750  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108043 -             1 0000............ 10 20090  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
108044 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108045 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108046 -               2130... 40 85780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108047 -               2200... 1000 2121000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108048 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108049 -               2230... 80 396520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108050 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108051 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108052 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108055 -  ..
108056 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108057 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108059 -  ..
108060 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108061 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108067 -  ..
108068 - Kardia recorded HR 054 at 8256, Normal Sinus Rhythm, mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108069 - heart beat lengths with p-waves and no artifact; not AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108070 - 21 miles yesterday, and taking Naproxen yesterday, after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108071 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108072 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108073 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108074 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108077 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108078 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240512-ecg-082654_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108083 -  ..
108084 - Post hike HR profile beginning 1906 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108085 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108086 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108087 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108088 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108090 -        ..
108091 -       Date      240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303  240302    
108092 -       Time       1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002    2154     
108093 -       Hours        12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7      10     
108094 -       HR AVG       58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70      65     
108095 -       HR MAX      104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     118     
108096 -       HR Min       32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40      42     
108097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108099 -              https://flow.polar.com/training/analysis/7878837580                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108102 -               ..
108104 -   
108105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108108 -  ..
108109 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108110 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108111 - Dinner - hot dog broccoli tomato onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108113 -  ..
108114 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108142 -         ..
108143 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108144 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108145 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108146 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108147 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108148 -  134.  240513 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108149 -               0710....BP HR..................................................... 147  89  55  Kardia ECG reports HR status, see below. ref SDS 0 3PXB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108150 -               0715....BP HR..................................................... 138  85  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108151 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108152 -               0720....80 396600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108153 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108154 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108155 -               0000....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108156 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108157 -               0000... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108158 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108159 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108160 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108161 -               1700... 40 110020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
108162 -               1830............ 10 19760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108163 -               1830............ 10 20100  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
108164 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108165 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108166 -               2130... 40 85820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108167 -               2200... 1000 2122000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108168 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108169 -               2230... 80 396680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108170 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108171 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108172 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108175 -  ..
108176 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108177 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108179 -  ..
108180 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108181 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108188 -  ..
108189 - Kardia recorded HR 052 at 0845, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108190 - beat lengths with p-waves and no artifact; not AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108191 - miles yesterday, and taking no Naproxen yesterday, after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108192 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108193 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108194 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108195 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108198 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108199 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240513-ecg-084553_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108203 -  ..
108204 - Post hike HR profile beginning 1851 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108205 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108206 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108207 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108208 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108210 -        ..
108211 -       Date      240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304  240303    
108212 -       Time       1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247    2002     
108213 -       Hours        11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11       7     
108214 -       HR AVG       64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63      70     
108215 -       HR MAX      114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     105     
108216 -       HR Min       34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33      40     
108217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108219 -              https://flow.polar.com/training/analysis/7879521566                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108222 -               ..
108224 -   
108225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108228 -  ..
108229 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108230 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108231 - Dinner - macaroni cheese steak (cut up) broccoli cauliflower onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108233 -  ..
108234 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108262 -         ..
108263 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108264 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108265 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108266 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108267 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108268 -  135.  240514 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108269 -               0715....BP HR..................................................... 147  82  52  Kardia ECG reports HR status, see below. ref SDS 0 8RPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108270 -               0720....BP HR..................................................... 143  81  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108271 -               0725....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108272 -               0725....80 396760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108273 -               1140... Magnesium pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108274 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108275 -               1140....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108276 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108277 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108278 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108279 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
108280 -  ..
108281 -         * cr  1209....miles...........  22.0  22.0  367   367 minutes  temp  80 wind 16  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108282 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108283 -               1412....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108284 -               1412....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108285 -               1412... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108286 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108287 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
108288 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108289 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108290 -               1715....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108291 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108292 -               1715... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108293 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108294 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108295 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108296 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108297 -               1843... Hike ends mile 22... ref SDS 0 LUW8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108298 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108299 -               1850....weight.................................... 166  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108300 -               1900....BP HR..................................................... 107  69 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108301 -               1910....BP HR..................................................... 104  73 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108302 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108303 -               1900... 40 110060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
108304 -             1 0000............ 10 19760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108305 -             1 0000............ 10 20100  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
108306 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108307 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108308 -               2130... 40 85860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108309 -               2200... 1000 2123000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108310 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108311 -               2230... 80 396840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108312 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108313 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108314 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108317 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108318 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108319 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108320 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108321 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108322 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108323 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108324 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108327 -  ..
108328 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108329 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108331 -  ..
108332 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108333 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108336 -  ..
108337 - Today, hiked 22 miles - took Magnesium 400 mg pill, tried swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108338 - whole, - ate chia seeds with it. -- started 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108339 - South Concord streets - Treat, Turtle Creek Road.  Helpful minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108340 - feet pain, including left foot #5.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108341 - Road, mile 3, then West on Ygnacio Valley Road for a mile.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108342 - on Pine Hollow 0.25 miles.  Turned around and hiked back.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108343 - 1 mile on Campus Drive to college.  Hiked 1 mile through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108344 - lots.  Stopped mile at 7, for EKG, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108345 - Naproxen manage pain and inflammation.  Took CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108346 - Hiked 4-mile Crystal Ranch road loop up and back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108347 - Road.  Continued 3 miles over summit and another mile around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108348 - shopping complex at Oak Grove.  Stopped for hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108349 - Hiked another 1-mile loop arund shopping complex, then 1 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108350 - Oak Grove, and 2 miles East on Treat to home.  Wore Brooks Ghost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108351 - x-wide shoes with 2 pair socks.  Worked great for hiking, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108352 - re-injured #5 edge left foot.  Did not flip into AFL taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108353 - with temperature elevated 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108356 -         ..
108357 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108358 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108359 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
108360 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108361 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108362 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108363 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108364 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108365 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108366 -        Neck turning head/chest left or right........   6          2  episodes mile 18+  took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108367 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108368 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108369 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
108370 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108371 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108372 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
108373 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108374 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108375 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108376 -        Knee left meniscus...PRP 231121..............   2         10  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
108377 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108378 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108379 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108380 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108381 -        Knee right meniscus PRP 190816...............   1         25  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108382 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108383 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108384 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108385 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108386 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108387 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108388 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108389 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108390 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108391 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
108392 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
108393 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108394 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108395 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108396 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
108397 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
108398 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
108399 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108400 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
108401 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
108402 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108403 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108404 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108405 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108406 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108407 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108408 -        Callus ring toe #4 top right foot............   2         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
108409 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
108410 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108411 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                             
108412 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108413 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108414 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108415 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
108416 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108417 -        Burning sensation both feet..................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108418 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108419 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108420 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108421 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108422 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108423 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108424 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108425 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108426 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108427 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108428 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108430 -  ..
108431 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108432 - Ghost x-wide - worked great for hiking, but #5 left foot pinched last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108433 - few miles even without extra padding.  Right foot worked better.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108435 -  ..
108436 - Orthotic inserts - switched to new inserts created by Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108437 - VA, see case study on 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108439 -  ..
108440 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108441 - today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108443 -  ..
108444 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108445 - 0701, ref SDS 16 NS7J  Today, did not wear any spacers.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108447 -  ..
108448 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108449 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108450 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108451 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108452 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108456 -  ..
108457 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108458 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108459 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108460 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108461 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108462 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108463 - Took Magnesium-oxide softgel extra strength 400 mg pill (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108464 - research on 240514 2126. ref SDS 40 OO4Y...) - designed to swallow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108465 - but too big to slip through LESV; allowed to breakdown on top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108466 - LESV...  Had small amount peanut butter and margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108467 - for energy, and avocado for HDL, per above. ref SDS 0 RQ9F  Soaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108468 - Chia seeds in water, Coca Cola, orange juice, etc., increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108469 - and aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108470 - No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108471 - colitis caused by taking statins and overuse of Naproxen, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108472 - 220503 0900, ref SDS 22 TL6I, and specifically reviewing biopsy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108473 - results on 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108474 - also result from ablation procedures cited in letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108475 - Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108476 - ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108477 - 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108478 - Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108479 - feeling like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108480 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108481 - 75, and reached 80.  West wind 15 mph and mostly 10 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108482 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108483 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108484 - uphill, and very light traffic.  At mile 2, did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108485 - Newhall Community Park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108486 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108487 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108488 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108489 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108490 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108491 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108492 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108493 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108494 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108495 - Boulevard.  Stopped at Union 76 Texaco Gas Station store mile 5, just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108496 - to say hello to Kim.  Also saw Massrad - he said everyone has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108497 - worried about not seeing me the past weeks.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108498 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108499 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108500 - West 1 mile uphill 3% - 4% grade against wind 15 mph.  Waved to Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108501 - hiking downhill heading for Pine Hollow.  At mile 6, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108502 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108503 - loop around main buildings.  Since left elbow has partially healed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108504 - from PRP treatments on 231121 0700. ref SDS 27 QU4L, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108505 - training station to do 20 half-pullups, 30 half-pushups and 00 situps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108506 - Back at Visitor Parking stopped at Administration Building mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108507 - time 1412 temp 77 and wind 15 mph; EKG uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108508 - Kardia reported HR 116 (indicating no AFL) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108509 - ref SDS 0 XR9Y  Polar reported HR did not drop severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108510 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108511 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108512 - feet PL 1, wearing Brooks Ghost e-wide shoes, with newer orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108513 - inserts created by Doctor Tang, and 2 pair double ply socks, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108514 - above. ref SDS 0 XPSU  Burning sensation PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108515 - bunions PL 0, left foot #5 edge blister/callus PL 1, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108516 - blister/callus PL 0, #5 edge callus/blister PL 0, did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108517 - pediplasti interdigital spacer today, per above, ref SDS 0 XPUQ, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108518 - knee meniscus PL 0, left shoulder PL 1, left elbow PL 2 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108519 - Took 1 Naproxen 200 mg for pain and inflammation management - avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108520 - 2 Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108521 - ref SDS 37 YP8F  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108522 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108523 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108524 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108525 - Because elevated temp, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108526 - ref SDS 0 7XLE  Hiked 2-mile loop through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108527 - lots.  Exited college heading North downhill Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108528 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108529 - mile 9, turned left onto Crystal Ranch Road.  Hiked South 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108530 - uphill 5% grade against 15 mph wind - wind helpful cooling effect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108531 - against higher temperatures today.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108532 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108533 - grade .5 miles.  At Maplegate Court turned around hiked back.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108534 - 13, turned left onto Ygnacio Valley Road.  Continued West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108535 - grade .5 miles against wind 16 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108536 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108537 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108538 - concrete barriar mile 10, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108539 - Road to use wider shoulder.  Continued 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108540 - Noticed Polar showing HR 131 steady, indicating possible AFL.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108541 - again to North side Ygnacio Valley Road.  Crossed Oak Grove at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108542 - light.  At mile 16, hiked 1-mile loops around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108543 - shopping complex.  Stopped near Mod Pizza mile 16, time 1715, temp 77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108544 - and wind 15 mph; EKG looks variable with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108545 - HR 122 (indicating no AFL) Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108546 - ref SDS 0 XRW3  Polar reported HR dropped severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108547 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108548 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108549 - feet PL 1, burning sensation PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108550 - left foot #5 edge callus/blister PL 3, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108551 - blister/callus PL 1, #5 edge callus/blister PL 0, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108552 - PL 1, left shoulder PL 2, left elbow PL 1 intermitant.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108553 - Naproxen 200 mg for pain and inflammation management - avoided 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108554 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108555 - ref SDS 37 YP8F  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108556 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108557 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108558 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108559 - Because elevated temp, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108560 - ref SDS 0 7XLE  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108561 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108562 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108563 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108564 - green traffic light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108565 - sidewalk.  At San Miguel continued .75 miles on Treat uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108566 - with wind 16 mph, temp 76.  Handled this well.  At summit, mile 20,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108567 - hiked another mile to Cuneo.  Continued .25 mile to Cowell.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108568 - around hiking back.  Turned right onto Cuneo and a ways North then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108569 - turned around and home.  Ended hike mile 22 time 1843 temp 75, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108570 - 10, feet PL 2, left foot #5 edge PL 3, right foot #4 top PL 3, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108571 - 1, burning sensation PL 0, shin splints PL 2, left knee PL 1 (swollen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108572 - slightly), right knee PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108573 - shoulder PL 6 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108574 - 2, when lifting.  EKG variable, with no artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108575 - 122 Possible Atrial Fibrillation - see below. ref SDS 0 D7M2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108585 -  ..
108586 - Kardia recorded HR 052 at 0827, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108587 - beat lengths with p-waves and no artifact; not AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108588 - miles yesterday, and taking no Naproxen yesterday, after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108589 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108590 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108591 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108592 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108595 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108596 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240514-ecg-082733_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108601 -  ..
108602 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108603 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108604 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108606 -  ..
108607 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108610 -       Date       2405114 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225 240224   
108611 -       Miles         22      0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25     30     
108612 -       HR AVG       123     no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    120     
108613 -         MAX        146   report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    140  r  
108614 -         Min         55                    52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59     78     
108615 -       El Climb Ft  615                   715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    495     
108616 -       Temp Max      80                    88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67     73     
108617 -       Wind Max      16                    15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10     10     
108618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108620 -              https://flow.polar.com/training/analysis/7879945383                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108623 -               ..
108625 -   
108626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108630 -  ..
108631 - EKG at mile 07 time 1412 HR 116 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108632 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108633 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108636 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108637 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240514-ecg-141231_mile_07_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108641 -  ..
108642 - EKG at mile 16 time 1715 HR 122 temp 79, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108643 - Atrial Fibrillation, looks variable with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108644 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108647 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108648 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240514-ecg-171544_mile_16_122_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108652 -  ..
108653 - End hike EKG at mile 22, time 1843 HR 122 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108654 - Possible Atrial Fibrillation... looks variable with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108655 - (meaning no AFL) - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108656 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108659 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108660 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240514-ecg-184343_mile_22_122_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108664 -  ..
108665 - Post hike HR profile beginning 1851 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108666 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108667 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108668 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108669 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108671 -        ..
108672 -       Date      240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305  240304    
108673 -       Time       2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959    2247     
108674 -       Hours        10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7      11     
108675 -       HR AVG       69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73      63     
108676 -       HR MAX      122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146      98     
108677 -       HR Min       32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50      33     
108678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108680 -              https://flow.polar.com/training/analysis/7880306959                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108683 -               ..
108685 -   
108686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108689 -  ..
108690 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108691 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108692 - Dinner - macaroni cheese steak (cut up) broccoli cauliflower onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108694 -  ..
108695 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108723 -         ..
108724 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108725 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108726 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108727 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108728 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108729 -  136.  240515 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108730 -               0720....BP HR..................................................... 135  81  56  Kardia ECG reports HR status, see below. ref SDS 0 8RPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108731 -               0725....BP HR..................................................... 140  75  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108732 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108733 -               0735....80 396920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108734 -               1030... Magnesium oxide pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108735 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108736 -               1030....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108737 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108738 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108739 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108740 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
108741 -  ..
108742 -         * cr  1100....miles...........  20.0  42.0  329   696 minutes  temp  80 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108743 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108744 -               1358....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108745 -               1358....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108746 -               1358... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108747 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108748 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
108749 -               1526....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108750 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108751 -               0000....mile 16 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108752 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108753 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108754 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108755 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108756 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108757 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108758 -               1707... Hike ends mile 20... ref SDS 0 826W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108759 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108760 -               1720....weight.................................... 166  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108761 -               1725....BP HR..................................................... 113  74 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108762 -               1730....BP HR..................................................... 104  63 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108763 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108764 -               1730... 40 110100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
108765 -               1830............ 10 19770  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108766 -               1830............ 10 20110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
108767 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108768 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108769 -               2130... 40 85920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108770 -               2200... 1000 2124000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108771 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108772 -               2230... 80 397000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108773 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108774 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108775 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108778 - * cr - hiked Crystal Ranch Road 4-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108781 -  ..
108782 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108783 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108785 -  ..
108786 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108787 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108790 -  ..
108791 - Today, hiked 20 miles - took Magnesium 400 mg pill, tried swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108792 - whole, - ate chia seeds with it. -- started 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108793 - South Concord streets - Treat, Turtle Creek Road.  Helpful minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108794 - feet pain, including left foot #5.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108795 - Road, mile 3, then West on Ygnacio Valley Road for a mile.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108796 - on Pine Hollow 0.50 miles.  Turned around and hiked back.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108797 - 1 mile on Campus Drive to college.  Hiked 2 miles through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108798 - lots.  Stopped mile at 10, for EKG, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108799 - Naproxen to manage pain and inflammation.  Took CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108800 - HDL.  Hiked 6-mile Crystal Ranch road loop up and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108801 - Valley Road.  Continued 1 mile to summit and 2 miles home.  Wore Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108802 - Bondi 6 wide shoes with 1 pair socks.  Worked great for hiking, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108803 - re-injured #5 edge left foot.  Did not flip into AFL taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108804 - with temperature elevated 80.  Cool breez helped conserve energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108807 -         ..
108808 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108809 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108810 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not feel bloated - no Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                  
108811 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108812 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108813 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108814 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108815 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108816 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108817 -        Neck turning head/chest left or right........   6          2  episodes mile 18+  took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108818 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108819 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108820 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
108821 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108822 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108823 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
108824 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108825 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108826 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108827 -        Knee left meniscus...PRP 231121..............   2         10  knee not hurting beginning of hike, increased later took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
108828 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108829 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108830 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108831 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108832 -        Knee right meniscus PRP 190816...............   1         25  hurting last 3 miles which has occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108833 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108834 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108835 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108836 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108837 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108838 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108839 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108840 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108841 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108842 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
108843 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
108844 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108845 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108846 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108847 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
108848 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
108849 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
108850 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108851 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
108852 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
108853 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108854 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108855 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108856 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108857 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108858 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108859 -        Callus ring toe #4 top right foot............   2         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
108860 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
108861 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108862 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang cut out core of callus again on 231128 - did not feel pressure today - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                             
108863 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108864 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108865 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108866 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
108867 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108868 -        Burning sensation both feet..................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108869 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108870 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108871 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108872 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108873 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108874 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108875 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108876 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108877 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108878 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 7 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108879 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108881 -  ..
108882 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108883 - Bondi 6 size 10 wide - worked great for hiking, but #5 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108884 - pinched last few miles even without extra padding and wearing only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108885 - pair socks to reduce lateral pressure on #1s and #5s.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108886 - worked okay #5, top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108888 -  ..
108889 - Orthotic inserts - switched to Stable Elite from On-The-Run see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108890 - study on 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108892 -  ..
108893 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108894 - today,  This increases wear on socks, reduces latter pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108895 - and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108897 -  ..
108898 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108899 - 0701, ref SDS 16 NS7J  Today, did not wear any spacers.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108901 -  ..
108902 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108903 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108904 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108905 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108906 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108910 -  ..
108911 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108912 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108913 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108914 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108915 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108916 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108917 - Took Magnesium-oxide softgel extra strength 400 mg pill (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108918 - research on 240514 2126. ref SDS 40 OO4Y...) - designed to swallow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108919 - but too big to slip through LESV; swallowed anyway and allowed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108920 - breakdown on top of LESV...  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108921 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108922 - ref SDS 0 659K  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108923 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108924 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108925 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108926 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108927 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108928 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108929 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108930 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108931 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108932 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108933 - feeling like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108934 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108935 - 71, and reached 80.  West wind 15 mph and mostly 10 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108936 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108937 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108938 - uphill, and very light traffic.  At mile 2, did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108939 - Newhall Community Park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108940 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108941 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108942 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108943 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108944 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108945 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108946 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108947 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108948 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108949 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108950 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 0.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108951 - miles East on Pine Hollow.  About mile 5.75, halfway between Discovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108952 - Way and Rollinw Woods Way, turned around and hiked back to YV.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108953 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108954 - wind 15 mph.  Nearing summit at North entrance to Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108955 - crossed paths with Kathy again.  She seemed to indicate living on or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108956 - near Discovery Way.  Now hiking about 5 miles a day.  At mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108957 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108958 - Concord Campus.  Hiked loop around main buildings.  Since left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108959 - has partially healed from PRP treatments on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108960 - QU4L, stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108961 - half-pushups and 00 situps.  Hiked 2 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108962 - Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108963 - Administration Building mile 10 time 1358 temp 78 and wind 14 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108964 - looks variable with no artifact.  Kardia reported HR 105 (indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108965 - no AFL) Tachycardia - see below. ref SDS 0 X6EQ  Polar reported HR did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108966 - not drop severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108967 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108968 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108969 - Bondi 6 size 10 wide shoes, with older Stable Elite orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108970 - purchased from Mark Wachter at On-The-Run, and 1 pair double ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108971 - socks, per above. ref SDS 0 XQSS  Burning sensation PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108972 - Tailor's bunions PL 0, left foot #5 edge blister/callus PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108973 - foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108974 - use pediplasti interdigital spacer today, per above, ref SDS 0 XQTV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108975 - left knee meniscus PL 0, left shoulder PL 1, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108976 - intermitant.  Took 1 Naproxen 200 mg for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108977 - management - avoided 2 Naproxen may trigger AFL, reported in research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108978 - on 240428 1939. ref SDS 37 YP8F  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108979 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108980 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108981 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108982 - hike.  Did not take Nuun electrolyte pill, per above. ref SDS 0 WYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108983 - Hiked another loop around main buildings.  Exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108984 - North downhill Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108985 - Hiked West on flat grade .5 miles.  At mile 12, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108986 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade against 15 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108987 - wind - wind helpful cooling effect against higher temperatures today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108988 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108989 - At summit continued flat grade .5 miles, then downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108990 - grade.  Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108991 - miles 6% grade with wind 12 mph.  Road ends at top of hill.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108992 - hike back down hill about .25 mile and then back to top.  Stopped mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108993 - 14 time 1526, temp 80, wind 14 mph; EKG mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108994 - artifact, Kardia reported HR 124 (...  HR - did not have to wait 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108995 - minutes different locations to get cellphone connection...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108996 - Tachycardia (...typical for AFL...) - see below. ref SDS 0 XSTR  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108997 - PL 3, burning sensation PL 3, both right and left feet #5 PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108998 - pressure from edge of shoe, right foot #4 top PL 3, left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108999 - bunion PL 0, calves PL 0 left knee PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109000 - elbow PL 2, nothing to eat or drink (NPO), per above. ref SDS 0 WYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109001 - Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109002 - of hill continued past Rolling Woods Way uphill .50 mile.  Hiked flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109003 - grade through residential area, then downhill, heading North 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109004 - Turned left onto Ygnacio Valley Road.  At mile 17, continued uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109005 - grade .5 miles against wind 14 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109006 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109007 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109008 - concrete barriar mile 18, hiked back .5 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109009 - Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109010 - grade .25 miles, then .5 miles with narrow shoulder against heavy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109011 - oncoming commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109012 - miles back to Cuneo.  Turned right for another .25 mile, then back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109013 - home.  Ended hike mile 20 time 1707 temp 80, wind 10, feet PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109014 - foot #4 blister/callus PL 5, right foot Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109015 - foot #5 blister/callus PL 2 (Naproxen wearing off) - indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109016 - latteral pressure with 1 pair dual-ply socks causing injury wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109017 - Hoka Bondi 6 size 10 wide shoes, shin splints PL 0 (benefit Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109018 - shoes), left knee PL 0 (not swollen), right knee PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109019 - PL 1, neck and right shoulder PL 6 intermittantly, lower back left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109020 - side PL 0, left elbow PL 1, when lifting.  EKG looks variable, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109021 - artifact, Kardia reported HR 115 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109022 - 826W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109034 -  ..
109035 - Kardia recorded HR 068 at 1011, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109036 - beat lengths with p-waves and no artifact; not AFL after hiking 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109037 - miles yesterday, and taking Naproxen yesterday, after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109038 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109039 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109040 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109041 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109044 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109045 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240515-ecg-101100_mile_00_068_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109050 -  ..
109051 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109052 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109053 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109055 -  ..
109056 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109059 -       Date       2405115 2405114 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 240226 240225  
109060 -       Miles         20      22      0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12     25    
109061 -       HR AVG       113     123     no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107    112    
109062 -         MAX        140     146   report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136    159    
109063 -         Min         74      55                    52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59     59    
109064 -       El Climb Ft  715     615                   715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245    495    
109065 -       Temp Max      80      80                    88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63     67    
109066 -       Wind Max      15      16                    15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10     10    
109067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109069 -              https://flow.polar.com/training/analysis/7880627713                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109072 -               ..
109074 -   
109075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109079 -  ..
109080 - EKG at mile 10 time 1358 HR 105 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109081 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109082 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109085 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109086 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240515-ecg-135808_mile_10_105_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109090 -  ..
109091 - EKG at mile 14 time 1526 HR 124 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109092 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109093 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109096 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109097 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240515-ecg-152643_mile_14_124_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109101 -  ..
109102 - End hike EKG at mile 20, time 1707 HR 115 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109103 - Tachycardia... looks variable with no artifact (meaning no AFL) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109104 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109107 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109108 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240515-ecg-170737_mile_20_115_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109112 -  ..
109113 - Post hike HR profile beginning 2110 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109114 - overnight after hiking 20 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109115 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109116 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109117 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109119 -        ..
109120 -       Date      240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306  240305    
109121 -       Time       2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931    1959     
109122 -       Hours        11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12       7     
109123 -       HR AVG       68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63      73     
109124 -       HR MAX      118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     146     
109125 -       HR Min       37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41      50     
109126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109128 -              https://flow.polar.com/training/analysis/7880982843                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109131 -               ..
109133 -   
109134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109137 -  ..
109138 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109139 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109140 - Dinner - hamburger potato tomato onion mushrooms (few bites saved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109141 - rest for tomorrow)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109143 -  ..
109144 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109170 -         ..
109171 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109172 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109173 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109174 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109175 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109176 -  137.  240516 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109177 -               0725....BP HR..................................................... 137  80  52  Kardia ECG reports HR status, see below. ref SDS 0 SW4L                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109178 -               0730....BP HR..................................................... 140  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109179 -               0735....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109180 -               0735....80 397080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109181 -               0910... Magnesium oxide pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109182 -               0910....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109183 -               0910....Chia Seeds 2 oz - magnesium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109184 -               0910....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109185 -               0910....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109186 -               0910... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109187 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
109188 -  ..
109189 -         * cr  0945....miles...........  23.0  65.0  385  1081 minutes  temp  71 wind 16  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109190 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109191 -               1200....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109192 -               1200....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109193 -               1200... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109194 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109195 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
109196 -               1323....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109197 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109198 -               1451....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109199 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109200 -               1451... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109201 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109202 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109203 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109204 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109205 -               1645... Hike ends mile 23... ref SDS 0 A6JW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109206 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109207 -               1700....weight.................................... 166  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109208 -               1705....BP HR..................................................... 113  80 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109209 -               1717....BP HR..................................................... 118  82  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109210 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109211 -               1710... 40 110140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
109212 -               1830............ 10 19770  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109213 -               1830............ 10 20110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
109214 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109215 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109216 -               2130... 40 85940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109217 -               2200... 1000 2125000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109218 -               0000... 10   50 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109219 -               2230... 80 397160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109220 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109221 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109222 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109225 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109226 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109227 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109228 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109229 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109230 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109231 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109232 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109235 -  ..
109236 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109237 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109239 -  ..
109240 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109241 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109244 -  ..
109245 - Today, hiked 23 miles - took Magnesium oxide 400 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109246 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109247 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109248 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109249 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109250 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109251 - Hiked 2 miles through parking lots.  Stopped mile 08, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109252 - hydration and nutrition.  Took Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109253 - inflammation.  Took CoQ10 for energy and HDL.  Hiked 8-mile Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109254 - Ranch road loop uphill and back to college.  Continued 3-miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109255 - parking lots.  Hiked 3 miles home.  Wore Brooks Ghost x-wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109256 - with 2 pair socks.  Applied callus bandage on left foot #5.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109257 - well.  Did not flip into AFL taking Naproxen.  Helpful cooler today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109258 - temp 71.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109261 -         ..
109262 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109263 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109264 -        Stomach pain ischemic colitis bloating.......   3         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloated on Crystal Ranch Road mile 11 time 1300 - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                     
109265 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109266 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109267 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109268 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109269 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109270 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109271 -        Neck turning head/chest left or right........   6          2  episodes mile 18+  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109272 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109273 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109274 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
109275 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109276 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109277 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
109278 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109279 -        Shin splint pain both legs...................   3         20  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109280 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109281 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
109282 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109283 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109284 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109285 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109286 -        Knee right meniscus PRP 190816...............   2         30  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109287 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109288 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109289 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109290 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109291 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109292 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109293 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109294 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109295 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109296 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
109297 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
109298 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109299 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109300 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109301 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
109302 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
109303 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
109304 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109305 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
109306 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
109307 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109308 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109309 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109310 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109311 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109312 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109313 -        Callus ring toe #4 top right foot............   2         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
109314 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
109315 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109316 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - applied callus pad cutout held in place with tape - did not feel pressure today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                         
109317 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109318 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109319 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109320 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
109321 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109322 -        Burning sensation both feet..................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109323 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109324 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109325 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109326 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109327 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109328 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109329 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109330 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109331 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109332 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109333 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109335 -  ..
109336 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109337 - Brooks Ghost size 10 x-wide - worked great for hiking, even #5 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109338 - foot did not pinch last few miles with extra padding and wearing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109339 - pair socks to reduce callus and blistering.  Right foot worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109340 - #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109342 -  ..
109343 - Orthotic inserts - switched to custom inserts Doctor Tang made at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109344 - VA last month - see case study on 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109346 -  ..
109347 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109348 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109349 - on #1 and #5, but no injuries today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109351 -  ..
109352 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109353 - 0701, ref SDS 16 NS7J  Today, wore on right foot between #4 and #5 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109354 - protect top of #4.  Worked partially.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109356 -  ..
109357 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109358 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109359 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109360 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109361 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109365 -  ..
109366 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109367 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109368 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109369 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109370 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109371 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109372 - Took Magnesium-oxide softgel extra strength 400 mg pill (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109373 - research on 240514 2126. ref SDS 40 OO4Y...) - designed to swallow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109374 - but too big to slip through LESV; swallowed anyway and allowed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109375 - breakdown on top of LESV...  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109376 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109377 - ref SDS 0 HO5G  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109378 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109379 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109380 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109381 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109382 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109383 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109384 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109385 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109386 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109387 - Hiked Cuneo .25 miles and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109388 - feeling better less like pins and needles - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109389 - taking statins.  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109390 - Temp started at 64, and reached 71.  West wind 16 mph and mostly 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109391 - mph - cool breeze.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109392 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109393 - flat grade, some places 2% uphill, and very light traffic.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109394 - did not hike across Newhall Community Park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109395 - on Turtle Creek Road uphill 4% grade.  Swerved into traffic lane to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109396 - let Polaris motorized test vehicle using self-navigation pass on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109397 - shoulder, followed by monitor on battery driven bicycle.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109398 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109399 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109400 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109401 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109402 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109403 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109404 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109405 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109406 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109407 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109408 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109409 - Discovery Way turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109410 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109411 - mph.  At mile 6, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109412 - University East Bay Concord Campus.  Hiked 2-mile loop through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109413 - and Student parking lots.  Crossed paths with Lisa walking dogs.  Saw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109414 - Zane's bus.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109415 - Building mile 08 time 1200 temp 69 and wind 14 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109416 - uniform with no artifact.  Kardia reported HR 107 (indicating no AFL)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109417 - Unclassified - see below. ref SDS 0 6W67  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109418 - drop severely today, during pause for EKG, hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109419 - see case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109420 - 0942. ref SDS 34 RU6M  Both feet PL 1, wearing Brooks Ghost size 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109421 - x-wide shoes, with custom orthotic inserts created by Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109422 - VA, and 2 pair double ply socks, per above. ref SDS 0 XUXV  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109423 - sensation PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109424 - blister/callus PL 1, right foot #4 top blister/callus PL 1, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109425 - callus/blister PL 1, used pediplasti interdigital spacer today, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109426 - right foot between #4-5, per above, ref SDS 0 XVPR, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109427 - PL 0, left shoulder PL 1, left elbow PL 1 intermitant.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109428 - Naproxen 200 mg for pain and inflammation management - avoided 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109429 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109430 - ref SDS 37 YP8F  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109431 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109432 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109433 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109434 - not take Nuun electrolyte pill, per above. ref SDS 0 XTSY  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109435 - college heading North downhill Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109436 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 09, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109437 - left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109438 - against 15 mph wind Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109439 - dyspnea nor stopping.  At summit continued flat grade .5 miles, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109440 - downhill .25 miles 5% grade.  About mile 11, took Simethicone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109441 - relieve bloating, possibly NSAID colitis - this was effective.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109442 - past Rolling Woods Way uphill on Crystal Ranch Road .5 miles 6% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109443 - against wind 10 mph.  Road ends at top of hill.  Hike back down hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109444 - about .25 mile and then back to top.  Stopped mile 12 time 1323, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109445 - 71, wind 16 mph; EKG variable with no artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109446 - (HR - wait 5 minutes different locations to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109447 - connection... low for level of effort and temperature at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109448 - station...) Tachycardia - see below. ref SDS 0 J39A  Feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109449 - burning sensation PL 1, left foot #5 PL 0, right foot #4, top PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109450 - with pressure from top of shoe, left foot tailor's bunion PL 0, calves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109451 - PL 0 left knee PL 0, left shoulder PL 1, left elbow PL 0, nothing to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109452 - eat or drink (NPO), per above. ref SDS 0 XTSY  Continued downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109453 - Crystal Ranch Road 6% grade .5 miles.  At bottom of hill, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109454 - uphill .25 mile 5% grade then another .25 mile flat grade.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109455 - 13, turned around hiked back and turned left onto Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109456 - hiking East .5 miles uphill 6% grade against 15 mph wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109457 - continued downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109458 - mile and turned left onto Campus Drive.  Hiked West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109459 - 4% grade against wind 15 mph.  At mile 16, reached California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109460 - University East Bay Concord Campus.  Hiked loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109461 - Since left elbow has partially healed from PRP treatments on 231121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109462 - 0700. ref SDS 27 QU4L, stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109463 - half-pullups, 30 half-pushups and 00 situps.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109464 - stopped at Administration Building mile 17, time 1451, temp 71 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109465 - wind 16 mph; EKG uniform with no artifact.  Kardia reported HR 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109466 - Tachycardia - see below. ref SDS 0 G78A  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109467 - drop today, during pause for EKG, hydration and nutrition, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109468 - study on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109469 - ref SDS 34 RU6M  Both feet PL 1, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109470 - right foot #4 top blister/callus PL 2 (after hiking 17 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109471 - taking 1 Naproxen), indicating pediplasti interdigital spacer applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109472 - this morning is somewhat effective, per above, ref SDS 0 XVPR, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109473 - knee meniscus PL 1, left shoulder PL 2, left elbow PL 1 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109474 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109475 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109476 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109477 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109478 - not take Nuun electrolyte pill, per above. ref SDS 0 XTSY  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109479 - more loops through faculty and Student parking.  At mile 20, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109480 - college North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109481 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 21,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109482 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109483 - wind 14 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109484 - crossed to North side Ygnacio Valley Road to avoid severe camber. mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109485 - 17, hiked back .5 miles.  Continued on Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109486 - downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109487 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109488 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109489 - hike mile 23 time 1645 temp 70, wind 14, feet PL 2, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109490 - blister/callus PL 3, right foot Tailor's bunions PL 0 (Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109491 - wearing off) shin splints PL 3, left knee PL 1 (swollen), right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109492 - PL 3, left shoulder PL 1, neck and right shoulder PL 6 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109493 - lower back left side PL 0, left elbow PL 1, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109494 - uniform, with minor artifact, Kardia reported HR 108 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109495 - see below. ref SDS 0 A6JW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109507 -  ..
109508 - Kardia recorded HR 053 at 0831, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109509 - lengths with p-waves and no artifact; not AFL after hiking 20 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109510 - yesterday, and taking Naproxen yesterday, after ending Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109511 - Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109512 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109513 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109514 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109517 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109518 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240516-ecg-083147_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109523 -  ..
109524 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109525 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109526 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109528 -  ..
109529 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109532 -       Date       2405116 2405115 2405114 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 240227 24022  
109533 -       Miles         23      20      22      0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18     12   
109534 -       HR AVG       113     113     123     no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113    107   
109535 -         MAX        137     140     146   report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131    136   
109536 -         Min         78      74      55                    52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50     59   
109537 -       El Climb Ft  715     715     615                   715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495    245   
109538 -       Temp Max      71      80      80                    88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65     63   
109539 -       Wind Max      16      15      16                    15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10     10   
109540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109542 -              https://flow.polar.com/training/analysis/7881275648                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109545 -               ..
109547 -   
109548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109552 -  ..
109553 - EKG at mile 08 time 1200 HR 107 temp 69, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109554 - Unclassified... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109555 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109558 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109559 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240516-ecg-120025_mile_08_107_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109563 -  ..
109564 - EKG at mile 12 time 1323 HR 110 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109565 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109566 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109569 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109570 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240516-ecg-132323_mile_12_110_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109574 -  ..
109575 - EKG at mile 17 time 1451 HR 112 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109576 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109577 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109580 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109581 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240516-ecg-145148_mile_17_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109585 -  ..
109586 - End hike EKG at mile 23, time 1645 HR 108 temp 69 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109587 - Unclassified... looks uniform with no minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109588 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109591 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109592 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240516-ecg-164555_mile_23_108_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109596 -  ..
109597 - Post hike HR profile beginning 1906 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109598 - overnight after hiking 23 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109599 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109600 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109601 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109603 -        ..
109604 -       Date      240516  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306    
109605 -       Time       1906    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931     
109606 -       Hours         7      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12     
109607 -       HR AVG       69      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63     
109608 -       HR MAX      110     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     
109609 -       HR Min       47      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41     
109610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109612 -              https://flow.polar.com/training/analysis/7881441735                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109615 -               ..
109617 -   
109618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109621 -  ..
109622 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109623 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109624 - Dinner - hamburger potato tomato onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109626 -  ..
109627 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109654 -         ..
109655 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109656 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109657 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109658 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109659 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109660 -  138.  240517 0230............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109661 -               0230....BP HR..................................................... 137  80  52  Kardia ECG reports HR status, see below. ref SDS 0 SW4L                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109662 -               0235....BP HR..................................................... 140  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109663 -               0240....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109664 -               0245....80 397240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109665 -               0415... Magnesium oxide pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109666 -               0415....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109667 -               0415....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109668 -               0415....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109669 -               0415....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109670 -               0415... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109671 -               0415....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
109672 -  ..
109673 -         * cr  0439....miles...........  12.0  77.0  202  1293 minutes  temp  52 wind 13  rain 20% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109674 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109675 -               0000....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109676 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109677 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109678 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109679 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
109680 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109681 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109682 -               0000....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109683 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109684 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109685 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109686 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109687 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109688 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109689 -               0748... Hike ends mile 12... ref SDS 0 YSQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109690 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109691 -               0750....weight.................................... 168  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109692 -               0750....BP HR..................................................... 118  76 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109693 -               0755....BP HR..................................................... 117  76  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109694 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109695 -               1710... 40 110160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
109696 -               1830............ 10 19780  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109697 -               1830............ 10 20120  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
109698 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109699 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109700 -               2130... 40 85980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109701 -               2200... 1000 2126000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109702 -               2215... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109703 -               2230... 80 397320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109704 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109705 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109706 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109709 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109710 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109711 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109712 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109713 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109714 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109715 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109716 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109719 -  ..
109720 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109721 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109723 -  ..
109724 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109725 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109728 -  ..
109729 - Today, hiked 12 miles - in San Francisco Golden Gate Park, with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109730 - 53 and wind 15; begin from VA Medical Center on Clement at 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109731 - street, hike to Point Lobos, then West 1 mile to Cliff House.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109732 - South 1 mile on Great Highway.  Turn East onto JFK through Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109733 - Park past Buffelow compound, and Sprekles Lake.   At mile 4, turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109734 - around at bridge and hike back to hospital.  Colitis flared from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109735 - taking NSAID Naproxen, and/or possibly having Ensure driving from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109736 - Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109739 -         ..
109740 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109741 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109742 -        Stomach pain ischemic colitis bloating.......   3         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloated on Great Highway mile 2 time 0510 - took Simethicone but only had 1 pill, likely needed 2 or 3                                                                                                                                                                                                                                                                                                                                                 
109743 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109744 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109745 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109746 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109747 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109748 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109749 -        Neck turning head/chest left or right........   6          2  episodes mile 18+  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109750 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109751 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109752 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
109753 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109754 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109755 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
109756 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109757 -        Shin splint pain both legs...................   3         20  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109758 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109759 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
109760 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109761 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109762 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109763 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109764 -        Knee right meniscus PRP 190816...............   2         30  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109765 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109766 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109767 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109768 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109769 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109770 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109771 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109772 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109773 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109774 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
109775 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                
109776 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109777 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109778 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109779 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
109780 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
109781 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
109782 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109783 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
109784 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
109785 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109786 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109787 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109788 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109789 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109790 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109791 -        Callus ring toe #4 top right foot............   2         20  Doctor Tang on 240419 made new pediplasti interdigital spacer - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                
109792 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
109793 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109794 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 231128 - applied callus pad cutout held in place with tape - did not feel pressure today - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                         
109795 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109796 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109797 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109798 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
109799 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109800 -        Burning sensation both feet..................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109801 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109802 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109803 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109804 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109805 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109806 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109807 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109808 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109809 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109810 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 8 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109811 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109813 -  ..
109814 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109815 - Brooks Ghost size 10 x-wide - worked great for hiking, even #5 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109816 - foot did not pinch last few miles with extra padding and wearing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109817 - pair socks to reduce callus and blistering.  Right foot worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109818 - #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109820 -  ..
109821 - Orthotic inserts - switched to custom inserts Doctor Tang made at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109822 - VA last month - see case study on 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109824 -  ..
109825 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109826 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109827 - on #1 and #5, but no injuries today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109829 -  ..
109830 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109831 - 0701, ref SDS 16 NS7J  Today, wore on right foot between #4 and #5 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109832 - protect top of #4.  Worked partially.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109834 -  ..
109835 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109836 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109837 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109838 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109839 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109843 -  ..
109844 - San Francisco 12 mile route, reported on 170519, ref SDS 6 WTRS  At VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109845 - time 0345, before starting hike at the VA, took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109846 - Chondroitin for OA.  Took few sips of Coca Cola to swallow 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109847 - pill for pain and inflammation management, and swallow few bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109848 - peanut butter with margarine and chia seeds for energy (magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109849 - oxide), and avocado for HDL, and took Ubiquinol CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109850 - HDL, per above. ref SDS 0 M3KX  Weather overcast, temperature 524,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109851 - wind 14 mph, heavy mist.  Started hike leaving parking lot at VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109852 - at 0432.  Hiked slowly downhill on 42nd Street to warm up.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109853 - corner heading downhill West on Point Lobos to Cliff House at mile 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109854 - Too dark to see anything.  Did not wear headlight.  Road bends and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109855 - changes to "Great Highway" going South along ocean beach.  At mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109856 - turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109857 - Maintained pace going slightly uphill into the park for .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109858 - Turned corner and continued East on JFK.  Very dark, few widely spaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109859 - street lights, cannot see the road.  Passed Buffalo compound, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109860 - Spreckles Lake.  Dawn starting to break - can see the road.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109861 - past Lindley Meadow, said hello to early morning jogger going West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109862 - Continued past Helman Hollow.  Both feet pain level 1.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109863 - hiking under bridge at Crossover Drive (part of highway 1 that goes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109864 - Golden Gate Bridge).  Due to late start, turned around and hike back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109865 - Did not take time to do Kardia EKG.  Continued West past Spreckles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109866 - Lake, the Buffalo compound.  Crossed over to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109867 - with traffic.  Turned corner and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109868 - North onto Great Highway.  Made diversion to Safeway a few blocks away                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109869 - for restroom stop.  Returned to Great Highway.  Hiked parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109870 - ocean toward the Cliff House and the hospital.  Halfway to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109871 - drank rest of liquid CoQ10 for energy.  Maintained pace hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109872 - steep hill - 5% - 6% grade.  Breathing through nose for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109873 - uphill all the way to the hospital.  At the Cliff House, turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109874 - Point Lobos going East; hiked uphill for 1 mile.  Turned onto 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109875 - street and maintained pace going up final steep hill to the VA campus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109876 - then walked through hospital to cafeteria and then to Module 1 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109877 - ground floor - ending hike 12 miles - time 0750 temp 52 wind 8, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109878 - PL 2, left foot #4 top blister PL 3, left knee PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109879 - shoulder PL 5 (only when turning head or lifting right arm), left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109880 - shoulder PL 0 - getting better.  EKG looks uniform with p-wave and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109881 - artifact, reported HR 098 Normal Sinus Rhythm - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109882 - YSQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109894 -  ..
109895 - Kardia recorded HR 052 at 0301, Normal Sinus Rhythm, uniforme heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109896 - beat lengths with p-waves and no artifact; not AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109897 - miles yesterday, and taking Naproxen yesterday, after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109898 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109899 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109900 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109901 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109904 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109905 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240517-ecg-030147_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109910 -  ..
109911 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109912 - hike 12 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109913 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109915 -  ..
109916 - Reported Samsung GPS mileage... more than just hiking through GGP...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109919 -       Date       2405117 2405116 2405115 2405114 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 2402  
109920 -       Miles         12      23      20      22      0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26     18  
109921 -       HR AVG       101     113     113     123     no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110    113  
109922 -         MAX        148     137     140     146   report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140    131  
109923 -         Min         77      78      74      55                    52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56     50  
109924 -       El Climb Ft  415     715     715     615                   715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715    495  
109925 -       Temp Max      52      71      80      80                    88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68     65  
109926 -       Wind Max      15      16      15      16                    15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10     10  
109927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109929 -              https://flow.polar.com/training/analysis/7881614698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109932 -               ..
109934 -   
109935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109940 -  ..
109941 - End hike EKG at mile 12, time 0718 HR 098 temp 52 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109942 - Normal Sinus Rhythm... looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109943 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109946 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109947 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240517-ecg-071844_mile_10_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109951 -  ..
109952 - Post hike HR profile beginning 2020 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109953 - overnight after hiking 12 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109954 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109955 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109956 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109958 -        ..
109959 -       Date      240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307  240306    
109960 -       Time       2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027    1931     
109961 -       Hours        12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11      12     
109962 -       HR AVG       55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67      63     
109963 -       HR MAX      102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     140     
109964 -       HR Min       40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45      41     
109965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109967 -              https://flow.polar.com/training/analysis/7882266207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109970 -               ..
109972 -   
109973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109978 -  ..
109979 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109980 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109981 - Dinner - tomato broccoli onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109983 -  ..
109984 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110011 -         ..
110012 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110013 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110014 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110015 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110016 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110017 -  139.  240518 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110018 -               0710....BP HR..................................................... 144  77  46  Kardia ECG reports HR status, see below. ref SDS 0 SW4L                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110019 -               0715....BP HR..................................................... 140  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110020 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110021 -               0725....80 397240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110022 -               0415... Magnesium oxide pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110023 -               0415....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110024 -               0415....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110025 -               0415....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110026 -               0415....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110027 -               0415... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110028 -               0415....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
110029 -  ..
110030 -         * cr  1137....miles...........  26.0 103.0  446  1749 minutes  temp  72 wind 21  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110031 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110032 -               1452....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110033 -               1452....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110034 -               1452... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110035 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110036 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
110037 -               1610....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110038 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110039 -               1815....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110040 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110041 -               1851... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110042 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110043 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110044 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110045 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110046 -               1951... Hike ends mile 26... ref SDS 0 F83N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110047 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110048 -               2020....weight.................................... 168  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110049 -               2040....BP HR..................................................... 108  66 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110050 -               2055....BP HR..................................................... 117  76  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110051 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110052 -               2020... 40 110160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
110053 -             1 0000............ 10 19780  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110054 -             1 0000............ 10 20120  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
110055 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110056 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110057 -               2130... 40 85980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110058 -               2200... 1000 2126000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110059 -               2215... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110060 -               2330... 80 397320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110061 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110062 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110063 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110066 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110067 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110068 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110069 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110070 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110071 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110072 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110073 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110076 -  ..
110077 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110078 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110080 -  ..
110081 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110082 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110085 -  ..
110086 - Today, hiked 26 miles - took Magnesium oxide 400 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110087 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110088 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110089 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110090 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.50 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110091 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110092 - Hiked 3 miles through parking lots.  Stopped mile 10, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110093 - hydration and nutrition.  Took Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110094 - inflammation.  Took CoQ10 for energy and HDL.  Hiked 8-mile Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110095 - Ranch road loop uphill and back to college.  Continued 4-miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110096 - parking lots.  Hiked 4 miles home.  Wore Hoka Bondi 6 wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110097 - 2 pair socks and bandages for feet injuries.  Did not work perfectly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110098 - Did not flip into AFL taking Naproxen, nor get sick as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110099 - yesterday hiking through Golden Gate Park.  Helpful cooler today, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110100 - 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110104 -         ..
110105 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110106 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110107 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis today, as occurred yesterday, so did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                   
110108 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110109 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110110 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110111 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110112 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110113 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110114 -        Neck turning head/chest left or right........   6          5  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110115 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110116 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110117 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
110118 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110119 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110120 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
110121 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110122 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110123 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110124 -        Knee left meniscus...PRP 231121..............   2         60  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
110125 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110126 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110127 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110128 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110129 -        Knee right meniscus PRP 190816...............   2         30  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110130 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110131 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110132 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110133 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110134 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110135 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110136 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110137 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110138 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110139 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
110140 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
110141 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110142 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110143 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110144 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
110145 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
110146 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
110147 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110148 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
110149 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
110150 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110151 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110152 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110153 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110154 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110155 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110156 -        Callus ring toe #4 top right foot............   2         30  Doctor Tang on 240517 made new pediplasti interdigital spacer - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                               
110157 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
110158 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110159 -        Callus little toe #5 left foot...PRP 210705..   3         60  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure most of hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                        
110160 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110161 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110162 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110163 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
110164 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110165 -        Burning sensation both feet..................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110166 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110167 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110168 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110169 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110170 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110171 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110172 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110173 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110174 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110175 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110176 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110178 -  ..
110179 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110180 - Bondi 6 size 10 wide - worked great for hiking, except #5 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110181 - pinched most of hike even with extra padding and wearing 2 pair socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110182 - to reduce callus and blistering.  Right foot worked sort of okay #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110183 - and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110185 -  ..
110186 - Orthotic inserts - switched to Stable Elite inserts combined with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110187 - Bondi 6 shoes - see case study on 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110189 -  ..
110190 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110191 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110192 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110194 -  ..
110195 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110196 - 0701, ref SDS 16 NS7J  Today, wore new spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110197 - at VAMCSF on 240517, on right foot between #4 and #5 to protect top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110198 - #4.  Worked partially.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110200 -  ..
110201 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110202 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110203 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110204 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110205 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110208 -  ..
110209 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110210 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110211 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110212 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110213 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110214 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110215 - Took Magnesium-oxide softgel extra strength 400 mg pill (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110216 - research on 240514 2126. ref SDS 40 OO4Y...) - designed to swallow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110217 - but too big to slip through LESV; swallowed anyway and allowed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110218 - breakdown on top of LESV...  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110219 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110220 - ref SDS 0 4PQM  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110221 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110222 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110223 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110224 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110225 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110226 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110227 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110228 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110229 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110230 - Hiked Cuneo .25 miles and turned left, onto Treat.  Had to return to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110231 - house to get supplies not packed in backpack.  Resumed hike at mile 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110232 - Feet starting hike feeling better less like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110233 - peripheral neuropathy taking statins.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110234 - hike without dyspnea.  Temp started at 64, and reached 72.  West wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110235 - 21 mph and mostly 15 mph - cool breeze.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110236 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110237 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110238 - traffic.  At mile 3, did not hike across Newhall Community Park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110239 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Swerved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110240 - into traffic lane to let Polaris motorized test vehicle using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110241 - self-navigation pass on shoulder, followed by monitor on battery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110242 - driven bicycle.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110243 - asphalt road shoulder.  At mile 4, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110244 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110245 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110246 - concrete sidewalk .5 miles.  At mile 5, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110247 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110248 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110249 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110250 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110251 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110252 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 0.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110253 - miles East on Pine Hollow.  Before Discovery Way turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110254 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110255 - uphill 3% - 4% grade against wind 20 mph.  At mile 7, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110256 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110257 - 3-mile loop through Faculty and Student parking lots.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110258 - Parking stopped at Administration Building mile 10 time 1452 temp 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110259 - and wind 15 mph; EKG looks mostly uniform with moderate artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110260 - Kardia reported HR 103 (indicating no AFL) Tachycardis - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110261 - ref SDS 0 YS41  Polar reported HR did not drop severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110262 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110263 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110264 - feet PL 1, wearing Hoka Bondi 6 size 10 wide shoes, with Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110265 - orthotic inserts purchased from On-The_Run and 2 pair double ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110266 - socks, per above. ref SDS 0 YTSV  Burning sensation PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110267 - Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110268 - foot #4 top blister/callus PL 1, #5 edge callus/blister PL 0, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110269 - pediplasti interdigital spacer today, for right foot between #4-5, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110270 - above, ref SDS 0 YTUR, left knee meniscus PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110271 - left elbow PL 1 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110272 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110273 - in research on 240428 1939. ref SDS 37 YP8F  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110274 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110275 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110276 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110277 - energy to complete hike.  Did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110278 - above. ref SDS 0 YRYU  Exited college heading North downhill Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110279 - Drive.  After 200 yards, had to return to Campus, because left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110280 - was PL > 5.  Used bus stop bench to remove left foot shoe and sock,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110281 - and place callus pad with cutout over callus on #5.  Added tape to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110282 - maintain positioning while replacing sock.  Resumed hike downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110283 - North on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110284 - West on flat grade .5 miles.  At mile 11, turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110285 - Ranch Road.  Hiked South 1 mile uphill 5% grade against 20 mph wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110286 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110287 - At summit continued flat grade .5 miles, then downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110288 - grade.  Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110289 - miles 6% grade against wind 17 mph.  Road ends at top of hill.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110290 - back down hill about .25 mile and then back to top.  Stopped mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110291 - time 1610, temp 69, wind 20 mph; EKG uniform with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110292 - reported HR 117 (HR - no wait nor different locations to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110293 - connection...) Tachycardia - see below. ref SDS 0 5O8N  Feet PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110294 - burning sensation PL 3, left foot #5 PL 3, right foot #4, top PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110295 - with pressure from top of shoe, left foot tailor's bunion PL 0, calves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110296 - PL 0 left knee PL 0, left shoulder PL 1, left elbow PL 0, nothing to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110297 - eat or drink (NPO), per above. ref SDS 0 YRYU  Continued downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110298 - Crystal Ranch Road 6% grade .5 miles.  At bottom of hill, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110299 - uphill .25 mile 5% grade then another .25 mile flat grade.  At Laurel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110300 - Tree Drive, mile 15, turned around hiked back and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110301 - Rolling Woods Way hiking East .5 miles uphill 6% grade against 21 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110302 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110303 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110304 - mile uphill 3% - 4% grade against wind 15 mph.  At mile 18, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110305 - 2nd time California State University East Bay Concord Campus.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110306 - loops through Faculty and Student parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110307 - stopped at Administration Building mile 21, time 1815, temp 65 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110308 - wind 18 mph; EKG mostly uniform with no artifact.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110309 - 108 Tachycardia - see below. ref SDS 0 E29M  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110310 - drop today, during pause for EKG, hydration and nutrition, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110311 - study on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110312 - ref SDS 34 RU6M  Both feet PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110313 - right foot #4 top blister/callus PL 2 (after hiking 21 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110314 - taking 1 Naproxen), indicating pediplasti interdigital spacer applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110315 - this morning is somewhat effective, per above, ref SDS 0 YTUR, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110316 - knee PL 2, left knee meniscus PL 0, left shoulder PL 2, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110317 - 2 intermitant.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110318 - swallowing meds and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110319 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110320 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110321 - to complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110322 - ref SDS 0 YRYU  Hiked another loop through faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110323 - parking.  At mile 22, exited college North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110324 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110325 - miles.  At mile 23, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110326 - .5 miles against wind 15 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110327 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110328 - camber.  Hiked West to end concrete traffic barriar.  At mile 24,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110329 - turned around and hiked back .5 miles.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110330 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110331 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110332 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110333 - and home.  Ended hike mile 26 time 1951 temp 60, wind 14, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110334 - left foot #5 PL 4, right foot #4 top blister/callus PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110335 - Tailor's bunions PL 0 (Naproxen wearing off) shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110336 - knee PL 2 (swollen), right knee PL 0, left shoulder PL 1, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110337 - right shoulder PL 6 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110338 - elbow PL 1, when lifting.  EKG looks uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110339 - reported HR 105 Tachycardia - see below. ref SDS 0 F83N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110352 -  ..
110353 - Kardia did not report EKG today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110354 - recorded HR 052 at 0301, Normal Sinus Rhythm, uniforme heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110355 - Kardia recorded HR 052 at 0301, Normal Sinus Rhythm, uniforme heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110356 - beat lengths with p-waves and no artifact; not AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110357 - miles yesterday, and taking Naproxen yesterday, after ending Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110358 - and Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110359 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110360 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110361 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110364 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110365 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240517-ecg-030147_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110370 -  ..
110371 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110372 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110373 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110375 -  ..
110376 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110379 -       Date       240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 240228 2  
110380 -       Miles         26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0     26      
110381 -       HR AVG       110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no    110      
110382 -         MAX        139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report   140      
110383 -         Min         71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                               56      
110384 -       El Climb Ft  715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                              715      
110385 -       Temp Max      72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                               68      
110386 -       Wind Max      21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                               10      
110387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110389 -              https://flow.polar.com/training/analysis/7882508678                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110392 -               ..
110394 -   
110395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110399 -  ..
110400 - EKG at mile 10 time 1452 HR 103 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110401 - Tachycardia... looks mostly uniform with moderate artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110402 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110405 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110406 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240518-ecg-145206_mile_10_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110410 -  ..
110411 - EKG at mile 14 time 1610 HR 117 temp 69, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110412 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110413 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110416 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110417 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240518-ecg-161059_mile_14_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110421 -  ..
110422 - EKG at mile 21 time 1815 HR 108 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110423 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110424 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110427 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110428 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240518-ecg-181552_mile_21_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110432 -  ..
110433 - End hike EKG at mile 26, time 1951 HR 105 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110434 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110435 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110438 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110439 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240518-ecg-195158_mile_26_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110443 -  ..
110444 - Post hike HR profile beginning 2304 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110445 - overnight after hiking 26 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110446 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110447 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110448 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110450 -        ..
110451 -       Date      240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308  240307    
110452 -       Time       2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033    2027     
110453 -       Hours         8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13      11     
110454 -       HR AVG       63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63      67     
110455 -       HR MAX      133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     129     
110456 -       HR Min       34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45      45     
110457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110459 -              https://flow.polar.com/training/analysis/7882980073                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110462 -               ..
110464 -   
110465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110469 -  ..
110470 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110471 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110472 - Dinner - eggs broccoli cauliflower onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110474 -  ..
110475 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110504 -         ..
110505 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110506 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110507 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110508 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110509 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110510 -  140.  240519 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110511 -               0710....BP HR..................................................... 154  82  46  Kardia ECG reports HR status, see below. ref SDS 0 7PXD                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110512 -               0715....BP HR..................................................... 154  82  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110513 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110514 -               0725....80 397400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110515 -               1140... Magnesium oxide pill extra strength 400 mg "Nature Made" for energy - see Microsoft AI analysis on 240508 1726. ref SDS 39 WK53                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110516 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110517 -               1140....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110518 -               1140....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110519 -               1140....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110520 -               1140... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110521 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
110522 -  ..
110523 -               1202....miles...........  14.0 117.0  235  1964 minutes  temp  78 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110524 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110525 -               1408....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110526 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110527 -               1408... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110528 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110529 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
110530 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110531 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110532 -               1518....mile 11 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110533 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110534 -               1518... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110535 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110536 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110537 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110538 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110539 -               1951... Hike ends mile 26... ref SDS 0 F83N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110540 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110541 -               2020....weight.................................... 166  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110542 -               2040....BP HR..................................................... 103  71 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110543 -               2055....BP HR..................................................... 117  76  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110544 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110545 -               2020... 40 110200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
110546 -               1830............ 10 19790  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110547 -               1830............ 10 20130  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
110548 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110549 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110550 -               2130... 40 86100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110551 -               2200... 1000 2127000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110552 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110553 -               2330... 80 397480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110554 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110555 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110556 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110559 -  ..
110560 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110561 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110563 -  ..
110564 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110565 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110568 -  ..
110569 - Today, hiked 14 miles - took Magnesium oxide 400 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110570 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110571 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110572 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110573 - Valley Road 1 mile.  Hiked East on Pine Hollow 2.50 miles.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110574 - road, turned around and hiked back.  Turned West 1 mile on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110575 - Drive to college.  Stopped mile 11, for EKG, hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110576 - First time in 5 hikes, did not need Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110577 - inflammation.  Hiked 3 miles home.  Wore Brooks Ghost x-wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110578 - with 2 pair socks.  Bandage left foot #5 worked much better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110579 - yesterday, with better positioning.  New pediplasti interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110580 - spacer not perfect.  Did not flip into AFL.  Dropped 5 pounds with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110581 - temp 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110584 -         ..
110585 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110586 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110587 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis today, as occurred yesterday, so did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                   
110588 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110589 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110590 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110591 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110592 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110593 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110594 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110595 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110596 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110597 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
110598 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110599 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110600 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
110601 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110602 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110603 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110604 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
110605 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110606 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110607 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110608 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110609 -        Knee right meniscus PRP 190816...............   0        100  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110610 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110611 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110612 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110613 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110614 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110615 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110616 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110617 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110618 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110619 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
110620 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
110621 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110622 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110623 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110624 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
110625 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
110626 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
110627 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110628 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
110629 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
110630 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110631 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110632 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110633 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110634 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110635 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110636 -        Callus ring toe #4 top right foot............   4         10  Doctor Tang on 240517 made new pediplasti interdigital spacer - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                               
110637 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
110638 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110639 -        Callus little toe #5 left foot...PRP 210705..   2         60  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
110640 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110641 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110642 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110643 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
110644 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110645 -        Burning sensation both feet..................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110646 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110647 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110648 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110649 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110650 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110651 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110652 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110653 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110654 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110655 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110656 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110658 -  ..
110659 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110660 - Brooks Ghost size 10 x-wide - worked great for hiking: #5 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110661 - pinched less with better positioning of bandage, and wearing 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110662 - socks to reduce callus and blistering.  Right foot worked sort of okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110663 - #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110665 -  ..
110666 - Orthotic inserts - switched to custom inserts created by Doctor Tang,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110667 - combined with Brooks Ghost shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110668 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110670 -  ..
110671 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110672 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110673 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110675 -  ..
110676 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110677 - 0701, ref SDS 16 NS7J  Today, wore 2nd spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110678 - at VAMCSF on 240517 0900, ref SDS 41 BL6N, on right foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110679 - and #5 to protect top and inside edge of #4 next to #5.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110680 - partially.  Felt pressure on top of #4 last 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110682 -  ..
110683 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110684 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110685 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110686 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110687 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110690 -  ..
110691 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110692 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110693 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110694 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110695 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110696 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110697 - Took Magnesium-oxide softgel extra strength 400 mg pill (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110698 - research on 240514 2126. ref SDS 40 OO4Y...) - designed to swallow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110699 - but too big to slip through LESV; swallowed anyway and allowed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110700 - breakdown on top of LESV...  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110701 - margarine and chia seeds for energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110702 - ref SDS 0 XN7B  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110703 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110704 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110705 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110706 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110707 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110708 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110709 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110710 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110711 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110712 - Hiked Cuneo .25 miles and turned left, onto Treat about 1 mile.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110713 - starting hike feeling better less like pins and needles - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110714 - neuropathy taking statins.  Breathed through nose entire hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110715 - dyspnea.  Temp started at 71, and reached 78.  West wind 12 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110716 - mostly 08 mph - cool breeze.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110717 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110718 - miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110719 - traffic.  At mile 3, did not hike across Newhall Community Park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110720 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110721 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110722 - mile 4, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110723 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110724 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110725 - mile 5, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110726 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110727 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110728 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110729 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110730 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110731 - Valley Road; turned left hiked 2.50 miles East on Pine Hollow.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110732 - of Pine Hollow stopped mile 7 time 1408 temp 75 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110733 - looks mostly uniform with no artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110734 - (indicating no AFL) Tachycardis - see below. ref SDS 0 PQSV  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110735 - reported HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110736 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110737 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110738 - wearing Brooks Ghost size 10 x-wide shoes, with custom orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110739 - inserts created by Doctor Tang at VAMCSF Podiatry, and 2 pair double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110740 - ply socks, per above. ref SDS 0 YYQU  Burning sensation PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110741 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110742 - right foot #4 top blister/callus PL 2, #5 edge callus/blister PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110743 - used pediplasti interdigital spacer today, for right foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110744 - #4-5, per above, ref SDS 0 YYSQ, left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110745 - shoulder PL 1, left elbow PL 1 intermitant.  Did not take 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110746 - 200 mg for pain and inflammation management - avoided 2 Naproxen may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110747 - trigger AFL, reported in research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110748 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110749 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110750 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110751 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110752 - take Nuun electrolyte pill, per above. ref SDS 0 YWVV  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110753 - and hiked back to YV.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110754 - mile uphill 3% - 4% grade against wind 04 mph.  At mile 11, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110755 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110756 - Campus.  Stopped at Administration Building mile 11 time 1518 temp 77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110758 - and wind 10 mph; EKG looks perfectly uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110759 - reported HR 112 (indicating no AFL) Tachycardis - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110760 - ref SDS 0 PQTW  Polar reported HR did not drop severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110761 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110762 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110763 - feet PL 1, burning sensation PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110764 - left foot #5 edge blister/callus PL 1, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110765 - blister/callus PL 1, #5 edge callus/blister PL 3, used pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110766 - interdigital spacer today, for right foot between #4-5, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110767 - ref SDS 0 YYSQ, left knee meniscus PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110768 - elbow PL 1 intermitant.  Did not take 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110769 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110770 - in research on 240428 1939. ref SDS 37 YP8F  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110771 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110772 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110773 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110774 - energy to complete hike.  Did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110775 - above. ref SDS 0 YWVV  Exited college heading North downhill Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110776 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110777 - grade .5 miles.  At mile 12, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110778 - 3% grade .5 miles against wind 05 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110779 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110780 - avoid severe camber.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110781 - downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110782 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110783 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110784 - hike mile 14 time 1618 temp 78, wind 10, feet PL 2, left foot #5 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110785 - right foot #4 top blister/callus PL 4, right foot Tailor's bunions PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110786 - 0 (no Naproxen) shin splints PL 1, left knee PL 1 (swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110787 - knee PL 0, left shoulder PL 1, neck and right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110788 - intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110789 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110790 - Tachycardia - see below. ref SDS 0 PQVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110803 -  ..
110804 - Kardia recorded HR 047 at 0926, Bradycardia, uniforme heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110805 - lengths with p-waves and no artifact; not AFL after hiking 26 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110806 - yesterday, and taking Naproxen yesterday, after ending Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110807 - Gabapentin on 240406, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110808 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110809 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110810 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110813 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110814 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240519-ecg-092617_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110819 -  ..
110820 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110821 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110822 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110824 -  ..
110825 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110828 -       Date       240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 240229 2  
110829 -       Miles         14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      0      
110830 -       HR AVG       108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no     no      
110831 -         MAX        130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report report     
110832 -         Min         57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                                
110833 -       El Climb Ft  305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                                
110834 -       Temp Max      78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                                
110835 -       Wind Max      12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                                
110836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110838 -              https://flow.polar.com/training/analysis/7883206377                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110841 -               ..
110843 -   
110844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110848 -  ..
110849 - EKG at mile 07 time 1408 HR 105 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110850 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110851 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110854 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110855 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240519-ecg-140846_mile_07_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110859 -  ..
110860 - EKG at mile 11 time 1518 HR 112 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110861 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110862 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110865 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110866 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240519-ecg-151826_mile_11_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110870 -  ..
110871 - End hike EKG at mile 14, time 1618 HR 112 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110872 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110873 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110876 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110877 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240519-ecg-161803_mile_14_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110881 -  ..
110882 - Post hike HR profile beginning 2227 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110883 - overnight after hiking 14 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110884 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110885 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110886 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110888 -        ..
110889 -       Date      240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309  240308    
110890 -       Time       2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227    2033     
110891 -       Hours        10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10      13     
110892 -       HR AVG       62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68      63     
110893 -       HR MAX      118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     102     
110894 -       HR Min       34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46      45     
110895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110897 -              https://flow.polar.com/training/analysis/7883663385                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110900 -               ..
110902 -   
110903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110906 -  ..
110907 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110908 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110909 - Dinner - macaroni cheese hamburger broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110911 -  ..
110912 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110941 -         ..
110942 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110943 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110944 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110945 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110946 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110947 -  141.  240520 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110948 -               0720....BP HR..................................................... 153  88  50  Kardia ECG reports HR status, see below. ref SDS 0 2UFT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110949 -               0725....BP HR..................................................... 147  89  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110950 -               0730....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110951 -               0735....80 397560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110952 -               1000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110954 -                   Today, switched from magnesium oxide 400 mg to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110955 -                   magnesium glycinate, malate & citrate with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110956 -                   expectation of increased energy, per analysis by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110957 -                   Microsoft AI on 240519 1653. ref SDS 42 EV54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110959 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110960 -               1000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110961 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110962 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110963 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110964 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
110965 -  ..
110966 -         * cr  1023....miles...........  23.0  23.0  388   388 minutes  temp  80 wind 21  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110967 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110968 -               1303....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110969 -               1303....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110970 -               1303... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110971 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110972 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
110973 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110974 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110975 -               1428....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110976 -               1603....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110977 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110978 -               1603... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110980 -                   After taking 2nd magnesium capsule, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110981 -                   experience expected energy increase.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110983 -               1518... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110984 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110985 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110986 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110987 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110988 -               1725... Hike ends mile 23... ref SDS 0 7UEJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110989 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110990 -               1740....weight.................................... 165  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110991 -               1744....BP HR..................................................... 117  80 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110992 -               2055....BP HR..................................................... 113  79 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110993 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110994 -               2020... 40 110240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
110995 -             1 0000............ 10 19790  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110996 -             1 0000............ 10 20130  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
110997 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110998 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110999 -               2130... 40 86140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111000 -               2200... 1000 2128000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111001 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111002 -               2330... 80 397640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111003 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111004 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111005 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111008 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111009 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111010 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111011 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111012 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111013 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111014 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111015 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111018 -  ..
111019 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111020 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111022 -  ..
111023 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111024 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111027 -  ..
111028 - Today, hiked 23 miles - took Magnesium Glycinate, Malate, & Citrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111029 - 300 mg pill, tried swallowing whole, - ate chia seeds with it. -- good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111030 - energy started 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111031 - Turtle Creek Road, Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111032 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.25 miles; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111033 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111034 - Stopped mile 09, for EKG, hydration and nutrition.  Took Naproxen to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111035 - manage pain and inflammation.  Hiked 8 mile loop through Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111036 - development and back to college.  At mile 19, took 2nd magnesium 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111037 - mg capsule.  Continued to feel tired with temperature 80, rather than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111038 - have a resurgence of energy.  Hiked 4 miles home ending at 23 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111039 - instead of over summit and doing 30 miles as planned.  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111040 - 6 wide shoes with 2 pair socks.  Bandage left foot #5 worked well with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111041 - good positioning.  Used neoprene toe sleeve on right foot #4 instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111042 - of New pediplasti interdigital spacer - worked well.  Did not flip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111043 - into AFL.  Dropped 6 pounds with temp 80, only 2nd time 165 in 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111044 - years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111047 -         ..
111048 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111049 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111050 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis today, as occurred yesterday, so did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                   
111051 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111052 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111053 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111054 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111055 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111056 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111057 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111058 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111059 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111060 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
111061 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111062 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111063 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
111064 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111065 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111066 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111067 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
111068 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111069 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111070 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111071 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111072 -        Knee right meniscus PRP 190816...............   0        100  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111073 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111074 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111075 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111076 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111077 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111078 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111079 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111080 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111081 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111082 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
111083 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
111084 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111085 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111086 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111087 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
111088 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
111089 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
111090 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111091 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
111092 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
111093 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111094 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111095 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111096 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111097 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111098 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111099 -        Callus ring toe #4 top right foot............   4         10  Doctor Tang on 240517 made new pediplasti interdigital spacer - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                               
111100 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
111101 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111102 -        Callus little toe #5 left foot...PRP 210705..   2         60  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
111103 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111104 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111105 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111106 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
111107 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111108 -        Burning sensation both feet..................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111109 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111110 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111111 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111112 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111113 -        Veering left.................................   4         15  seemed to begin about mile 18 at college got gradually worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111114 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111115 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111116 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111117 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111118 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111119 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111121 -  ..
111122 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111123 - Brooks Ghost size 10 x-wide - worked great for hiking: #5 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111124 - pinched less with better positioning of bandage, and wearing 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111125 - socks to reduce callus and blistering.  Right foot worked sort of okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111126 - #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111128 -  ..
111129 - Orthotic inserts - switched to custom inserts created by Doctor Tang,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111130 - combined with Brooks Ghost shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111131 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111133 -  ..
111134 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111135 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111136 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111138 -  ..
111139 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111140 - 0701, ref SDS 16 NS7J  Today, wore 2nd spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111141 - at VAMCSF on 240517 0900, ref SDS 41 BL6N, today, instead of spacer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111142 - between toes, applied neoprene toe sleeve that slips onto #4.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111143 - worked very well entire hike - no pain on top of #4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111145 -  ..
111146 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111147 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111148 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111149 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111150 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111153 -  ..
111154 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111155 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111156 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111157 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111158 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111159 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111160 - Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111161 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111162 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111163 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111164 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111165 - HDL, per above. ref SDS 0 PRRT  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111166 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111167 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111168 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111169 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111170 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111171 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111172 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111173 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111174 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111175 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111176 - left, onto Treat about 1 mile.  Feet starting hike feeling like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111177 - and needles - peripheral neuropathy taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111178 - nose entire hike without dyspnea.  Temp started at 67, and reached 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111179 - West wind 21 mph and mostly 08 mph - cool breeze.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111180 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111181 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111182 - very light traffic.  At mile 3, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111183 - Park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111184 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111185 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111186 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111187 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111188 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111189 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111190 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111191 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111192 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111193 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111194 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111195 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111196 - West 1 mile uphill 3% - 4% grade against wind 06 mph.  At mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111197 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111198 - Concord Campus.  Hiked 2 1.5-mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111199 - parking lots.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111200 - Building mile 09 time 1303 temp 76 and wind 07 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111201 - uniform with some artifact.  Kardia reported HR 106 (indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111202 - AFL) Tachycardia - see below. ref SDS 0 P5M2  Polar reported HR did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111203 - not drop severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111204 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111205 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111206 - sensation PL 2, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111207 - blister/callus PL 1, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111208 - callus/blister PL 0, used neoprene toe sleeve on #4 instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111209 - pediplasti interdigital spacer today, for right foot between #4-5, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111210 - above, ref SDS 0 PSXW, left knee meniscus PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111211 - left elbow PL 1 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111212 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111213 - in research on 240428 1939. ref SDS 37 YP8F  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111214 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111215 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111216 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111217 - energy to complete hike.  Did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111218 - above. ref SDS 0 PRRT  Hiked another partial loop through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111219 - lots.  Exited college heading North downhill Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111220 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111221 - mile 10, turned left onto Crystal Ranch Road.  Hiked South 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111222 - uphill 5% grade against 06 mph wind.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111223 - through nose without dyspnea nor stopping.  At summit continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111224 - grade .5 miles, then downhill .25 miles 5% grade.  Hiked past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111225 - Woods Way uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111226 - 07 mph.  Road ends at top of hill.  Did not hike back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111227 - .25 mile and then back to top.  Stopped mile 13 time 1428, temp 79,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111228 - wind 07 mph; EKG mostly uniform with minor artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111229 - HR 122 (HR - no wait nor different locations to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111230 - connection...) Tachycardia - see below. ref SDS 0 P85A  Feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111231 - burning sensation PL 1, left foot #5 PL 1, right foot #4, top PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111232 - with pressure from top of shoe, left foot tailor's bunion PL 0, calves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111233 - PL 0 left knee PL 0, left shoulder PL 1, left elbow PL 0, nothing to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111234 - eat or drink (NPO), per above. ref SDS 0 PRRT  Fatigued with heat;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111235 - considered taking 2nd magnesium capsule, but held off to next stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111236 - college.  Continued downhill on Crystal Ranch Road 6% grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111237 - At bottom of hill, did not continue uphill, as done in recent days;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111238 - instead, turned right onto Rolling Woods Way hiking East .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111239 - uphill 6% grade against 04 mph wind.  At summit continued downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111240 - miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111241 - onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111242 - wind 13 mph.  At mile 17, reached 2nd time California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111243 - East Bay Concord Campus.  Hiked 1 loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111244 - parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111245 - mile 19, time 1603, temp 80 and wind 18 mph; EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111246 - mild artifact.  Kardia reported HR 120 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111247 - ref SDS 0 PUXQ  Polar reported HR did not drop today, during pause for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111248 - EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111249 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111250 - feet PL 1, right foot Tailor's bunions PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111251 - blister/callus PL 0 (after hiking 19 miles and taking 1 Naproxen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111252 - indicating switching to neoprene toe sleeve on #4 more effective than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111253 - pediplasti interdigital spacer, per above, ref SDS 0 PSXW, right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111254 - PL 1, left knee meniscus PL 0, left shoulder PL 2, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111255 - intermitant, neck to right shoulder PL 8 intermittantly.  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111256 - magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111257 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111258 - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111259 - anyway and allowed to breakdown on top of LESV...)  Generous sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111260 - softdrink carried from home for hydration, swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111261 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111262 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111263 - CoQ10 0.6 ml for HDL and energy to complete hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111264 - electrolyte pill, per above. ref SDS 0 PRRT  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111265 - through faculty and Student parking.  At mile 20, exited college North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111266 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111267 - Hiked West on flat grade .5 miles.  At mile 21, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111268 - Ranch Road uphill 3% grade .5 miles against wind 21 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111269 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111270 - Ygnacio Valley Road to avoid severe camber.  Noticably tired - changed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111271 - plan and hiked Cowell heading North .25 miles downhill 5% grade, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111272 - flat grade .25 miles, then .5 miles with narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111273 - oncoming afternoon commute traffic.  Turned left onto Treat hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111274 - West .25 miles back to Cuneo and home.  Ended hike mile 23 time 1725                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111275 - temp 80, wind 21, feet PL 2, left foot #5 PL 1, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111276 - blister/callus PL 0, right foot Tailor's bunions PL 0 (Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111277 - wearing off) shin splints PL 2, left knee PL 1 (swollen), right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111278 - PL 0, left shoulder PL 1, neck and right shoulder PL 6 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111279 - lower back left side PL 0, left elbow PL 1, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111280 - mostly uniform, with artifact, Kardia reported HR 105 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111281 - see below. ref SDS 0 7UEJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111295 -  ..
111296 - Kardia recorded HR 053 at 0929, Normal Sinus Rhythm, mostly uniforme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111297 - heart beat lengths with p-waves and no artifact; not AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111298 - 14 miles yesterday, and taking not Naproxen yesterday, after ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111299 - Tramadol and Gabapentin on 240406, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111300 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111301 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111302 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111305 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111306 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240520-ecg-092947_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111311 -  ..
111312 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111313 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111314 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111316 -  ..
111317 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111320 -       Date       240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 240301 2  
111321 -       Miles         23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      0      
111322 -       HR AVG       117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no     no      
111323 -         MAX        142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report report re  
111324 -         Min         67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                         
111325 -       El Climb Ft  715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                         
111326 -       Temp Max      80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                         
111327 -       Wind Max      21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                         
111328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111330 -              https://flow.polar.com/training/analysis/7883974485                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111333 -               ..
111335 -   
111336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111340 -  ..
111341 - EKG at mile 09 time 1303 HR 106 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111342 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111343 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111346 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111347 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240520-ecg-130308_mile_09_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111351 -  ..
111352 - EKG at mile 13 time 1428 HR 122 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111353 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111354 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111357 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111358 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240520-ecg-142831_mile_13_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111362 -  ..
111363 - EKG at mile 19 time 1603 HR 120 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111364 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111365 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111368 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111369 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240520-ecg-160339_mile_19_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111373 -  ..
111374 - End hike EKG at mile 23, time 1725 HR 124 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111375 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111376 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111379 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111380 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240520-ecg-172548_mile_23_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111384 -  ..
111385 - Post hike HR profile beginning 2237 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111386 - overnight after hiking 23 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111387 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111388 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111389 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111391 -        ..
111392 -       Date      240519  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310  240309    
111393 -       Time       2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125    2227     
111394 -       Hours         8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11      10     
111395 -       HR AVG       64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67      68     
111396 -       HR MAX      110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     155     
111397 -       HR Min       34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48      46     
111398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111400 -              https://flow.polar.com/training/analysis/7884313453                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111403 -               ..
111405 -   
111406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111409 -  ..
111410 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111411 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111412 - Dinner - hamburger tomato onion mushroom cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111414 -  ..
111415 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111440 -         ..
111441 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111442 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111443 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111444 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111445 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111446 -  142.  240521 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111447 -               0710....BP HR..................................................... 173  88  49  Kardia ECG reports HR status, see below. ref SDS 0 QG4V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111448 -               0715....BP HR..................................................... 159  93  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111449 -               0720....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111450 -               0720....80 397720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111451 -               1020... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111452 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111453 -               1020....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111454 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111455 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111456 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111457 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
111458 -  ..
111459 -               1047....miles...........  14.0  37.0  226   614 minutes  temp  86 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111460 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111461 -               1322....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111462 -               1322....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111463 -               1322... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111464 -               1322... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111465 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111466 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
111467 -               0000....mile 11 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111468 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111469 -               1428....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111470 -               1603....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111471 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111472 -               1603... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111473 -               1518... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111474 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111475 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111476 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111477 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111478 -               1454... Hike ends mile 14... ref SDS 0 7QAD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111479 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111480 -               1500....weight.................................... 168  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111481 -               1510....BP HR..................................................... 112  74  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111482 -               1515....BP HR..................................................... 107  71  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111483 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111484 -               1700... 40 110280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
111485 -               1830............ 10 19800  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111486 -               1830............ 10 20140  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
111487 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111488 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111489 -               2130... 40 86180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111490 -               2200... 1000 2129000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111491 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111492 -               2330... 80 397800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111493 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111494 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111495 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111497 -  ..
111498 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111499 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111501 -  ..
111502 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111503 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111506 -  ..
111507 - Today, hiked 14 miles - took Magnesium Glycinate, Malate, & Citrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111508 - 300 mg pill, tried swallowing whole, - ate chia seeds with it. -- good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111509 - energy started 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111510 - Turtle Creek Road, Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111511 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.25 miles; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111512 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111513 - Stopped mile 09, for EKG, hydration and nutrition.  Took Naproxen to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111514 - manage pain and inflammation. then 4 miles home.  Wore Brooks Ghost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111515 - x-wide shoes with 2 pair socks.  Bandage left foot #5 worked well with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111516 - good positioning.  Used neoprene toe sleeve on right foot #4 instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111517 - of New pediplasti interdigital spacer - worked well.  Did not flip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111518 - into AFL.  Dropped 3 pounds with temp 86 - was affected by heat, had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111519 - to end hike at mile 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111522 -         ..
111523 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111524 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111525 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis today, as occurred yesterday, so did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                   
111526 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111527 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111528 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111529 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111530 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111531 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111532 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111533 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111534 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111535 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
111536 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111537 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111538 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
111539 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111540 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111541 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111542 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
111543 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111544 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111545 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111546 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111547 -        Knee right meniscus PRP 190816...............   0        100  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111548 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111549 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111550 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111551 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111552 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111553 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111554 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111555 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111556 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111557 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
111558 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
111559 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111560 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111561 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111562 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
111563 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
111564 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
111565 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111566 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
111567 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
111568 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111569 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111570 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111571 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111572 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111573 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111574 -        Callus ring toe #4 top right foot............   4         10  Doctor Tang on 240517 made new pediplasti interdigital spacer - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                               
111575 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
111576 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111577 -        Callus little toe #5 left foot...PRP 210705..   2         60  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
111578 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111579 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111580 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111581 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
111582 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111583 -        Burning sensation both feet..................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111584 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111585 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111586 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111587 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111588 -        Veering left.................................   4         15  seemed to begin about mile 08 at college got gradually worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111589 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111590 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111591 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111592 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111593 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111594 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111596 -  ..
111597 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111598 - Brooks Ghost size 10 x-wide - worked great for hiking: #5 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111599 - pinched less with better positioning of bandage, and wearing 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111600 - socks to reduce callus and blistering.  Right foot worked sort of okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111601 - #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111603 -  ..
111604 - Orthotic inserts - switched to custom inserts created by Doctor Tang,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111605 - combined with Brooks Ghost shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111606 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111608 -  ..
111609 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111610 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111611 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111613 -  ..
111614 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111615 - 0701, ref SDS 16 NS7J  Today, did not use 2nd spacer created by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111616 - Tang at VAMCSF on 240517 0900, ref SDS 41 BL6N; instead of spacer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111617 - between toes, applied neoprene toe sleeve that slips onto #4, held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111618 - place with white tape.  This worked very well entire hike - no pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111619 - top of #4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111621 -  ..
111622 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111623 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111624 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111625 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111626 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111629 -  ..
111630 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111631 - protection, mainly left knee, aiding left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111632 - articular injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111633 - CoQ10 depleted by statins, which increases energy and HDL.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111634 - take Naproxen for pain and inflammation management, because may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111635 - causing arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111636 - Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111637 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111638 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111639 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111640 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111641 - HDL, per above. ref SDS 0 MU6N  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111642 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111643 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111644 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111645 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111646 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111647 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111648 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111649 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111650 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111651 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles - had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111652 - return to the house, because forgot to bring sun glasses - and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111653 - left, onto Treat about 1 mile.  Feet starting hike feeling like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111654 - and needles - peripheral neuropathy taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111655 - nose entire hike without dyspnea.  Temp started at 74, and reached 86.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111656 - West wind 12 mph and mostly 04 mph - cool breeze.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111657 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111658 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111659 - very light traffic.  At mile 3, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111660 - Park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111661 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111662 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111663 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111664 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111665 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111666 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111667 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111668 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111669 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111670 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111671 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111672 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111673 - West 1 mile uphill 3% - 4% grade against wind 06 mph.  Crossed paths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111674 - with Kathy heading East.  Visited for a few moments - Kathy saying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111675 - yesterday, she hiked over to Newhall Community Park on Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111676 - Road.  While talking, a young girl came by also going East on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111677 - Drive.  Saw her yesterday, near Ygnacio Valley Road after turning onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111678 - Campus Drive.  Hailed her down.  She came over and made introductions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111679 - Can't remember her name, but we both remembered crossing paths last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111680 - year about this time, when she was home from college and hiking this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111681 - route.  Kathy and the yound lady continued together.  Hiked on up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111682 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111683 - Campus.  Hiked around main buildingsk, then another 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111684 - through Faculty and Student parking lots.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111685 - stopped at Administration Building mile 09 time 1322 temp 83 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111686 - 10 mph; EKG looks mostly uniform with some artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111687 - HR 107 (indicating no AFL) Tachycardia - see below. ref SDS 0 5QX8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111688 - Polar reported HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111689 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111690 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111691 - burning sensation PL 2, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111692 - edge blister/callus PL 0, right foot #4 top blister/callus PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111693 - edge callus/blister PL 0, used neoprene toe sleeve on #4 instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111694 - pediplasti interdigital spacer today, for right foot between #4-5, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111695 - above, ref SDS 0 PXXW, left knee meniscus PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111696 - left elbow PL 1 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111697 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111698 - in research on 240428 1939. ref SDS 37 YP8F  Took 2nd magnesium 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111699 - capsule to maintain energy, per research on 240519 1653. ref SDS 42                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111700 - EV5M  Hopefully, this will avoid low energy that occurred yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111701 - after hiking up Crystal Ranch Road and returning to college in 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111702 - loop.  Even after taking another magnesium 300 mg capsule, seemed too                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111703 - waisted to hike over the summit on Ygnacio Vallery Road.  Will see how                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111704 - this works today.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111705 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111706 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111707 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111708 - not take Nuun electrolyte pill, per above. ref SDS 0 PWQV  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111709 - another loop through Faculty and Student parking lots.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111710 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111711 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11, seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111712 - to have more energy than yesterday.  With temperatue 86, decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111713 - against hiking up Crystal Ranch Road doing the 8-mile loop back to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111714 - college.  Instead of turning, continued uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111715 - against wind 05 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111716 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111717 - camber.  Noticably tired - changed plan and hiked Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111718 - .25 miles downhill 5% grade, then flat grade .25 miles, then .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111719 - with narrow shoulder against oncoming afternoon commute traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111720 - Turned left onto Treat hiking West .25 miles back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111721 - Ended hike mile 14 time 1454 temp 86, wind 11, feet PL 1, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111722 - PL 1, burning sensation PL 2, right foot #4 top blister/callus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111723 - right foot Tailor's bunions PL 0 (Naproxen wearing off) shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111724 - PL 1, left knee PL 1 (not swollen), right knee PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111725 - 1, neck and right shoulder PL 3 intermittantly, lower back left side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111726 - PL 0, left elbow PL 1, when lifting.  EKG looks uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111727 - artifact, Kardia reported HR 109 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111728 - 7QAD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111742 -  ..
111743 - Kardia recorded HR 065 at 0934, Normal Sinus Rhythm, uniforme heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111744 - beat lengths with p-waves and no artifact; not AFL after hiking 23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111745 - miles yesterday, and taking magnesium 300 mg, and taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111746 - yesterday, after ending Tramadol and Gabapentin on 240406, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111747 - 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111748 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111749 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111752 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111753 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240521-ecg-093426_mile_00_065_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111758 -  ..
111759 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111760 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111761 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111763 -  ..
111764 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111767 -       Date       240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303 240302 2  
111768 -       Miles         14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0      0      
111769 -       HR AVG       110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     no      
111770 -         MAX        126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report report re  
111771 -         Min         83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                                  
111772 -       El Climb Ft  305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                                  
111773 -       Temp Max      86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                                  
111774 -       Wind Max      12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                                  
111775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111777 -              https://flow.polar.com/training/analysis/7884638996                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111780 -               ..
111782 -   
111783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111787 -  ..
111788 - EKG at mile 09 time 1322 HR 107 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111789 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111790 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111793 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111794 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240521-ecg-132225_mile_09_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111798 -  ..
111799 - End hike EKG at mile 14, time 1454 HR 109 temp 86 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111800 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111801 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111804 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111805 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240521-ecg-145453_mile_14_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111809 -  ..
111810 - Post hike HR profile beginning 2029 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111811 - overnight after hiking 14 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111812 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111813 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111814 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111816 -        ..
111817 -       Date      240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311  240310    
111818 -       Time       2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208    2125     
111819 -       Hours        12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10      11     
111820 -       HR AVG       65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63      67     
111821 -       HR MAX      113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     120     
111822 -       HR Min       37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44      48     
111823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111825 -              https://flow.polar.com/training/analysis/7885075312                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111828 -               ..
111830 -   
111831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111834 -  ..
111835 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111836 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111837 - Dinner - macaroni cheese hamburger broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111839 -  ..
111840 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111868 -         ..
111869 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111870 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111871 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111872 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111873 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111874 -  143.  240522 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111875 -               0725....BP HR..................................................... 132  77  53  Kardia ECG reports HR status, see below. ref SDS 0 VQ93                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111876 -               0730....BP HR..................................................... 137  84  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111877 -               0735....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111878 -               0735....80 397880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111879 -               1020... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111880 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111881 -               1020....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111882 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111883 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111884 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111885 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
111886 -  ..
111887 -         * cr  1032....miles...........  26.0  63.0  439  1053 minutes  temp  82 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111888 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111889 -               1337....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111890 -               1337....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111891 -               1337... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111892 -               1337... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111893 -               1377....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111894 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
111895 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111896 -               1455....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111897 -               1712....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111898 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111899 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111900 -               1712... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111901 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111902 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111903 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111904 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111905 -               1830... Hike ends mile 26... ref SDS 0 DKW7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111906 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111907 -               1840....weight.................................... 165  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111908 -               1845....BP HR..................................................... 117  79 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111909 -               1855....BP HR..................................................... 110  81 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111910 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111911 -               1900... 40 110320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
111912 -             1 1830............ 10 19800  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111913 -             1 1830............ 10 20140  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
111914 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111915 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111916 -               2130... 40 86220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111917 -               2200... 1000 2130000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111918 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111919 -               2330... 80 397960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111920 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111921 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111922 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111925 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111926 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111927 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111928 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111929 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111930 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111931 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111932 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111935 -  ..
111936 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111937 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111939 -  ..
111940 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111941 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111944 -  ..
111945 - Today, hiked 26 miles - took Magnesium Glycinate, Malate, & Citrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111946 - 300 mg pill, tried swallowing whole, - ate chia seeds with it. -- good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111947 - energy started 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111948 - Turtle Creek Road, Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111949 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.50 miles; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111950 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111951 - Hiked 2 miles through parking lots.  Stopped mile 10, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111952 - hydration and nutrition.  Took Naproxen, magnesium and CoQ10.  Hiked 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111953 - mile loop through Crystal Ranch development hills, and back to college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111954 - at mile 19.  Continued through parking lots for 3 miles, then 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111955 - home.  Wore Hoka Bondi 6 wide shoes with 2 pair socks.  Bandage left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111956 - foot #5 worked well with good positioning.  Used neoprene toe sleeve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111957 - on right foot #4 instead of New pediplasti interdigital spacer -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111958 - worked well.  Did not flip into AFL.  Dropped 6 pounds with temp 83,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111959 - Was less affected by heat, than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111962 -         ..
111963 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111964 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111965 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis today, as occurred yesterday, so did not need Simethicone                                                                                                                                                                                                                                                                                                                                                                                   
111966 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111967 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111968 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111969 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111970 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111971 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111972 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111973 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111974 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111975 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
111976 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111977 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111978 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
111979 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111980 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111981 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111982 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
111983 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111984 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111985 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111986 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111987 -        Knee right meniscus PRP 190816...............   0        100  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111988 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111989 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111990 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111991 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111992 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111993 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111994 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111995 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111996 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111997 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
111998 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
111999 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112000 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112001 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112002 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
112003 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
112004 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
112005 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112006 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
112007 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
112008 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112009 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112010 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112011 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112012 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112013 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112014 -        Callus ring toe #4 top right foot............   0        100  applied neoprene protective sleeve instead of pediplasti interdigital spacer - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                
112015 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
112016 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112017 -        Callus little toe #5 left foot...PRP 210705..   2         60  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
112018 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112019 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112020 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112021 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
112022 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112023 -        Burning sensation both feet..................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112024 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112025 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112026 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112027 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112028 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112029 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112030 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112031 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112032 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112033 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112034 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112036 -  ..
112037 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112038 - Bondi 6 size 10 wide - worked great for hiking: #5 left foot pinched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112039 - less with better positioning of bandage, and wearing 2 pair socks to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112040 - reduce callus and blistering.  Right foot worked sort of okay #5, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112041 - top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112043 -  ..
112044 - Orthotic inserts - switched to Stable Elite purchased from On-The-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112045 - combined with Hoka Bondi 6 shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112046 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112048 -  ..
112049 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112050 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112051 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112053 -  ..
112054 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112055 - 0701, ref SDS 16 NS7J  Today, did not use 2nd spacer created by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112056 - Tang at VAMCSF on 240517 0900, ref SDS 41 BL6N; instead of spacer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112057 - between toes, applied neoprene toe sleeve that slips onto #4, held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112058 - place with white tape.  This worked very well entire hike - no pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112059 - top of #4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112061 -  ..
112062 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112063 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112064 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112065 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112066 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112069 -  ..
112070 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112071 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112072 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112073 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112074 - Naproxen for pain and inflammation management, because may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112075 - arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112076 - Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112077 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112078 - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112079 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112080 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112081 - HDL, per above. ref SDS 0 N7KG  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112082 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112083 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112084 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112085 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112086 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112087 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112088 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112089 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112090 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112091 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112092 - left, onto Treat about 1 mile.  Feet starting hike feeling like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112093 - and needles - peripheral neuropathy taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112094 - nose entire hike without dyspnea.  Temp started at 71, and reached 82.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112095 - West wind 15 mph and mostly 10 mph - cool breeze.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112096 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112097 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112098 - very light traffic.  At mile 2, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112099 - Park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112100 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112101 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112102 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112103 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112104 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112105 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112106 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112107 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112108 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112109 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112110 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112111 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112112 - West 1 mile uphill 3% - 4% grade against wind 10 mph.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112113 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112114 - around main buildingsk, then 2 1-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112115 - Student parking lots.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112116 - Administration Building mile 10 time 1337 temp 81 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112117 - looks mostly uniform with no artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112118 - (indicating no AFL) Tachycardia - see below. ref SDS 0 72PK  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112119 - reported HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112120 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112121 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112122 - burning sensation PL 2, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112123 - edge blister/callus PL 1, left foot #4 bottom blister PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112124 - #4 top blister/callus PL 0, #5 edge callus/blister PL 0, used neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112125 - toe sleeve on #4 instead of pediplasti interdigital spacer today, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112126 - right foot between #4-5, per above, ref SDS 0 QSSQ, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112127 - PL 0, left shoulder PL 1, left elbow PL 1 intermitant.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112128 - Naproxen 200 mg for pain and inflammation management - avoided 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112129 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112130 - ref SDS 37 YP8F  Took 2nd magnesium 300 mg capsule to maintain energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112131 - per research on 240519 1653. ref SDS 42 EV5M  Hopefully, this will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112132 - avoid low energy that occurred yesterday, when unable to hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112133 - Crystal Ranch Road 8-mile loop.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112134 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112135 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112136 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112137 - hike.  Took Nuun electrolyte pill, per above. ref SDS 0 QQUY  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112138 - another loop around main buildings.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112139 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112140 - Hiked West on flat grade .5 miles.  At mile 11, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112141 - Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade against 08 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112142 - wind.  Handled this well breathing through nose without dyspnea nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112143 - stopping.  At summit continued flat grade .5 miles, then downhill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112144 - miles 5% grade.  Hiked past Rolling Woods Way uphill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112145 - Road .5 miles 6% grade against wind 10 mph.  Road ends at top of hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112146 - Stopped mile 14 time 1455, temp 81, wind 10 mph; EKG variable with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112147 - some artifact, Kardia reported HR 112 (HR - 10 minute wait nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112148 - different locations to get cellphone connection...) Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112149 - Fibrillation - see below. ref SDS 0 A58Q  Feet PL 2, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112150 - PL 2, left foot #5 PL 1, right foot #4, top PL 1 with pressure from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112151 - top of shoe, left foot tailor's bunion PL 0, calves PL 0 left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112152 - 0, left shoulder PL 1, left elbow PL 0, nothing to eat or drink (NPO),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112153 - per above. ref SDS 0 QQUY  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112154 - grade .5 miles.  At bottom of hill, continued uphill .25 mile 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112155 - then another .25 mile flat grade.  At Laurel Tree Drive, mile 15,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112156 - turned around hiked back and turned left onto Rolling Woods Way hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112157 - East .5 miles uphill 6% grade with 15 mph wind.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112158 - downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112159 - turned left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112160 - against wind 10 mph.  At mile 18, 2nd time reached California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112161 - University East Bay Concord Campus.  Hiked 2 loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112162 - Student parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112163 - Building mile 22, time 1712, temp 81 and wind 13 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112164 - uniform with no artifact.  Kardia reported HR 118 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112165 - below. ref SDS 0 EV2X  Polar reported HR did not drop today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112166 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112167 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112168 - feet PL 2, burning sensation PL 3, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112169 - right foot #4 top blister/callus PL 1 (after hiking 22 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112170 - taking 1 Naproxen), right knee PL 1, left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112171 - shoulder PL 2, left elbow PL 2 intermitant.  Neck down to right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112172 - shoulder PL 8 intermittantly when raising right arm.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112173 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112174 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112175 - juice) for energy, and avocado for HDL.  Did not take 3rd magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112176 - 300 mg capsule, because decided not to hike over summit and add 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112177 - miles to hike.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112178 - complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112179 - ref SDS 0 QQUY  Hiked another loop around main buildings.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112180 - college North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112181 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 23,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112182 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112183 - wind 13 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112184 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112185 - Hiked West to end concrete traffic barriar.  At mile 24, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112186 - and hiked back .5 miles.  Turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112187 - miles downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112188 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112189 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112190 - hike mile 26 time 1830 temp 77, wind 13, feet PL 1, left foot #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112191 - right foot #4 top blister/callus PL 0, right foot Tailor's bunions PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112192 - 0 (Naproxen wearing off) shin splints PL 2, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112193 - swollen), right knee PL 0, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112194 - PL 8 intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112195 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112196 - Tachycardia - see below. ref SDS 0 DKW7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112210 -  ..
112211 - Kardia recorded HR 062 at 0939, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112212 - lengths with p-waves and artifact; not AFL after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112213 - yesterday, and taking magnesium 300 mg, and taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112214 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112215 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112216 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112217 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112220 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112221 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240522-ecg-093911_mile_00_062_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112226 -  ..
112227 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112228 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112229 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112231 -  ..
112232 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112235 -       Date        240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304 240303   
112236 -       Miles          26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0      0     
112237 -       HR AVG        115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     no     
112238 -         MAX         141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report report r  
112239 -         Min          51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                          
112240 -       El Climb Ft   715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                          
112241 -       Temp Max       82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                          
112242 -       Wind Max       15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                          
112243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112245 -              https://flow.polar.com/training/analysis/7885379960                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112248 -               ..
112250 -   
112251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112255 -  ..
112256 - EKG at mile 10 time 1322 HR 105 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112257 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112258 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112261 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112262 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240522-ecg-133716_mile_10_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112267 -  ..
112268 - EKG at mile 14 time 1455 HR 112 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112269 - Possible Atrial Fibrillation... looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112270 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112273 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112274 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240522-ecg-145544_mile_14_112_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112279 -  ..
112280 - EKG at mile 22 time 1712 HR 118 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112281 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112282 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112285 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112286 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240522-ecg-171244_mile_22_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112290 -  ..
112291 - End hike EKG at mile 26, time 1830 HR 119 temp 77 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112292 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112293 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112296 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112297 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240522-ecg-183058_mile_26_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112301 -  ..
112302 - Post hike HR profile beginning 2058 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112303 - overnight after hiking 26 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112304 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112305 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112306 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112308 -        ..
112309 -       Date      240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312  240311    
112310 -       Time       2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308    2208     
112311 -       Hours        12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9      10     
112312 -       HR AVG       65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62      63     
112313 -       HR MAX      113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     130     
112314 -       HR Min       37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44      44     
112315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112317 -              https://flow.polar.com/training/analysis/7885709408                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112320 -               ..
112322 -   
112323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112326 -  ..
112327 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112328 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112329 - Dinner - eggs cheese hamburger broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112331 -  ..
112332 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112359 -         ..
112360 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112361 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112362 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112363 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112364 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112365 -  144.  240523 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112366 -               0715....BP HR..................................................... 149  82  52  Kardia ECG reports HR status, see below. ref SDS 0 469B                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112367 -               0720....BP HR..................................................... 155  84  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112368 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112369 -               0725....80 398040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112370 -               0840... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112371 -               0840....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112372 -               0840....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112373 -               0840....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112374 -               0840....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112375 -               0840... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112376 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
112377 -  ..
112378 -         * cr  0912....miles...........  25.0  88.0  419  1472 minutes  temp  81 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112379 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112380 -               1215....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112381 -               1215....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112382 -               1215... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112383 -               1215... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112384 -               1215....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112385 -               1320... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
112386 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112387 -               1354....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112388 -               1614....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112389 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112390 -               1614... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112391 -               1614... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112392 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112393 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112394 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112395 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112396 -               1710... Hike ends mile 25... ref SDS 0 RPSW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112397 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112398 -               1730....weight.................................... 166  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112399 -               1735....BP HR..................................................... 111  76 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112400 -               1740....BP HR..................................................... 103  69 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112401 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112402 -               1900... 40 110360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
112403 -               1830............ 10 19810  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112404 -               1830............ 10 20150  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
112405 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112406 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112407 -               2130... 40 86260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112408 -               2200... 1000 2131000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112409 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112410 -               2330... 80 398120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112411 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112412 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112413 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112416 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112417 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112418 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112419 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112420 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112421 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112422 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112423 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112426 -  ..
112427 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112428 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112430 -  ..
112431 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112432 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112435 -  ..
112436 - Today, hiked 25 miles - took Magnesium Glycinate, Malate, & Citrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112437 - 300 mg pill, tried swallowing whole, - ate chia seeds with it. -- good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112438 - energy started 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112439 - Turtle Creek Road, Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112440 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.50 miles; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112441 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112442 - Hiked 2 miles through parking lots.  Stopped mile 10, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112443 - hydration and nutrition.  Took Naproxen, magnesium and CoQ10.  Hiked 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112444 - mile loop through Crystal Ranch development hills, and back to college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112445 - at mile 19.  Continued through parking lots for 3 miles, then 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112446 - home.  Wore Brooks Ghost x-wide shoes with 2 pair doubleply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112447 - Bandage left foot #5 worked well with good positioning.  Used neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112448 - toe sleeve on right foot #4 instead of New pediplasti interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112449 - spacer - worked well.  Did not flip into AFL.  Dropped 6 pounds with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112450 - temp 81, Was less affected by heat, than 2 days ago.  Actually, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112451 - noticably lighter hiking uphill, indicating improved strength and/or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112452 - effects of energy from magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112455 -         ..
112456 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112457 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112458 -        Stomach pain ischemic colitis bloating.......   2          5  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
112459 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112460 -        Hands cramping hurting - post hike...........   3         20  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112461 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112462 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112463 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112464 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112465 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112466 -        Shoulder left myopathy statins...............   2         20  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112467 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112468 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
112469 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112470 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112471 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
112472 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112473 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112474 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112475 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
112476 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112477 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112478 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112479 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112480 -        Knee right meniscus PRP 190816...............   0        100  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112481 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112482 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112483 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112484 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112485 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112486 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112487 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112488 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112489 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112490 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
112491 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
112492 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112493 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112494 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112495 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
112496 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
112497 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
112498 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112499 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
112500 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
112501 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112502 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112503 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112504 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112505 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112506 -        Callus ring toe #4 right foot in web.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112507 -        Callus ring toe #4 top right foot............   0        100  applied neoprene protective sleeve instead of pediplasti interdigital spacer - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                
112508 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
112509 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112510 -        Callus little toe #5 left foot...PRP 210705..   2         60  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
112511 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112512 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112513 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112514 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
112515 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112516 -        Burning sensation both feet..................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112517 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112518 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112519 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112520 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112521 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112522 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112523 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112524 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112525 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112526 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112527 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112529 -  ..
112530 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112531 - Brooks Ghost size 10 x-wide - worked great for hiking: #5 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112532 - pinched less with better positioning of bandage, and wearing 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112533 - socks to reduce callus and blistering.  Right foot worked sort of okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112534 - #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112536 -  ..
112537 - Orthotic inserts - switched to custom inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112538 - at VAMCSF combined with Brooks Ghost shoes - see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112539 - 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112541 -  ..
112542 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112543 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112544 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112546 -  ..
112547 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112548 - 0701, ref SDS 16 NS7J  Today, did not use 2nd spacer created by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112549 - Tang at VAMCSF on 240517 0900, ref SDS 41 BL6N; instead of spacer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112550 - between toes, applied neoprene toe sleeve that slips onto #4, held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112551 - place with white tape.  This worked very well entire hike - no pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112552 - top of #4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112554 -  ..
112555 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112556 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112557 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112558 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112559 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112562 -  ..
112563 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112564 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112565 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112566 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112567 - Naproxen for pain and inflammation management, because may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112568 - arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112569 - Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112570 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112571 - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112572 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112573 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112574 - HDL, per above. ref SDS 0 F85K  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112575 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112576 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112577 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112578 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112579 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112580 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112581 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112582 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112583 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112584 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112585 - left, onto Treat about 1 mile.  Feet starting hike feeling like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112586 - and needles - peripheral neuropathy taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112587 - nose entire hike without dyspnea.  Temp started at 71, and reached 82.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112588 - West wind 15 mph and mostly 10 mph - cool breeze.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112589 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112590 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112591 - very light traffic.  At mile 2, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112592 - Park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112593 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112594 - At stop sign, woman driving SUV asked to talk.  She turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112595 - Acadamy Road and stopped.  Her name is Katie.  She asked usual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112596 - questions about hiking distance, and also asked about effect on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112597 - health.  Explained heart surgery in October 2009, being allergic to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112598 - statins.  Fortunately hiking raises HDL and EPCs regresses plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112599 - blood vessels.  Explained earlier history hiking with Millie for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112600 - cancer care, beginning in 2002; she lived nearly 10 years stage IV by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112601 - hiking at Lafayette Reservoir.  Katie said she loves hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112602 - Lafayette Reservoir.  Explained past 3 years helping Kathy with her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112603 - pelatonial cancer.  Kathie said thanks for explaining health benefits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112604 - of hiking.  She wants to get into it.  Continued on Ayers.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112605 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112606 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112607 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112608 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112609 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112610 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112611 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112612 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112613 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112614 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112615 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112616 - West 1 mile uphill 3% - 4% grade against wind 10 mph.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112617 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112618 - around main buildingsk, then 2 1-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112619 - Student parking lots.  Saw Lisa hurring to get her dogs into the car,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112620 - and she drove off before saying hello.  Continuing through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112621 - lots, Lisa drove up and asked, if I had seen a black and white dog?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112622 - Said yes, it was running across the 3rd level parking lot toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112623 - Lisa's car 5 minutes earlier.  Lisa said the dog is new, not yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112624 - trained to stay with the pack.  Murphy ran off.  Lisa drove across the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112625 - street.  Could see Zane looking for the dog across Campus Drive.  I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112626 - hiked up the hill behind where Lisa parks.  Looked for Murphy about 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112627 - minutes, then continued hike.  About 20 minutes later got a message                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112628 - from Lisa; she found Murphy.  Back at Visitor Parking, used Bus stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112629 - bench to sit and remove shoes to pick stickers from socks that got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112630 - stuck looking for Murphy.  At the Administration Building mile 10 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112631 - 1215 temp 76 and wind 07 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112632 - Kardia reported HR 098 (indicating no AFL) Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112633 - below. ref SDS 0 8SN3  Polar reported HR did not drop severely today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112634 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112635 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112636 - RU6M  Both feet PL 1, burning sensation PL 2, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112637 - bunions PL 0, left foot #5 edge blister/callus PL 0, left foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112638 - bottom blister PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112639 - callus/blister PL 0, used neoprene toe sleeve on #4 instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112640 - pediplasti interdigital spacer today, for right foot between #4-5, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112641 - above, ref SDS 0 QXPP, left knee meniscus PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112642 - left elbow PL 1 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112643 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112644 - in research on 240428 1939. ref SDS 37 YP8F  Took 2nd magnesium 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112645 - capsule to maintain energy, per research on 240519 1653. ref SDS 42                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112646 - EV5M  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112647 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112648 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112649 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112650 - electrolyte pill, per above. ref SDS 0 QVSS  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112651 - main buildings.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112652 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112653 - grade .5 miles.  At mile 11, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112654 - Hiked South 1 mile uphill 5% grade with 08 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112655 - well breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112656 - continued flat grade .5 miles, then downhill .25 miles 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112657 - Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5 miles 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112658 - grade with wind 10 mph.  Road ends at top of hill.  Stopped mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112659 - time 1354, temp 80, wind 09 mph; EKG variable with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112660 - reported HR 106 (HR - 10 minute wait nor different locations to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112661 - cellphone connection...) Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112662 - ref SDS 0 RPQT  Feet PL 1, burning sensation PL 2, left foot #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112663 - right foot #4, top PL 0 with pressure from top of shoe, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112664 - tailor's bunion PL 0, calves PL 0 left knee PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112665 - left elbow PL 0, nothing to eat or drink (NPO), per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112666 - QVSS Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112667 - bottom of hill, continued uphill .25 mile 5% grade then another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112668 - mile flat grade.  At Laurel Tree Drive, mile 15, turned around hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112669 - back and turned left onto Rolling Woods Way hiking East .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112670 - uphill 6% grade with 15 mph wind.  At summit continued downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112671 - miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112672 - onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112673 - wind 10 mph.  At mile 19, 2nd time reached California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112674 - East Bay Concord Campus.  Hiked 2 loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112675 - parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112676 - mile 22, time 1614, temp 81 and wind 11 mph; EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112677 - minor artifact.  Kardia reported HR 115 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112678 - ref SDS 0 RPRV  Polar reported HR did not drop today, during pause for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112679 - EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112680 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112681 - feet PL 1, burning sensation PL 3, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112682 - right foot #4 top blister/callus PL 0 (after hiking 22 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112683 - taking 1 Naproxen), right knee PL 0, left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112684 - shoulder PL 2, left elbow PL 2 intermitant.  Neck down to right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112685 - shoulder PL 8 intermittantly when raising right arm.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112686 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112687 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112688 - juice) for energy, and avocado for HDL.  Took 3rd magnesium 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112689 - capsule, because decided not to hike over summit and add 6 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112690 - hike; however, feeling weak; this tests recovery in heat.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112691 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112692 - take another Nuun electrolyte pill, per above. ref SDS 0 QVSS  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112693 - hike another loop around main buildings.  Exited college North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112694 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112695 - Hiked West on flat grade .5 miles.  At mile 23, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112696 - Ranch Road uphill 3% grade .5 miles against wind 10 mph - cool breeze                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112697 - very helpful relieving effects of heat.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112698 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112699 - avoid severe camber.  Continued on Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112700 - downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112701 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112702 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112703 - hike mile 25 time 1710 temp 80, wind 14, feet PL 2, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112704 - PL 2, left foot #5 PL 0, right foot #4 top blister/callus PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112705 - foot Tailor's bunions PL 0 (Naproxen wearing off) shin splints PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112706 - left knee PL 1 (not swollen), right knee PL 0, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112707 - neck and right shoulder PL 8 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112708 - 0, left elbow PL 1, when lifting.  EKG looks uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112709 - artifact, Kardia reported HR 115 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112710 - RPSW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112724 -  ..
112725 - Kardia recorded HR 060 at 0820,Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112726 - lengths with p-waves and no artifact; not AFL after hiking 26 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112727 - yesterday, and taking magnesium 300 mg, and taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112728 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112729 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112730 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112731 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112734 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112735 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240523-ecg-082035_mile_00_060_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112740 -  ..
112741 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112742 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112743 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112745 -  ..
112746 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112749 -       Date        240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305 240304   
112750 -       Miles          25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0      0     
112751 -       HR AVG        110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     no     
112752 -         MAX         134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report report r  
112753 -         Min          62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84                   
112754 -       El Climb Ft   715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495                   
112755 -       Temp Max       82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54                   
112756 -       Wind Max       15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2                   
112757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112759 -              https://flow.polar.com/training/analysis/7886058160                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112762 -               ..
112764 -   
112765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112769 -  ..
112770 - EKG at mile 10 time 1215 HR 098 temp 76, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112771 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112772 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112775 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112776 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240523-ecg-121540_mile_10_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112781 -  ..
112782 - EKG at mile 14 time 1354 HR 106 temp 80, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112783 - Atrial Fibrillation... looks variable with no artifact - medical case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112784 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112787 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112788 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240523-ecg-135420_mile_14_106_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112793 -  ..
112794 - EKG at mile 22 time 1614 HR 115 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112795 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112796 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112799 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112800 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240523-ecg-161415_mile_22_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112804 -  ..
112805 - End hike EKG at mile 25, time 1710 HR 115 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112806 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112807 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112810 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112811 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240523-ecg-171048_mile_25_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112815 -  ..
112816 - Post hike HR profile beginning 2009 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112817 - overnight after hiking 25 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112818 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112819 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112820 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112822 -        ..
112823 -       Date      240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313  240312    
112824 -       Time       2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342    2308     
112825 -       Hours         9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9       9     
112826 -       HR AVG       66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63      62     
112827 -       HR MAX      116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     121     
112828 -       HR Min       40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43      44     
112829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112831 -              https://flow.polar.com/training/analysis/7886333414                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112834 -               ..
112836 -   
112837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112840 -  ..
112841 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112842 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112843 - Dinner - steak tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112845 -  ..
112846 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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112871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112874 -         ..
112875 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112876 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112877 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112878 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112879 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112880 -  145.  240524 0540............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112881 -               0540....BP HR..................................................... 149  82  52  Kardia ECG reports HR status, see below. ref SDS 0 RTYU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112882 -               0545....BP HR..................................................... 155  84  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112883 -               0550....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112884 -               0550....80 398040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112885 -               0600... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112886 -               0600....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112887 -               0600....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112888 -               0600....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112889 -               0600....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112890 -               0600... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112891 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
112892 -  ..
112893 -               0635....miles...........  15.0  88.0  241  1713 minutes  temp  60 wind 24  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112894 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112895 -               0000....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112896 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112897 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112898 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112899 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112900 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
112901 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112902 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112903 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112904 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112905 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112906 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112907 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112908 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112909 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112910 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112911 -               1038... Hike ends mile 15... ref SDS 0 K381                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112912 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112913 -               1050....weight.................................... 170  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112914 -               1055....BP HR..................................................... 119  74 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112915 -               1100....BP HR..................................................... 115  78  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112916 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112917 -               1700... 40 110360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
112918 -             1 0000............ 10 19810  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112919 -             1 0000............ 10 20150  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
112920 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112921 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112922 -               2130... 40 86260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112923 -               2200... 1000 2131000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112924 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112925 -               2330... 80 398120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112926 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112927 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112928 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112931 -  ..
112932 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112933 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112935 -  ..
112936 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112937 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112940 -  ..
112941 - Today, hiked 15 miles - took Magnesium Glycinate, Malate, & Citrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112942 - 300 mg pill, tried swallowing whole; took Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112943 - inflammation control - had chia seeds with it. -- good energy started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112944 - 5 mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112945 - Road, Ayers to Clayton Road, mile 3, then South 1 mile and turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112946 - on Ygnacio Valley Road 1 mile.  Hiked East on Pine Hollow 0.25 miles;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112947 - turned around and hiked back.  Turned West 1 mile uphill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112948 - Drive to college.  Hiked 4 miles through parking lots. then 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112949 - home.  Wore Hoka Bondi 6 wide shoes with 2 pair doubleply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112950 - Bandage left foot #5 worked well with good positioning.  Used only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112951 - white tape on right foot #4 instead of New pediplasti interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112952 - spacer - did not work well.  Did not flip into AFL.  Dropped 2 pounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112953 - with temp mostly 57, Very high winds made hike difficult.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112956 -         ..
112957 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112958 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112959 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
112960 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112961 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112962 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112963 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112964 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112965 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112966 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112967 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112968 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112969 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
112970 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112971 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112972 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
112973 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112974 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112975 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112976 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
112977 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112978 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112979 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112980 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112981 -        Knee right meniscus PRP 190816...............   0        100  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112982 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112983 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112984 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112985 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112986 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112987 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112988 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112989 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112990 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112991 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
112992 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
112993 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112994 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112995 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112996 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
112997 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
112998 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
112999 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113000 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
113001 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
113002 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113003 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113004 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113005 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113006 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113007 -        Callus ring toe #4 right foot in web.........   3         40  recurrance on #4 in web next to #5 has gotten worse, white tape was not effective                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113008 -        Callus ring toe #4 top right foot............   2         20  did not apply neoprene protective sleeve instead of pediplasti interdigital spacer - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                          
113009 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
113010 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113011 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
113012 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113013 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113014 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113015 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
113016 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113017 -        Burning sensation both feet..................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113018 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113019 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113020 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113021 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113022 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113023 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113024 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113025 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113026 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113027 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113028 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113030 -  ..
113031 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113032 - Bondi 6 size 10 wide - worked great for rebound energy hiking: #5 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113033 - foot pinched less with better positioning of bandage, and wearing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113034 - pair socks to reduce callus and blistering.  Right foot worked sort of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113035 - okay #5, and top #4 injured last few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113037 -  ..
113038 - Orthotic inserts - switched to Stable Elite purchased from On-The-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113039 - combined with Hoka Bondi 6 shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113040 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113042 -  ..
113043 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113044 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113045 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113047 -  ..
113048 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113049 - 0701, ref SDS 16 NS7J  Today, used new spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113050 - at VAMCSF on 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113051 - web between #4 and #5 right foot; combined with neoprene toe sleeve to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113052 - protect top of #4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113054 -  ..
113055 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113056 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113057 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113058 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113059 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113062 -  ..
113063 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113064 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113065 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113066 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113067 - Naproxen for pain and inflammation management, because may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113068 - arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113069 - Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113070 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113071 - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113072 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113073 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113074 - HDL, per above. ref SDS 0 F85K  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113075 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113076 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113077 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113078 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113079 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113080 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113081 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113082 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113083 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113084 - TL6I  Did not take backpack to carry stuff.  Hiked Cuneo .25 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113085 - turned left, onto Treat about 1 mile.  Feet starting hike feeling like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113086 - pins and needles - peripheral neuropathy taking statins.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113087 - through nose entire hike without dyspnea.  Temp started at 52, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113088 - reached 60.  West wind 24 mph and mostly 21 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113089 - .5 miles.  Stopped at Union 76 Texaco on Treat and Cowell for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113090 - softdrink to take Naproxen that manages pain and inflammation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113091 - Attendant did not charge for partial cup of softdrink from dispenser.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113092 - Continued hiking - difficult because of wind.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113093 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113094 - flat grade, some places 2% uphill, and very light traffic.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113095 - did not hike across Newhall Community Park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113096 - on Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113097 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113098 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113099 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113100 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113101 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113102 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113103 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113104 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113105 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113106 - store mile 5, time ____.  Turned left hiked 0.25 miles East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113107 - Hollow.  Turned around and hiked back to YV.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113108 - Drive hiking West 1 mile uphill 3% - 4% grade against wind 24 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113109 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113110 - Concord Campus.  Hiked 3-1.5 -mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113111 - parking lots.  Back at Visitor Parking Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113112 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113113 - Hiked West on flat grade .5 miles.  At mile 12, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113114 - Crystal Ranch Road and hiked South uphill .25 mile; turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113115 - hiked back.  Turned left onto Ygnacio Valley Road hiking uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113116 - grade .5 miles against wind 22 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113117 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113118 - severe camber.  Continued on Cowell heading North .25 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113119 - 5% grade, then flat grade .25 miles, then .5 miles with narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113120 - shoulder against oncoming afternoon commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113121 - Treat hiking West .25 miles back to Cuneo and home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113122 - 15 time 1038 temp 60, wind 21, feet PL 1, burning sensation PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113123 - foot #5 PL 0, right foot #4 top blister/callus web PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113124 - Tailor's bunions PL 0, shin splints PL 1, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113125 - swollen), right knee PL 0, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113126 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113127 - lifting.  EKG looks variable, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113128 - 090 Unclassified - see below. ref SDS 0 K381                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113142 -  ..
113143 - Kardia EKG not performed...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113148 -  ..
113149 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113150 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113151 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113153 -  ..
113154 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113157 -       Date        240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313 240312 240311 240310 240309 240308 240307 240306 240305   
113158 -       Miles          15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     25     31     21     25     25      0     11      0     
113159 -       HR AVG        105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109    108    108    110    113    125     no    125     no     
113160 -         MAX         132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135    136    134    127    146    146  report   140  report r  
113161 -         Min          66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     36     65     70     40     42            84            
113162 -       El Climb Ft   305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715    715    715    495    495    600           495            
113163 -       Temp Max       57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     62     62     63     62     67            54            
113164 -       Wind Max       24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     12     15     12     11      8             2            
113165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113167 -              https://flow.polar.com/training/analysis/7886518038                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113170 -               ..
113172 -   
113173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113178 -  ..
113179 - End hike EKG at mile 15, time 1038 HR 090 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113180 - Unclassified... looks variable with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113181 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113184 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113185 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240524-ecg-103804_mile_15_090_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113189 -  ..
113190 - Post hike HR profile beginning 1930 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113191 - overnight after hiking 14 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113192 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113193 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113194 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113196 -        ..
113197 -       Date      240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314  240313    
113198 -       Time       1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349    2342     
113199 -       Hours        11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8       9     
113200 -       HR AVG       66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67      63     
113201 -       HR MAX      119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     127     
113202 -       HR Min       42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43      43     
113203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113205 -              https://flow.polar.com/training/analysis/7887041237                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113208 -               ..
113210 -   
113211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113214 -  ..
113215 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113216 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113217 - Dinner - hamburger cheese tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113219 -  ..
113220 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113247 -         ..
113248 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113249 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113250 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113251 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113252 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113253 -  146.  240525 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113254 -               0720....BP HR..................................................... 161  81  48  Kardia ECG reports HR status, see below. ref SDS 0 7XP3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113255 -               0725....BP HR..................................................... 145  80  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113256 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113257 -               0730....80 398200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113258 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113259 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113260 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113261 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113262 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113263 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113264 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113265 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113266 -               1700... 40 110400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
113267 -               1830............ 10 19820  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
113268 -               1830............ 10 20160  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
113269 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113270 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113271 -               2130... 40 86300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113272 -               2200... 1000 2132000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113273 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113274 -               2330... 80 398280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113275 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113276 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113277 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113280 -  ..
113281 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113282 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113284 -  ..
113285 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113286 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113291 -  ..
113292 - Kardia recorded HR 047 at 0725,Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113293 - lengths with p-waves and minor artifact; not AFL after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113294 - yesterday, and taking magnesium 300 mg, and taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113295 - after ending Tramadol and Gabapentin on 240406, and after 5th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113296 - ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113297 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113298 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113301 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113302 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240525-ecg-072502_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113307 -  ..
113308 - Post hike HR profile beginning 2005 aligns with indoor activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113309 - overnight after hiking 00 miles and no extended period steady elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113310 - HR > 130, indicates no AFL, and after 5th cardiac ablation on 231214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113311 - 0630. ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113312 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113314 -        ..
113315 -       Date      240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317  240316  240315  240314    
113316 -       Time       1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017    0010    2146    2349     
113317 -       Hours        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7      11      12       8     
113318 -       HR AVG       66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68      72      61      67     
113319 -       HR MAX      119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     158     117     109     
113320 -       HR Min       42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40      41      43      43     
113321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113323 -              https://flow.polar.com/training/analysis/7887785650                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113326 -               ..
113328 -   
113329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113332 -  ..
113333 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113334 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113335 - Dinner - eggs macaroni cheese hamburger broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113337 -  ..
113338 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113366 -         ..
113367 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113368 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113369 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113370 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113371 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113372 -  147.  240526 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113373 -               0720....BP HR..................................................... 149  81  52  Kardia ECG reports HR status, see below. ref SDS 0 SQWU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113374 -               0725....BP HR..................................................... 140  85  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113375 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113376 -               0730....80 398360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113377 -               1100... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113378 -               1100....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113379 -               1100....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113380 -               1100....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113381 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113382 -               1100... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113383 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
113384 -  ..
113385 -         * cr  1130....miles...........  27.0 130.0  470  2183 minutes  temp  81 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113386 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113387 -               1349....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113388 -               1349....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113389 -               1349... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113390 -               1349... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113391 -               1349... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113392 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113393 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
113394 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113395 -               1544....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113396 -               1723....mile 19 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113397 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113398 -               1723... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113399 -               1723... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113400 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113401 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113402 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113403 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113404 -               1952... Hike ends mile 27... ref SDS 0 S3A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113405 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113406 -               2005....weight.................................... 166  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113407 -               2019....BP HR.....................................................  83  61  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113408 -               2015....BP HR.....................................................  94  77  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113409 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113410 -               2005... 40 110440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
113411 -             1 0000............ 10 19820  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
113412 -             1 0000............ 10 20160  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
113413 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113414 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113415 -               2130... 40 86340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113416 -               2200... 1000 2133000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113417 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113418 -               2330... 80 398440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113419 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113420 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113421 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113424 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113425 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113426 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113427 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113428 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113429 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113430 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113431 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113434 -  ..
113435 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113436 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113438 -  ..
113439 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113440 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113443 -  ..
113444 - Today, hiked 27 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113445 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113446 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113447 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113448 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.50 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113449 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113450 - Hiked 3 miles through parking lots.  Stopped mile 10, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113451 - hydration and nutrition.  Took Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113452 - inflammation.  Took another Magnesium complex 300 mg for energy.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113453 - CoQ10 for energy and HDL.  Hiked 9-mile Crystal Ranch road loop uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113454 - and back to college.  Continued 4-miles through parking lots.  Hiked 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113455 - miles home.  Wore Brooks Ghost x-wide shoes with 2 pair socks and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113456 - bandages for feet injuries.  After correction at mile 10, bandages                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113457 - worked perfectly.  Did not flip into AFL taking Naproxen,  Had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113458 - ischemic colitis - took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113462 -         ..
113463 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113464 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113465 -        Stomach pain ischemic colitis bloating.......   2         10  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
113466 -        Side ache vasodilation ischemic colitis......   4         20  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113467 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113468 -        Chest pain...................................   0        100  did not notice pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113469 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113470 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113471 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113472 -        Neck turning head/chest left or right........   9          1  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113473 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113474 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113475 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
113476 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113477 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113478 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
113479 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113480 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113481 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113482 -        Knee left meniscus...PRP 231121..............   1         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
113483 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113484 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113485 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113486 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113487 -        Knee right meniscus PRP 190816...............   2         10  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113488 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113489 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113490 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113491 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113492 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113493 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113494 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113495 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113496 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113497 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
113498 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                               
113499 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113500 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113501 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113502 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
113503 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
113504 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
113505 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113506 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
113507 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
113508 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113509 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113510 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113511 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113512 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113513 -        Callus ring toe #4 right foot in web.........   3         40  recurrance on #4 in web next to #5 has gotten worse, pad with white tape not effective at mile 10 switched to Doctor Tang's pediplasti spacer worked rest of hike                                                                                                                                                                                                                                                                                                                                                                            
113514 -        Callus ring toe #4 top right foot............   2         30  applied  neoprene protective sleeve instead of pediplasti interdigital spacer - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                               
113515 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
113516 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113517 -        Callus little toe #5 left foot...PRP 210705..   1         20  Doctor Tang cut out core of callus again on 240517 - applied callus pad cutout held in place with tape - pressure less most of hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                   
113518 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113519 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113520 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113521 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
113522 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113523 -        Burning sensation both feet..................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113524 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113525 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113526 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113527 -        Peripheral neruopathy top right hand.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113528 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113529 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113530 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113531 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113532 -        AFL...5th ablation on 231214.................   0        100  Polar shows AFL did not occur entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113533 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113534 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113536 -  ..
113537 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113538 - Brooks Ghost size 10 x-wide - worked great extra wide reduced lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113539 - pressure on both feet.  Better bandaging was helpful, and wearing 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113540 - pair socks to reduce callus and blistering.  Right foot worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113541 - after switching at mile 10, from a simple pad to pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113542 - interdigital spacer between #4 and #5 on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113544 -  ..
113545 - Orthotic inserts - switched to custom inserts created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113546 - at VAMCSF combined with Brooks Ghost shoes - see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113547 - 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113549 -  ..
113550 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113551 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113552 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113554 -  ..
113555 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113556 - 0701, ref SDS 16 NS7J  Today, did not use 2nd spacer created by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113557 - Tang at VAMCSF on 240517 0900, ref SDS 41 BL6N; tried today neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113558 - sleeve that slips onto #4, held in place with white tape.  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113559 - well to prevent pain and inflammation from top of shoe rubbing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113560 - bruse-like wound.  Also placed a pad to protect callus wound on web                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113561 - of #4,  This did not work. At mile 08, stopped and switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113562 - pediplasti spacer between #4 and #5. This worked well rest of 26 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113563 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113565 -  ..
113566 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113567 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113568 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113569 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113570 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113573 -  ..
113574 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113575 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113576 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113577 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113578 - Naproxen for pain and inflammation management, because may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113579 - arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113580 - Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113581 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113582 - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113583 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113584 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113585 - HDL, per above. ref SDS 0 368M  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113586 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113587 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113588 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113589 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113590 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113591 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113592 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113593 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113594 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113595 - TL6I  Did not take backpack to carry stuff.  Hiked Cuneo .25 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113596 - turned left, onto Treat about 1 mile.  Feet starting hike feeling like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113597 - pins and needles - peripheral neuropathy taking statins.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113598 - through nose entire hike without dyspnea.  Temp started at 68, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113599 - reached 80.  West wind 12 mph and mostly 07 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113600 - .50 miles.  Turned right hiking South on Turtle Creek Road with wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113601 - asphalt shoulder of Turtle Creek Road.  Route 1.5 miles mostly flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113602 - grade, some places 2% - 3% uphill, and very light traffic.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113603 - did not hike across Newhall Community Park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113604 - on Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113605 - East .75 miles on narrower asphalt road shoulder with heavy traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113606 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113607 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113608 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113609 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113610 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113611 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113612 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113613 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113614 - Texaco Gas Station store mile 5, time ____.  Turned left hiked 0.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113615 - miles East on Pine Hollow.  Turned around and hiked back to YV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113616 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113617 - against wind 12 mph.  At mile 8, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113618 - State University East Bay Concord Campus.  Had to sit at bus station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113619 - bench and remove pad between right foot #4 and #5, that was causing PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113620 - 4, and place pediplasti interdigital spacer, per above. ref SDS 0 SPXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113621 - Stopped at Administration Building mile 08 time 1349 temp 77 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113622 - 08 mph; EKG looks uniform with no artifact.  Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113623 - Tachycardis - see below. ref SDS 0 EW5J (indicating no AFL - and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113624 - low, because hiking was paused 10 minutes to change bandaging on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113625 - foot #4 and #5 web, per above. ref SDS 0 SPXP)  Polar failed today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113626 - about mile 20, so all data is lost for this hike - could not report HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113627 - did not drop severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113628 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113629 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113630 - Brooks Ghost size 10 x-wide shoes, with custom orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113631 - created by Doctor Ting at VAUCSF and 2 pair double ply socks, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113632 - above. ref SDS 0 YTSV  Burning sensation PL 2, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113633 - bunions PL 0, left foot #5 edge blister/callus PL 1, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113634 - blister/callus PL 1, #5 edge callus/blister PL 0, used pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113635 - interdigital spacer today, for right foot between #4-5, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113636 - ref SDS 0 YTUR, left knee meniscus PL 0, left shoulder PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113637 - elbow PL 2 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113638 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113639 - in research on 240428 1939. ref SDS 37 YP8F  Took Gabapentin 300 mg to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113640 - complement Naproxen for pain and peripheral neuropathy relief.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113641 - 2nd Magnesium complex 300 mg pill for energy.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113642 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113643 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113644 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113645 - energy to complete hike.  Did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113646 - above. ref SDS 0 RYQU  Hiked 2 1-mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113647 - Student parking.  At mile 10, exited college heading North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113648 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113649 - flat grade .5 miles.  At mile 11, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113650 - Hiked South 1 mile uphill 5% grade against 05 mph wind (helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113651 - cooling breeze).  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113652 - dyspnea nor stopping.  At summit continued flat grade .5 miles, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113653 - downhill .25 miles 5% grade.  Hiked past Rolling Woods Way uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113654 - Crystal Ranch Road .5 miles 6% grade with wind 12 mph.  Road ends at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113655 - top of hill.  Hike back down hill about .25 mile and then back to top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113656 - Stopped mile 14 time 1544, temp 81, wind 12 mph; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113657 - artifact, Kardia reported HR 116 (HR - 5 minute wait nor different                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113658 - locations to get cellphone connection...) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113659 - ref SDS 0 N46I  Feet PL 1, burning sensation PL 1, left foot #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113660 - right foot #4, top PL 1 with pressure from top of shoe, #4 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113661 - web next to #5 PL 0, left foot tailor's bunion PL 0, calves PL 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113662 - knee PL 0, right knee PL 1, left shoulder PL 1, left elbow PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113663 - nothing to eat or drink (NPO), per above. ref SDS 0 RYQU  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113664 - downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom of hill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113665 - continued uphill .25 mile 5% grade then another .25 mile flat grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113666 - At Laurel Tree Drive, mile 15, turned around hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113667 - left onto Rolling Woods Way heading East .5 miles uphill 6% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113668 - 10 mph wind.  At summit continued downhill .66 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113669 - onto Pine Hollow.  Hiked 1 mile and turned left onto Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113670 - Hiked West 1 mile uphill 3% - 4% grade against wind 08 mph.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113671 - 2nd time California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113672 - around main campus buildings.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113673 - Administration Building mile 19, time 1723, temp 80 and wind 12 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113674 - EKG mostly uniform with no artifact.  Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113675 - Tachycardia - see below. ref SDS 0 V283  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113676 - drop today, during pause for EKG, hydration and nutrition, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113677 - study on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113678 - ref SDS 34 RU6M  Both feet PL 1, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113679 - right foot #4 top blister/callus PL 1 (after hiking 19 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113680 - taking 1 Naproxen), indicating neoprene toe sleeve with tape was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113681 - effective, callus in web next to #5 PL 0, indicating pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113682 - interdigital spacer applied at mile 10 during 1st stop is effective,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113683 - per above, ref SDS 0 SPXP, right knee PL 1, left knee meniscus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113684 - left shoulder PL 1, left elbow PL 1 intermitant.  Feeling noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113685 - weak and bloated.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113686 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113687 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113688 - Took 3rd Magnesium complex 300 mg for energy to complete hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113689 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113690 - take Nuun electrolyte pill, per above. ref SDS 0 RYQU  Hiked 2 2-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113691 - loops through faculty and Student parking.  At mile 23, exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113692 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113693 - Hiked West on flat grade .5 miles.  At mile 24, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113694 - Ranch Road uphill 3% grade .5 miles against wind 08 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113695 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113696 - Ygnacio Valley Road to avoid severe camber.  Hiked West to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113697 - concrete traffic barriar.  At mile 25, turned around and hiked back .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113698 - miles.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113699 - grade, then flat grade .25 miles, then .5 miles with narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113700 - against oncoming afternoon commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113701 - hiking West .25 miles back to Cuneo and home.  Ended hike mile 27 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113702 - 1952 temp 73, wind 10, feet PL 1, left foot #5 PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113703 - blister/callus PL 1, callus between web next to #5 PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113704 - Tailor's bunions PL 0, shin splints PL 2, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113705 - swollen), right knee PL 1, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113706 - PL 9 intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113707 - lifting.  EKG looks uniform, with no artifact, Kardia reported HR 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113708 - Tachycardia - see below. ref SDS 0 S3A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113722 -  ..
113723 - Kardia recorded HR 051 at 0718, Unclassified, mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113724 - beat lengths with p-waves and no artifact; not AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113725 - miles yesterday, and taking magnesium 300 mg, and not taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113726 - yesterday, after ending Tramadol and Gabapentin on 240406, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113727 - 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28 PR4W, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113728 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113729 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113732 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113733 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240526-ecg-071823_mile_00_051_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113737 -  ..
113738 - Polar HR GPS system failed today about mile 20 so all data on hike lost...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113742 -  ..
113743 - EKG at mile 08 time 1349 HR 105 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113744 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113745 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113748 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113749 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240526-ecg-134911_mile_08_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113754 -  ..
113755 - EKG at mile 14 time 1544 HR 116 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113756 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113757 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113760 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113761 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240526-ecg-154443_mile_14_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113766 -  ..
113767 - EKG at mile 19 time 1723 HR 118 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113768 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113769 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113772 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113773 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240526-ecg-172344_mile_19_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113777 -  ..
113778 - End hike EKG at mile 27, time 1952 HR 117 temp 73 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113779 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113780 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113783 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113784 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240526-ecg-195200_mile_27_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113788 -  ..
113789 - Polar HR GPS system failed today about mile 20 so all data overnight lost...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113793 -  ..
113794 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113795 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113796 - Dinner - eggs macaroni cheese hamburger broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113798 -  ..
113799 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113828 -         ..
113829 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113830 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113831 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113832 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113833 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113834 -  148.  240527 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113835 -               0720....BP HR...................AFL............................... 125  96 136  Kardia ECG reports HR status, see below. ref SDS 0 STVY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113836 -               0725....BP HR...................AFL............................... 122  98 137                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113837 -               1252....BP HR...................AFL............................... 122  90 139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113838 -               1941....BP HR...................AFL............................... 113  80 144                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113839 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113840 -               0730....80 398520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113841 -               1100... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113842 -               1100....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113843 -               1100....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113844 -               1100....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113845 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113846 -               1100... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113847 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113848 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113849 -               2000... 40 110480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
113850 -               1830............ 10 19830  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
113851 -               1830............ 10 20170  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
113852 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113853 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113854 -               2130... 40 86380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113855 -               2200... 1000 2134000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113856 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113857 -               2330... 80 398600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113858 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113859 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113860 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113863 -  ..
113864 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113865 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113867 -  ..
113868 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113869 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113875 -  ..
113876 - Kardia recorded HR 136 at 1001, Tachycardia, perfectly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113877 - beat lengths with p-waves and no artifact; AFL after hiking 27 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113878 - yesterday, and taking magnesium 300 mg, and taking Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113879 - Gabapentin yesterday, after ending Tramadol and Gabapentin on 240406,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113880 - and after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113881 - PR4W, and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113882 - and medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113885 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240527-ecg-100132_mile_00_136_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113889 -  ..
113890 - Follow up Kardia showed HR 145 at 2053, Unclassified, perfectly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113891 - uniform heart beat lengths with p-waves and no artifact; AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113892 - hiking 27 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113895 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113896 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240527-ecg-205316_mile_00_145_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113898 -  ..
113899 - Polar HR GPS system failed today about mile 20 so all data on hike lost...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113902 -  ..
113903 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113904 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113905 - Dinner - macaroni cheese hamburger broccoli onion mushroom potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113907 -  ..
113908 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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113921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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113925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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113927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113936 -         ..
113937 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113938 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113939 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113940 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113941 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113942 -  149.  240528 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113943 -               0720....BP HR..................................................... 110  88 142  Kardia ECG reports HR status, see below. ref SDS 0 SYT4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113944 -               0725....BP HR..................................................... 125  96 142                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113945 -               1030....BP HR..................................................... 108  87 142                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113946 -               1234....BP HR..................................................... 105  83 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113947 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113948 -               0730....80 398680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113949 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113950 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113951 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113952 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113953 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113954 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113955 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113956 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113957 -               1700... 40 110520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
113958 -             1 0000............ 10 19830  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
113959 -             1 0000............ 10 20170  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
113960 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113961 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113962 -               2130... 40 86420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113963 -               2200... 1000 2135000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113964 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113965 -               2330... 80 398760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113966 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113967 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113968 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113971 -  ..
113972 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113973 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113975 -  ..
113976 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113977 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113984 -  ..
113985 - Kardia recorded HR 140 at 0755, Tachycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113986 - lengths with p-waves and some artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113987 - yesterday, and taking magnesium 300 mg, and taking Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113988 - Gabapentin for hike 2 days ago, after ending Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113989 - on 240406, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113990 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113991 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113992 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113995 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113996 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240528-ecg-075517_mile_00_140_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114000 -  ..
114001 - Post hike HR profile beginning 1232 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114002 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114003 - 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114004 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114006 -        ..
114007 -       Date      240528a 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318  240317    
114008 -       Time       1232      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013    0017     
114009 -       Hours        10     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10       7     
114010 -       HR AVG      140   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67      68     
114011 -       HR MAX      165                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     112     
114012 -       HR Min       41                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45      40     
114013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114015 -              https://flow.polar.com/training/analysis/7889426891                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114018 -               ..
114020 -   
114021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114025 -  ..
114026 - Post hike HR profile beginning 2311 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114027 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114028 - 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114029 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114031 -        ..
114032 -       Date      240528b 240528a 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318    
114033 -       Time       2311    1232      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013     
114034 -       Hours         9      10     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10     
114035 -       HR AVG      121     140   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67     
114036 -       HR MAX      153     165                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     
114037 -       HR Min       36      41                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45     
114038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114040 -              https://flow.polar.com/training/analysis/7889726960                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114043 -               ..
114045 -   
114046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114049 -  ..
114050 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114051 - Lunch - grilled cheese sandwich and eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114052 - Dinner - tuna broccoli onion mushroom cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114054 -  ..
114055 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114083 -         ..
114084 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114085 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114086 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114087 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114088 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114089 -  150.  240529 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114090 -               0715....BP HR..................................................... 121  91 141  Kardia ECG reports HR status, see below. ref SDS 0 8TF2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114091 -               0720....BP HR..................................................... 128  97 140                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114092 -               0725....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114093 -               0725....80 398940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114094 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114095 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114096 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114097 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114098 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114099 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114100 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114101 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114102 -               1700... 40 110560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
114103 -               1830............ 10 19840  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
114104 -               1830............ 10 20180  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
114105 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114106 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114107 -               2130... 40 86460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114108 -               2200... 1000 2136000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114109 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114110 -               2330... 80 399020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114111 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114112 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114113 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114116 -  ..
114117 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114118 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114120 -  ..
114121 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114122 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114126 -  ..
114127 - Kardia recorded HR 141 at 0821, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114128 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114129 - yesterday, and taking magnesium 300 mg, and taking Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114130 - Gabapentin for hike 3 days ago, after ending Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114131 - on 240406, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114132 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114133 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114134 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114137 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114138 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240529-ecg-082108_mile_00_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114143 -  ..
114144 - Post hike HR profile beginning 2044 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114145 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114146 - 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114147 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114149 -        ..
114150 -       Date      240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319  240318    
114151 -       Time       2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142    2013     
114152 -       Hours        11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10      10     
114153 -       HR AVG      120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69      67     
114154 -       HR MAX      157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     103     
114155 -       HR Min       38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35      45     
114156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114158 -              https://flow.polar.com/training/analysis/7890423698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114161 -               ..
114163 -   
114164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114169 -  ..
114170 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114171 - Dinner - tuna broccoli onion mushroom cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114172 - Dinner - hot dog broccoli onion mushroom potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114174 -  ..
114175 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114203 -         ..
114204 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114205 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114206 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114207 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114208 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114209 -  151.  240530 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114210 -               0720....BP HR..................................................... 130  97 144  Kardia ECG reports HR status, see below. ref SDS 0 TVP6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114211 -               0725....BP HR..................................................... 129  99 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114212 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114213 -               0730....80 399200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114214 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114215 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114216 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114217 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114218 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114219 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114220 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114221 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114222 -               2000... 40 110600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
114223 -             1 0000............ 10 19840  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
114224 -             1 0000............ 10 20180  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
114225 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114226 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114227 -               2130... 40 86500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114228 -               2200... 1000 2137000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114229 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114230 -               2330... 80 399280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114231 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114232 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114233 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114236 -  ..
114237 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114238 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114240 -  ..
114241 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114242 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114249 -  ..
114250 - Kardia recorded HR 144 at 0749, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114251 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114252 - yesterday, and taking magnesium 300 mg, and taking Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114253 - Gabapentin for hike 4 days ago, after ending Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114254 - on 240406, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114255 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114256 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114257 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114260 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114261 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240530-ecg-074951_mile_00_144_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114266 -  ..
114267 - Post hike HR profile beginning 2101 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114268 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114269 - 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114270 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114272 -        ..
114273 -       Date      240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320  240319    
114274 -       Time       2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112    2142     
114275 -       Hours        10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11      10     
114276 -       HR AVG      115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62      69     
114277 -       HR MAX      157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     112     
114278 -       HR Min       35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42      35     
114279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114281 -              https://flow.polar.com/training/analysis/7891068109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114284 -               ..
114286 -   
114287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114290 -  ..
114291 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114292 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114293 - Dinner - hamburger broccoli onion mushroom potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114295 -  ..
114296 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114324 -         ..
114325 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114326 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114327 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114328 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114329 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114330 -  152.  240531 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114331 -               0715....BP HR......................AFL............................ 133  95 143  Kardia ECG reports HR status, see below. ref SDS 0 KT27                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114332 -               0720....BP HR......................AFL............................ 135  98 146                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114333 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114334 -               0725....80 399360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114335 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114336 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114337 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114338 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114339 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114340 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114341 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114342 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114343 -               1700... 40 110640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
114344 -               1830............ 10 19850  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
114345 -               1830............ 10 20190  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
114346 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114347 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114348 -               2130... 40 86540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114349 -               2200... 1000 2138000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114350 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114351 -               2330... 80 399440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114352 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114353 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114354 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114357 -  ..
114358 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114359 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114361 -  ..
114362 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114363 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114367 -  ..
114368 - Kardia recorded HR 144 at 0748, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114369 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114370 - yesterday, and taking magnesium 300 mg, and taking Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114371 - Gabapentin for hike 4 days ago, after ending Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114372 - on 240406, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114373 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114374 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114375 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114378 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114379 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240531-ecg-074829_mile_00_144_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114385 -  ..
114386 - Post hike HR profile beginning 1911 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114387 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114388 - 130, indicates AFL, and after 5th cardiac ablation on 231214 0630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114389 - ref SDS 28 JG7N  See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114391 -        ..
114392 -       Date      240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321  240320    
114393 -       Time       1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133    2112     
114394 -       Hours        12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11      11     
114395 -       HR AVG       89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61      62     
114396 -       HR MAX      186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     107     
114397 -       HR Min       37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38      42     
114398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114400 -              https://flow.polar.com/training/analysis/7891666312                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114403 -               ..
114405 -   
114406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114409 -  ..
114410 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114411 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114412 - Dinner - rice steak broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114414 -  ..
114415 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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114438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114444 -         ..
114445 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114446 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114447 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114448 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114449 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114450 -  153.  240601 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114451 -               0645....BP HR......................AFL............................ 135  95 143  Kardia ECG reports HR status, see below. ref SDS 0 4CTY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114452 -               0650....BP HR......................AFL............................ 126  96 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114453 -               0655....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114454 -               0655....80 399520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114455 -               0655... 20   60 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114456 -               1000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114457 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114458 -               1000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114459 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114460 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114461 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114462 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
114463 -  ..
114464 -         * cr  1025....miles...........  15.0  15.0  260   260 minutes  temp  77 wind 21  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114465 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114466 -               1324....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114467 -               1324....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114468 -               1324... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114469 -               1324... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114470 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114471 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
114472 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114473 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114474 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114475 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114476 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114477 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114478 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114479 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114480 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114481 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114482 -               1503... Hike ends mile 15... ref SDS 0 T8SP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114483 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114484 -               1515....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114485 -               1530....BP HR....................AFL.............................. 102  77 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114486 -               1550....BP HR....................AFL..............................  98  80 145                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114487 -               1600....BP HR....................AFL..............................  97  82 144                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114488 -               1800....BP HR....................AFL.............................. 120  96 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114489 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114490 -               1700... 40 110680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
114491 -             1 0000............ 10 19850  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
114492 -             1 0000............ 10 20190  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
114493 -               1830... 20   80 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114494 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114495 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114496 -               2130... 40 86580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114497 -               2200... 1000 2139000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114498 -               2240... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114499 -               2330... 80 399600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114500 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114501 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114502 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114505 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114506 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114507 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114508 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114509 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114510 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114511 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114512 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114515 -  ..
114516 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114517 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114519 -  ..
114520 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114521 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114524 -  ..
114525 - Today, hiked 15 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114526 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114527 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114528 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114529 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.50 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114530 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114531 - Hiked 3 miles through parking lots.  Stopped mile 10, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114532 - hydration and nutrition.  Took Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114533 - inflammation.  Took another Magnesium complex 300 mg for energy.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114534 - CoQ10 for energy and HDL.  Continued on Ygnacio Valley Road and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114535 - left heading South uphill on Crystal Ranch Road.  Planned to reach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114536 - summit 2.5 miles up.  About .5 mile felt chest pressure while in AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114537 - Turned around and hiked 3 miles home.  Very windy entire hike.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114538 - Hoka Bondi 6 wide shoes with 2 pair socks and bandages for feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114539 - injuries.  Turned out had wrong bandage on #5 left foot, so had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114540 - shorten hike.  Flipped into AFL about 2 miles after starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114544 -         ..
114545 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114546 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114547 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
114548 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114549 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114550 -        Chest pain...................................   2          5  heading up Crystal Ranch Road 4% grade turned around and hiked home                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114551 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114552 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114553 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114554 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114555 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114556 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114557 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
114558 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114559 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114560 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
114561 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114562 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114563 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114564 -        Knee left meniscus...PRP 231121..............   1         20  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
114565 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114566 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114567 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114568 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114569 -        Knee right meniscus PRP 190816...............   1         10  hurting last 5 miles which has not occurred since 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114570 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114571 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114572 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114573 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114574 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114575 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114576 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114577 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114578 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114579 -        Metatarsalgia left foot...PRP 210705.........   5         20  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00 for unknow reason bottom of fee pain escalated last 2 miles                                                                                                                                                                                                                                                                                                                                   
114580 -        Metatarsalgia right foot..PRP 210705.........   5         20  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00 for unknow reason bottom of fee pain escalated last 2 miles                                                                                                                                                                                                                                                                                                                                   
114581 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114582 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114583 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114584 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
114585 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
114586 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
114587 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114588 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
114589 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240118 - slightly overcut minor bleeding received new shaving tool from Doctor Tang on 240118                                                                                                                                                                                                                                                                                                                                                                                                                    
114590 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114591 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114592 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114593 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114594 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114595 -        Callus ring toe #4 right foot in web.........   1         40  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
114596 -        Callus ring toe #4 top right foot............   1         30  applied  neoprene protective sleeve took 1 Naproxen mile 10 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                                               
114597 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
114598 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114599 -        Callus little toe #5 left foot...PRP 210705..   4         40  Doctor Tang cut out core of callus again on 240517 - used wrong neoprene cover bandage - should have applied callus pad cutout held in place with tape - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                      
114600 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114601 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114602 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114603 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
114604 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114605 -        Burning sensation both feet..................   4         30  don't know why this was much worse today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114606 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114607 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114608 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114609 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114610 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114611 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114612 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114613 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114614 -        AFL...5th ablation on 231214.................   3        100  Polar shows AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114615 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114616 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114618 -  ..
114619 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114620 - Bondi 6 size 10 wide - worked not as well as Brooks Ghost extra wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114621 - Did not use correct bandaging on left foot #5. Severe burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114622 - sensation last few miles new experience.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114624 -  ..
114625 - Orthotic inserts - switched to Stable Elite purchased from On-The-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114626 - combined with Hoka Bondi 6 shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114627 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114629 -  ..
114630 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114631 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114632 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114634 -  ..
114635 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114636 - 0701, ref SDS 16 NS7J  Today, used new spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114637 - at VAMCSF on 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114638 - web between #4 and #5 right foot; combined with neoprene toe sleeve to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114639 - protect top of #4.  Everything worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114641 -  ..
114642 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114643 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114644 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114645 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114646 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114649 -  ..
114650 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114651 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114652 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114653 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114654 - Naproxen for pain and inflammation management, because may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114655 - arrhythmia - AFL, per research on 240428 1939. ref SDS 37 YP8F  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114656 - Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114657 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114658 - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114659 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114660 - peanut butter and margarine and chia seeds for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114661 - HDL, per above. ref SDS 0 F36J  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114662 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114663 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114664 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114665 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114666 - TL6I, and specifically reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114667 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114668 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114669 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114670 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114671 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114672 - left, onto Treat about 1 mile.  Feet starting hike feeling like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114673 - and needles - peripheral neuropathy taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114674 - nose entire hike without dyspnea.  Temp started at 66, and reached 77.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114675 - West wind 21 mph and mostly 18 mph.  Hiked East on Treat .50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114676 - Turned right hiking South on Turtle Creek Road with wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114677 - shoulder of Turtle Creek Road.  Heart seemed in sinus starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114678 - but flipped into AFL about here.  Route 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114679 - some places 2% - 3% uphill, and very light traffic.  At mile 2, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114680 - not hike across Newhall Community Park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114681 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114682 - .75 miles on narrower asphalt road shoulder with heavy traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114683 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114684 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114685 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114686 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114687 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114688 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114689 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114690 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114691 - Texaco Gas Station store mile 5, time ____.  Turned left hiked 0.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114692 - miles East on Pine Hollow.  Turned around and hiked back to YV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114693 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114694 - against wind 20 mph.  At mile 7, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114695 - State University East Bay Concord Campus.  Hike loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114696 - buildings and through Faculty and Student parking lots.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114697 - Visitor Parking stopped at Administration Building mile 10 time 1324                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114698 - temp 74 and wind 19 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114699 - reported HR 149 Unclassified - see below. ref SDS 0 6YPW (indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114700 - AFL - and HR dropped severely today, during pause for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114701 - and nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114702 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 2, wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114703 - Bondi 6 size 10 wide shoes, with Stable Elite inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114704 - On-The-Run, and 2 pair double ply socks, per above. ref SDS 0 TVVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114705 - Burning sensation PL 3, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114706 - edge blister/callus PL 3, right foot #4 top blister/callus PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114707 - edge callus/blister PL 0, used pediplasti interdigital spacer today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114708 - per above, ref SDS 0 TVXS,]^eft knee meniscus PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114709 - 2, left elbow PL 2 intermitant.  Took 1 Naproxen 200 mg for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114710 - inflammation management - avoided 2 Naproxen may trigger AFL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114711 - in research on 240428 1939. ref SDS 37 YP8F  Did not take Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114712 - 300 mg to complement Naproxen for pain and peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114713 - relief, which may have contributed to flipping into AFL on Monday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114714 - 240527, per above. ref SDS 0 RYQU  Took 2nd Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114715 - pill for energy.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114716 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114717 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114718 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114719 - not take Nuun electrolyte pill, per above. ref SDS 0 TUQR  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114720 - college heading North downhill Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114721 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114722 - left onto Crystal Ranch Road.  Hiked South 0.5 mile uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114723 - with 15 mph wind (helpful cooling breeze).  Did not handle this well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114724 - Chest hurting PL 2, feet hurting, breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114725 - dyspnea nor stopping.  At .5 mile stopped and turned around.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114726 - back and turned left onto Ygnacio Valley Road.  Continued uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114727 - grade .5 miles against wind 20 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114728 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114729 - severe camber.  Hiked West to end concrete traffic barriar.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114730 - 13, turned around and hiked back .5 miles.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114731 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114732 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114733 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114734 - and home.  Ended hike mile 15 time 1503 temp 77, wind 18, feet PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114735 - (very unusual wearing Hoka Bondi 6 shoes), left foot #5 PL 4, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114736 - foot #4 top blister/callus PL 1, right foot Tailor's bunions PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114737 - (Naproxen wearing off) shin splints PL 0, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114738 - swollen), right knee PL 0, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114739 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114740 - lifting.  EKG looks uniform (perfect like AFL) with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114741 - Kardia reported HR 151 Unclassified - see below. ref SDS 0 T8SP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114753 -  ..
114754 - Kardia recorded HR 143 at 0653, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114755 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114756 - yesterday, and taking magnesium 300 mg, and taking Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114757 - Gabapentin for hike 4 days ago, after ending Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114758 - on 240406, and after 5th cardiac ablation (atypical) on 231214 0630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114759 - ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114760 - ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114761 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114764 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114765 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240601-ecg-065357_mile_00_143_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114769 -  ..
114770 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114771 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114772 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114774 -  ..
114775 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114777 -                                                 x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114778 -       Date        240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314 240313   
114779 -       Miles          15     0      0      0      0      0      26     12     15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     30     
114780 -       HR AVG        146    no     no     no     no     no     110    101    105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097    109     
114781 -         MAX         155  report report report report report   139    148    132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112    135     
114782 -         Min          64                                        71     77     66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     72     
114783 -       El Climb Ft   415                                       715    415    305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275    715     
114784 -       Temp Max       77                                        72     52     57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     67     
114785 -       Wind Max       21                                        21     15     24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     11     
114786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114788 -              https://flow.polar.com/training/analysis/7891909671                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114791 -               ..
114793 -   
114794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114798 -  ..
114799 - EKG at mile 10 time 1324 HR 149 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114800 - Unclassified... looks uniform (like AFL) with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114801 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114804 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114805 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240601-ecg-132452_mile_10_149_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114809 -  ..
114810 - End hike EKG at mile 15, time 1503 HR 151 temp 77 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114811 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114812 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114815 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114816 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240601-ecg-150309_mile_15_151_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114820 -  ..
114821 - Post hike HR profile beginning 2046 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114822 - hiking 15 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114823 - 130, indicates no AFL, but possible atril fibrillation, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114824 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114825 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114827 -        ..
114828 -       Date      240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323  240321    
114829 -       Time       2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313    2133     
114830 -       Hours        11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10      11     
114831 -       HR AVG       62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58      61     
114832 -       HR MAX      149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     167     
114833 -       HR Min       38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35      38     
114834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114836 -              https://flow.polar.com/training/analysis/7892356203                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114839 -               ..
114841 -   
114842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114845 -  ..
114846 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114847 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114848 - Dinner - rice steak broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114850 -  ..
114851 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114879 -         ..
114880 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114881 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114882 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114883 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114884 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114885 -  154.  240602 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114886 -               0710....BP HR......................AFL............................ 129  96 144  Kardia ECG reports HR status, see below. ref SDS 0 B5DZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114887 -               0715....BP HR......................AFL............................ 128  92 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114888 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114889 -               0720....80 399680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114890 -               0720... 20  100 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114891 -               1230... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114892 -               1230....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114893 -               1230....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114894 -               1230....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114895 -               1230....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114896 -               1230... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114897 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
114898 -  ..
114899 -         * cr  1308....miles...........  16.0  31.0  263   523 minutes  temp  82 wind 18  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114900 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114901 -               1628....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114902 -               1628....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114903 -               1628... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114904 -               1628... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114905 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114906 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
114907 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114908 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114909 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114910 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114911 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114912 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114913 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114914 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114915 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114916 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114917 -               1759... Hike ends mile 16... ref SDS 0 82K3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114918 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114919 -               1810....weight.................................... 170  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114920 -               1820....BP HR....................AFL.............................. 105  77 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114921 -               1850....BP HR....................AFL.............................. 113  87 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114922 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114923 -               1820... 40 110720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                                                       
114924 -               1840............ 10 19860  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
114925 -               1840............ 10 20200  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
114926 -               1850... 20  120 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114927 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114928 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114929 -               2130... 40 86620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114930 -               2200... 1000 2140000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114931 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114932 -               2330... 80 399760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114933 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114934 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114935 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114938 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114939 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114940 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114941 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114942 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114943 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114944 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114945 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114948 -  ..
114949 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114950 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114952 -  ..
114953 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114954 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114957 -  ..
114958 - Today, hiked 16 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114959 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114960 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114961 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114962 - Valley Road 1 mile.  Hiked East on Pine Hollow 1.00 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114963 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114964 - Hiked 3 miles through parking lots.  Stopped mile 11, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114965 - hydration and nutrition.  Took Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114966 - inflammation.  Feet hurting today.  Took another Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114967 - mg for energy.  Took CoQ10 for energy and HDL.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114968 - Valley Road past Crystal Ranch Road 4 miles home.  Very windy entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114969 - hike.  Wore Hoka Bondi 6 wide shoes with 2 pair socks and bandages for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114970 - feet injuries.  Turned out had wrong bandage on #5 left foot, so had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114971 - to shorten hike, and caused severe blood blister top #5.  Was in AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114972 - entire hike despite taking Metoprolol twice yesterday, and again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114973 - today. ref SDS 0 RE9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114977 -         ..
114978 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114979 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114980 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
114981 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114982 -        Hands cramping hurting - post hike...........   3         20  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114983 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114984 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114985 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114986 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114987 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114988 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114989 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114990 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
114991 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114992 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114993 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
114994 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114995 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114996 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114997 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
114998 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114999 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115000 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115001 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115002 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115003 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115004 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115005 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115006 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115007 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115008 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115009 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115010 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115011 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115012 -        Metatarsalgia left foot...PRP 210705.........   5         20  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00 for unknow reason bottom of fee pain escalated last 2 miles                                                                                                                                                                                                                                                                                                                                   
115013 -        Metatarsalgia right foot..PRP 210705.........   5         20  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00 for unknow reason bottom of fee pain escalated last 2 miles                                                                                                                                                                                                                                                                                                                                   
115014 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115015 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115016 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115017 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
115018 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
115019 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
115020 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115021 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
115022 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 240517 - blistering today, so need further scaple care                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115023 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115024 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115025 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115026 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115027 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115028 -        Callus ring toe #4 right foot in web.........   1         40  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
115029 -        Callus ring toe #4 top right foot............   1         30  applied  neoprene protective sleeve took 1 Naproxen mile 10 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                                               
115030 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
115031 -        Blister ring toe left foot.new 240602........   5         20  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 11 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
115032 -        Callus little toe #5 left foot...PRP 210705..   4         40  Doctor Tang cut out core of callus again on 240517 - used wrong neoprene cover bandage - should have applied callus pad cutout held in place with tape - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                      
115033 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115034 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115035 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115036 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
115037 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115038 -        Burning sensation both feet..................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115039 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115040 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115041 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115042 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115043 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115044 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115045 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115046 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115047 -        AFL...5th ablation on 231214.................   3        100  Polar shows AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115048 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115049 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115051 -  ..
115052 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115053 - 6 size 10 wide again - worked not as well as Brooks Ghost extra wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115054 - Despite using correct bandaging on left foot #5, developed severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115055 - blister on inside top #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115057 -  ..
115058 - Orthotic inserts - Used Stable Elite again purchased from On-The-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115059 - combined with Hoka Bondi 6 shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115060 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115062 -  ..
115063 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115064 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115065 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115067 -  ..
115068 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115069 - 0701, ref SDS 16 NS7J  Today, used new spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115070 - at VAMCSF on 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115071 - web between #4 and #5 right foot; combined with neoprene toe sleeve to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115072 - protect top of #4.  May have made mistake not using Pediplast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115073 - interdigital spacer between #4 and #5 left foot.  There are several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115074 - which have not been used for months.  The spacer for the left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115075 - reported not well made by trainee on 230518 0900. ref SDS 24 ZP3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115076 - Seems that not using the spacer on left foot today, resulted in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115077 - blister on top and inside edge #5.  Did not carry this on hike, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115078 - removed bandaging on #5 edge, and shifted to protect new blister from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115079 - continuing pressure from top of shoe.  This worked only partially.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115080 - Need to bring the left foot pediplast interdigital spacer in backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115081 - on hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115083 -  ..
115084 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115085 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115086 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115087 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115088 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115091 -  ..
115092 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115093 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115094 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115095 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115096 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115097 - may be causing arrhythmia - AFL, per research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115098 - ref SDS 37 YP8F  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115099 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115100 - ref SDS 42 VY92...) - designed to swallow, but too big to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115101 - LESV; swallowed anyway and allowed to breakdown on top of LESV...  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115102 - small amount peanut butter and margarine and chia seeds for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115103 - and avocado for HDL, per above. ref SDS 0 RE9N  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115104 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115105 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115106 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115107 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115108 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115109 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115110 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115111 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115112 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115113 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115114 - and turned left, onto Treat about 1 mile.  Feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115115 - like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115116 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115117 - 71, and reached 82.  West wind 18 mph and mostly 12 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115118 - on Treat .50 miles.  Turned right hiking South on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115119 - with wide asphalt shoulder 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115120 - - 3% uphill, and very light traffic.  At mile 2, did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115121 - Newhall Community Park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115122 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115123 - narrower asphalt road shoulder with moderate traffic.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115124 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115125 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115126 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115127 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115128 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115129 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115130 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115131 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115132 - Texaco Gas Station store mile 5, time ____.  Turned left hiked 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115133 - mile East on Pine Hollow.  Just past Camino Salano turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115134 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115135 - uphill 3% - 4% grade against wind 18 mph.  At mile 8, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115136 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115137 - loops through Faculty and Student parking lots.  Left foot hurting so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115138 - had to change step and slow pace to reduce pain.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115139 - Parking stopped at Administration Building mile 11 time 1628 temp 82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115140 - and wind 14 mph; EKG looks uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115141 - reported HR 150 Unclassified - see below. ref SDS 0 48ST (indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115142 - AFL)  HR did not drop severely today, during pause for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115143 - and nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115144 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3, wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115145 - Bondi 6 size 10 wide shoes, with Stable Elite inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115146 - On-The-Run, and 2 pair double ply socks, per above. ref SDS 0 TSTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115147 - Burning sensation PL 1 mpt severe. right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115148 - left foot #5 edge blister/callus PL 1, new severe blister top and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115149 - wrapping inside between toes; had to remove shoe and sock.  Moved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115150 - bandaging from edge to new blister - only worked partially rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115151 - hike 5 miles home, per above, ref SDS 0 TSUX, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115152 - blister/callus PL 1, #5 edge callus/blister PL 0, used pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115153 - interdigital spacer today, per above, ref SDS 0 TSUX, Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115154 - meniscus PL 1, left shoulder PL 2, left elbow PL 2 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115155 - 1 Naproxen 200 mg for pain and inflammation management - avoided 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115156 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115157 - ref SDS 37 YP8F  Did not take Gabapentin 300 mg to complement Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115158 - for pain and peripheral neuropathy relief, which may have contributed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115159 - to flipping into AFL on 240527, per above. ref SDS 0 RYQU  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115160 - Magnesium complex 300 mg pill for energy.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115161 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115162 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115163 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115164 - to complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115165 - ref SDS 0 TQXW  Exited college heading North downhill Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115166 - slowly, because of pain from new blister #5 left foot.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115167 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115168 - 12, continued past Crystal Ranch Road, uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115169 - against wind 20 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115170 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115171 - camber.  Hiked West to end concrete traffic barriar.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115172 - turned around and hiked back .5 miles.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115173 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115174 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115175 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo
115176 -  ..
115177 - and home.  Ended hike mile 16 time 1759 temp 77, wind 11, feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115178 - burning sensation PL 3, left foot #5 PL 5 new blood blister, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115179 - foot #4 top blister/callus PL 1, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115180 - shin splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115181 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115182 - left side PL 0, left elbow PL 1, when lifting.  EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115183 - (perfect like AFL) with no artifact, Kardia reported HR 151                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115184 - Unclassified - see below. ref SDS 0 82K3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115196 -  ..
115197 - Kardia recorded HR 144 at 1013, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115198 - lengths with p-waves and no artifact; AFL after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115199 - yesterday, and taking Metoprolol, magnesium 300 mg, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115200 - Naproxen yesterday, after ending Tramadol and Gabapentin on 240406,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115201 - and after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115202 - PR4W, and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115203 - and medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115206 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115207 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240602-ecg-101350_mile_00_144_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115213 -  ..
115214 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115215 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115216 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115218 -  ..
115219 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115221 -                                                 x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115222 -       Date        240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329 240328 240327 240326 240325 240324 240323 240322 240321 240320 240319 240318 240317 240316 240315 240314   
115223 -       Miles          16     15     0      0      0      0      0      26     12     15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     25     28     26      0      0      0      0     25     21     25     12     30     26      0      8     
115224 -       HR AVG        147    146    no     no     no     no     no     110    101    105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no      no   106    120     no     no     no     no    107    105    116    108    114    123     no    097     
115225 -         MAX         153    155  report report report report report   139    148    132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report  report  146    146  report report report report   132    126    139    122    141    152  report   112     
115226 -         Min          86     64                                        71     77     66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65                   43     70                                 52     58     39     73     52     70            60     
115227 -       El Climb Ft   305    415                                       715    415    305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                                715    715    715    715    715                         495    495    715           615           715    715    715                                715    715    715    450    715    715           275     
115228 -       Temp Max       82     77                                        72     52     57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            61     59     66                                 70     72     73     72     73     72            68     
115229 -       Wind Max       18     21                                        21     15     24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            12     12     12                                 14     10     10      8     10     12            16     
115230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115232 -              https://flow.polar.com/training/analysis/7892627453                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115235 -               ..
115237 -   
115238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115242 -  ..
115243 - EKG at mile 11 time 1628 HR 150 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115244 - Unclassified... looks uniform (like AFL) with mild artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115245 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115248 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115249 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240602-ecg-162852_mile_11_150_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115253 -  ..
115254 - End hike EKG at mile 16, time 1759 HR 151 temp 77 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115255 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115256 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115259 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115260 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240602-ecg-175916_mile_16_151_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115264 -  ..
115265 - Post hike HR profile beginning 1932 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115266 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115267 - 130, indicates no AFL, but possible atril fibrillation, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115268 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115269 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115271 -        ..
115272 -       Date      240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324  240323    
115273 -       Time       1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940    2313     
115274 -       Hours        13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12      10     
115275 -       HR AVG       83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62      58     
115276 -       HR MAX      160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     115     
115277 -       HR Min       36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40      35     
115278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115280 -              https://flow.polar.com/training/analysis/7892976891                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115283 -               ..
115285 -   
115286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115289 -  ..
115290 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115291 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115292 - Dinner - rice steak broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115294 -  ..
115295 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115323 -         ..
115324 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115325 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115326 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115327 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115328 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115329 -  155.  240603 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115330 -               0715....BP HR......................AFL............................ 138 100 141  Kardia ECG reports HR status, see below. ref SDS 0 S8MQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115331 -               0720....BP HR......................AFL............................ 133 100 140                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115332 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115333 -               0725....80 399840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115334 -               0725... 20  140 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115335 -               0930... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
115336 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115337 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115338 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115339 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115340 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115341 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115342 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115343 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115344 -               0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
115345 -             1 0000............ 10 19860  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115346 -             1 0000............ 10 20200  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115347 -               0000... 20  160 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115348 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115349 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115350 -               2130... 40 86660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115351 -               2200... 1000 2141000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115352 -               2210... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115353 -               2330... 80 399920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115354 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115355 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115356 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115359 -  ..
115360 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115361 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115363 -  ..
115364 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115365 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115372 -  ..
115373 - Kardia recorded HR 141 at 0832, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115374 - lengths with p-waves and no artifact; AFL after hiking 16 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115375 - yesterday, and taking Metoprolol, magnesium 300 mg, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115376 - Naproxen yesterday, after ending Tramadol and Gabapentin on 240406,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115377 - and after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115378 - PR4W, and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115379 - and medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115382 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115383 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240603-ecg-083206_mile_00_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115389 -  ..
115390 - Post hike HR profile beginning 1126, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115391 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115392 - 130, indicates AFL, and possible atril fibrillation, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115393 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115394 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115396 -        ..
115397 -       Date      240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324    
115398 -       Time       1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940     
115399 -       Hours         6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12     
115400 -       HR AVG      113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62     
115401 -       HR MAX      147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     
115402 -       HR Min       43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40     
115403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115405 -              https://flow.polar.com/training/analysis/7893324864                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115408 -               ..
115410 -   
115411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115414 -  ..
115415 - Post hike HR profile beginning 2011 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115416 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115417 - 130, indicates no AFL, but possible atril fibrillation, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115418 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115419 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115421 -        ..
115422 -       Date      240603b 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325  240324    
115423 -       Time       2011    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058    1940     
115424 -       Hours        11      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13      12     
115425 -       HR AVG      104      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68      62     
115426 -       HR MAX      155     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     120     
115427 -       HR Min       38      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36      40     
115428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115430 -              https://flow.polar.com/training/analysis/7893652733                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115433 -               ..
115435 -   
115436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115439 -  ..
115440 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115441 - Lunch - hot dog cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115442 - Dinner - eggs rice steak broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115444 -  ..
115445 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115475 -         ..
115476 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115477 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115478 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115479 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115480 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115481 -  156.  240604 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115482 -               0720....BP HR......................AFL............................ 143 102 141  Kardia ECG reports HR status, see below. ref SDS 0 U3JP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115483 -               0725....BP HR......................AFL............................ 137  96 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115484 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115485 -               0730....80 400000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115486 -               0000... 20  140 Metoprolol Tartrate paused today on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115487 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
115488 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115489 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115490 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115491 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115492 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115493 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115494 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115495 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115496 -               0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
115497 -               1830............ 10 19870  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115498 -               1830............ 10 20210  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115499 -               0000... 20  140 Metoprolol Tartrate paused today on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115500 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115501 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115502 -               2130... 40 86700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115503 -               2200... 1000 2142000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115504 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115505 -               2330... 80 400080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115506 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115507 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115508 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115510 -  ..
115511 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115512 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115514 -  ..
115515 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115516 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115523 -  ..
115524 - Kardia recorded HR 138 at 0758, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115525 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115526 - yesterday, and taking Metoprolol, magnesium 300 mg, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115527 - Naproxen yesterday, after ending Tramadol and Gabapentin on 240406,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115528 - and after 5th cardiac ablation (atypical) on 231214 0630, ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115529 - PR4W, and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115530 - and medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115533 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115534 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240604-ecg-075820_mile_00_138_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115539 -  ..
115540 - Post hike HR profile beginning 0937, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115541 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115542 - 130, indicates AFL, and possible atril fibrillation, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115543 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115544 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115546 -        ..
115547 -       Date      240604a 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325    
115548 -       Time       0937    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058     
115549 -       Hours        10       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13     
115550 -       HR AVG      118     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68     
115551 -       HR MAX      148     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     
115552 -       HR Min       47      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36     
115553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115555 -              https://flow.polar.com/training/analysis/7894044612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115558 -               ..
115560 -   
115561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115564 -  ..
115565 - Post hike HR profile beginning 2057 aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115566 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115567 - 130, indicates no AFL, but possible atril fibrillation, and after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115568 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115569 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115571 -        ..
115572 -       Date      240604b 240603b 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326  240325    
115573 -       Time       2057    2011    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211    2058     
115574 -       Hours        11      11      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11      13     
115575 -       HR AVG      121     104      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66      68     
115576 -       HR MAX      147     155     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     183     
115577 -       HR Min       36      38      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41      36     
115578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115580 -              https://flow.polar.com/training/analysis/7894384888                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115583 -               ..
115585 -   
115586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115589 -  ..
115590 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115591 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115592 - Dinner - macaroni cheese hot dog broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115594 -  ..
115595 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115626 -         ..
115627 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115628 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115629 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115630 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115631 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115632 -  157.  240605 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115633 -               0740....BP HR......................AFL............................ 143 102 141  Kardia ECG reports HR status, see below. ref SDS 0 S6VR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115634 -               0745....BP HR......................AFL............................ 138  99 139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115635 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115636 -               0750....80 400160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115637 -               0000... 20  140 Metoprolol Tartrate paused on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115638 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
115639 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115640 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115641 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115642 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115643 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115644 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115645 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115646 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115647 -               0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
115648 -             1 0000............ 10 19870  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115649 -             1 0000............ 10 20210  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115650 -               0000... 20  140 Metoprolol Tartrate paused on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115651 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115652 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115653 -               2130... 40 86740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115654 -               2200... 1000 2143000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115655 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115656 -               2330... 80 400240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115657 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115658 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115659 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115662 -  ..
115663 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115664 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115666 -  ..
115667 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115668 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115672 -  ..
115673 - Kardia recorded HR 140 at 0740, Tachycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115674 - lengths with p-waves and some artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115675 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115676 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115677 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115678 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115679 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115682 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115683 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240605-ecg-074033_mile_00_140_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115689 -  ..
115690 - Post hike HR profile beginning 1044, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115691 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115692 - 130, indicates AFL, and no atril fibrillation, and after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115693 - Metoprolol on 230604, pending 6th ablation scheduled on 240611, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115694 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115695 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115697 -        ..
115698 -       Date      240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327  240326    
115699 -       Time       1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312    2211     
115700 -       Hours        19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8      11     
115701 -       HR AVG      137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60      66     
115702 -       HR MAX      147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     110     
115703 -       HR Min       40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36      41     
115704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115706 -              https://flow.polar.com/training/analysis/7895096018                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115709 -               ..
115711 -   
115712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115715 -  ..
115716 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115717 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115718 - Dinner - macaroni cheese steak broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115720 -  ..
115721 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115753 -         ..
115754 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115755 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115756 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115757 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115758 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115759 -  158.  240606 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115760 -               0720....BP HR......................AFL............................ 135  98 141  Kardia ECG reports HR status, see below. ref SDS 0 LD58                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115761 -               0725....BP HR......................AFL............................ 125  93 140                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115762 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115763 -               0730....80 400320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115764 -               0000... 20  140 Metoprolol Tartrate paused on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115765 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
115766 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115767 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115768 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115769 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115770 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115771 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115772 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115773 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115774 -     paused    0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
115775 -               1830............ 10 19880  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115776 -               1830............ 10 20220  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115777 -               0000... 20  140 Metoprolol Tartrate paused on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115778 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115779 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115780 -               2130... 40 86780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115781 -               2200... 1000 2144000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115782 -               2220... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115783 -               2330... 80 400400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115784 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115785 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115786 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115789 -  ..
115790 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115791 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115793 -  ..
115794 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115795 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115803 -  ..
115804 - Kardia recorded HR 137 at 0801, Tachycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115805 - lengths with p-waves and minor artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115806 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115807 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115808 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115809 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115810 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115813 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115814 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240606-ecg-080128_mile_00_137_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115818 -  ..
115819 - Post hike HR profile beginning 1248, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115820 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115821 - 130, indicates AFL, and no atril fibrillation, and after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115822 - Metoprolol on 230604, pending 6th ablation scheduled on 240611, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115823 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115824 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115826 -        ..
115827 -       Date      240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328  240327    
115828 -       Time       1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047    2312     
115829 -       Hours        18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12       8     
115830 -       HR AVG      127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57      60     
115831 -       HR MAX      153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     117     
115832 -       HR Min       34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41      36     
115833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115835 -              https://flow.polar.com/training/analysis/7895754966                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115838 -               ..
115840 -   
115841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115844 -  ..
115845 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115846 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115847 - Dinner - macaroni cheese steak broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115849 -  ..
115850 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115879 -         ..
115880 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115881 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115882 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115883 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115884 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115885 -  159.  240607 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115886 -               0710....BP HR......................AFL............................ 135  98 141  Kardia ECG reports HR status, see below. ref SDS 0 GXQT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115887 -               0715....BP HR......................AFL............................ 120  95 136                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115888 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115889 -               0720....80 400480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115890 -               0000... 20  140 Metoprolol Tartrate paused on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115891 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
115892 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115893 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115894 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115895 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115896 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115897 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115898 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115899 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115900 -     paused    0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
115901 -             1 0000............ 10 19880  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115902 -             1 0000............ 10 20220  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115903 -               0000... 20  140 Metoprolol Tartrate paused on 240604 to avoid restore sinus until after 6th ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115904 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115905 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115906 -               2130... 40 86820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115907 -               2200... 1000 2145000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115908 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115909 -               2330... 80 400560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115910 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115911 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115912 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115915 -  ..
115916 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115917 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115919 -  ..
115920 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115921 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115928 -  ..
115929 - Kardia recorded HR 136 at 0805, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115930 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115931 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115932 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115933 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115934 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115935 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115938 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115939 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240607-ecg-080521_mile_00_136_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115944 -  ..
115945 - Post hike HR profile beginning 1741, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115946 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115947 - 130, indicates AFL, and no atril fibrillation, and after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115948 - Metoprolol on 230604, pending 6th ablation scheduled on 240611, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115949 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115950 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115952 -        ..
115953 -       Date      240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329  240328    
115954 -       Time       1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047    2047     
115955 -       Hours        12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12      12     
115956 -       HR AVG      136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56      57     
115957 -       HR MAX      151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     121     
115958 -       HR Min       72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39      41     
115959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115961 -              https://flow.polar.com/training/analysis/7896352952                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115964 -               ..
115966 -   
115967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115969 -  ..
115970 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115971 - Lunch - hot dog cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115972 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115974 -  ..
115975 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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115988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116003 -         ..
116004 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116005 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116006 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116007 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116008 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116009 -  160.  240608 0545............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116010 -               0550....BP HR......................AFL............................ 149 103 136  Kardia ECG reports HR status, see below. ref SDS 0 NC2X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116011 -               0555....BP HR......................AFL............................ 131  99 134                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116012 -               0600....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116013 -               0600....80 400640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116014 -               0600... 20  160 Metoprolol Tartrate restore sinus on 240608 resumed because feeling chest pressure on 240605 paused pending 6th ablation on 240611; VA doctor recommended treating AFL, 240607 0900, ref SDS 37 OD4K                                                                                                                                                                                                                                                                                                                                                                          
116015 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116016 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116017 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116018 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116019 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116020 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116021 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116022 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116023 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116024 -     paused    0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
116025 -               1830............ 10 19890  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116026 -               1830............ 10 20230  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116027 -               0000... 20  160 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116028 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116029 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116030 -               2130... 40 86860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116031 -               2200... 1000 2146000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116032 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116033 -               2330... 80 400720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116034 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116035 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116036 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116038 -  ..
116039 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116040 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116042 -  ..
116043 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116044 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116049 -  ..
116050 - Kardia recorded HR 134 at 0558, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116051 - lengths with p-waves and minor artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116052 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116053 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116054 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116055 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116056 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116059 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116060 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240608-ecg-055852_mile_00_134_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116064 -  ..
116065 - Kardia recorded HR 135 at 1646, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116066 - lengths with p-waves and no artifact; AFL after hiking 00 miles today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116067 - and taking Metoprolol this morning to reduce high risks of AFL HR 140,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116068 - cited in meeting at VA Clinic in Martinez yesterday, on 240607 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116069 - ref SDS 44 XP5H  This EKG shows AFL still occurring, which aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116070 - plan to guide 6th ablation scheduled on 240611, shown in letter to VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116071 - on 240604 0946, ref SDS 43 VH50, and after 5th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116072 - (atypical) on 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116073 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116074 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116077 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116078 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240608-ecg-164607_mile_00_135_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116082 -  ..
116083 - Post hike HR profile beginning 0807, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116084 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116085 - 130, indicates AFL, and no atril fibrillation, and after resuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116086 - Metoprolol on 230608, pending 6th ablation scheduled on 240611, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116087 - 5th cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116088 - history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116090 -        ..
116091 -       Date      240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329    
116092 -       Time       0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047     
116093 -       Hours         8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12     
116094 -       HR AVG      114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56     
116095 -       HR MAX      144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     
116096 -       HR Min       44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39     
116097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116099 -              https://flow.polar.com/training/analysis/7896653214                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116102 -               ..
116104 -   
116105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116108 -        ..
116109 -       Date      240608b 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330  240329    
116110 -       Time       1917    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150    2047     
116111 -       Hours        12      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10      12     
116112 -       HR AVG      134     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70      56     
116113 -       HR MAX      148     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     133     
116114 -       HR Min      107      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47      39     
116115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116117 -              https://flow.polar.com/training/analysis/7897062911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116120 -               ..
116122 -   
116123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116125 -  ..
116126 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116127 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116128 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116130 -  ..
116131 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116161 -         ..
116162 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116163 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116164 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116165 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116166 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116167 -  161.  240609 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116168 -               0710....BP HR......................AFL............................ 145 101 136  Kardia ECG reports HR status, see below. ref SDS 0 VQ4R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116169 -               0715....BP HR......................AFL............................ 135  97 135                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116170 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116171 -               0720....80 400800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116172 -               0000... 20  160 Metoprolol Tartrate restore sinus on 240609 paused after on 240608 resumed because feeling chest pressure on 240605 paused pending 6th ablation on 240611; VA doctor recommended treating AFL, 240607 0900, ref SDS 37 OD4K                                                                                                                                                                                                                                                                                                                                                   
116173 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116174 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116175 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116176 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116177 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116178 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116179 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116180 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
116181 -  ..
116182 -         * cr  1308....miles...........  16.0  31.0  263   523 minutes  temp  82 wind 18  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116183 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116184 -               1628....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116185 -               1628....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116186 -               1628... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116187 -               1628... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116188 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116189 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116190 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116191 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116192 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116193 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116194 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116195 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116196 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116197 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116198 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116199 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116200 -               1759... Hike ends mile 16... ref SDS 0 82K3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116201 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116202 -               1700....weight.................................... 170  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116203 -               1820....BP HR....................AFL.............................. 105  77 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116204 -               1850....BP HR....................AFL.............................. 113  87 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116205 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116206 -     paused    0000... 40 110760 Pantoprazole Rx 25009443 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                                 
116207 -             1 0000............ 10 19890  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116208 -             1 0000............ 10 20230  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116209 -               0000... 20  160 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116210 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116211 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116212 -               2130... 40 86900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116213 -               2200... 1000 2147000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116214 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116215 -               2330... 80 400880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116216 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116217 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116218 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116221 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116222 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116223 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116224 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116225 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116226 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116227 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116228 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116231 -  ..
116232 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116233 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116235 -  ..
116236 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116237 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116240 -  ..
116241 - Today, hiked 16 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116242 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116243 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116244 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116245 - Valley Road 1 mile.  Hiked East on Pine Hollow 1.00 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116246 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116247 - Hiked 3 miles through parking lots.  Stopped mile 11, for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116248 - hydration and nutrition.  Took Naproxen to manage pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116249 - inflammation.  Feet hurting today.  Took another Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116250 - mg for energy.  Took CoQ10 for energy and HDL.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116251 - Valley Road past Crystal Ranch Road 4 miles home.  Very windy entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116252 - hike.  Wore Hoka Bondi 6 wide shoes with 2 pair socks and bandages for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116253 - feet injuries.  Turned out had wrong bandage on #5 left foot, so had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116254 - to shorten hike, and caused severe blood blister top #5.  Was in AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116255 - entire hike despite taking Metoprolol twice yesterday, and again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116256 - today. ref SDS 0 RE9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116260 -         ..
116261 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116262 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116263 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                
116264 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116265 -        Hands cramping hurting - post hike...........   3         20  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116266 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116267 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116268 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116269 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116270 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116271 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116272 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116273 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
116274 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116275 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116276 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
116277 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116278 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116279 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116280 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
116281 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116282 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116283 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116284 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116285 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116286 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116287 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116288 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116289 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116290 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116291 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116292 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116293 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116294 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116295 -        Metatarsalgia left foot...PRP 210705.........   5         20  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00 for unknow reason bottom of fee pain escalated last 2 miles                                                                                                                                                                                                                                                                                                                                   
116296 -        Metatarsalgia right foot..PRP 210705.........   5         20  Doctor Tang shaved calluses 240304 and provided new orthotic inserts on 230831 - these helped - took 1 Naproxen mile 10 and 0 Naproxen mile 00 for unknow reason bottom of fee pain escalated last 2 miles                                                                                                                                                                                                                                                                                                                                   
116297 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116298 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116299 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116300 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
116301 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
116302 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
116303 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116304 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
116305 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 240517 - blistering today, so need further scaple care                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116306 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116307 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116308 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116309 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116310 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116311 -        Callus ring toe #4 right foot in web.........   1         40  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
116312 -        Callus ring toe #4 top right foot............   1         30  applied  neoprene protective sleeve took 1 Naproxen mile 10 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                                               
116313 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 230316 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
116314 -        Blister ring toe left foot.new 240602........   5         20  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 11 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
116315 -        Callus little toe #5 left foot...PRP 210705..   4         40  Doctor Tang cut out core of callus again on 240517 - used wrong neoprene cover bandage - should have applied callus pad cutout held in place with tape - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                      
116316 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116317 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116318 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116319 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
116320 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116321 -        Burning sensation both feet..................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116322 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116323 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116324 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116325 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116326 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116327 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116328 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116329 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116330 -        AFL...5th ablation on 231214.................   3        100  Polar shows AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116331 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116332 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116334 -  ..
116335 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116336 - 6 size 10 wide again - worked not as well as Brooks Ghost extra wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116337 - Despite using correct bandaging on left foot #5, developed severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116338 - blister on inside top #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116340 -  ..
116341 - Orthotic inserts - Used Stable Elite again purchased from On-The-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116342 - combined with Hoka Bondi 6 shoes - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116343 - ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116345 -  ..
116346 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116347 - today,  This increases longevity of socks, increases lateral pessure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116348 - on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116350 -  ..
116351 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116352 - 0701, ref SDS 16 NS7J  Today, used new spacer created by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116353 - at VAMCSF on 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116354 - web between #4 and #5 right foot; combined with neoprene cover to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116355 - protect top of #4.  May have made mistake not using Pediplast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116356 - interdigital spacer between #4 and #5 left foot.  There are several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116357 - which have not been used for months.  The spacer for the left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116358 - reported not well made by trainee on 230518 0900. ref SDS 24 ZP3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116359 - Seems that not using the spacer on left foot today, resulted in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116360 - blister on top and inside edge #5.  Did not carry this on hike, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116361 - removed bandaging on #5 edge, and shifted to protect new blister from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116362 - continuing pressure from top of shoe. This worked only partially.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116363 - Need to bring the left foot pediplast interdigital spacer in backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116364 - on hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116366 -  ..
116367 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116368 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116369 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116370 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116371 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116374 -  ..
116375 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116376 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116377 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116378 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116379 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116380 - may be causing arrhythmia - AFL, per research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116381 - ref SDS 37 YP8F  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116382 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116383 - ref SDS 42 VY92...) - designed to swallow, but too big to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116384 - LESV; swallowed anyway and allowed to breakdown on top of LESV...  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116385 - small amount peanut butter and margarine and chia seeds for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116386 - and avocado for HDL, per above. ref SDS 0 RE9N  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116387 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116388 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116389 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116390 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116391 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116392 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116393 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116394 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116395 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116396 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116397 - and turned left, onto Treat about 1 mile.  Feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116398 - like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116399 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116400 - 71, and reached 82.  West wind 18 mph and mostly 12 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116401 - on Treat .50 miles.  Turned right hiking South on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116402 - with wide asphalt shoulder 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116403 - - 3% uphill, and very light traffic.  At mile 2, did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116404 - Newhall Community Park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116405 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116406 - narrower asphalt road shoulder with moderate traffic.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116407 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116408 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116409 - traffic light and continued on concrete sidewalk .5 miles.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116410 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116411 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116412 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116413 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116414 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116415 - Texaco Gas Station store mile 5, time ____.  Turned left hiked 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116416 - mile East on Pine Hollow.  Just past Camino Salano turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116417 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116418 - uphill 3% - 4% grade against wind 18 mph.  At mile 8, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116419 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116420 - loops through Faculty and Student parking lots.  Left foot hurting so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116421 - had to change step and slow pace to reduce pain.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116422 - Parking stopped at Administration Building mile 11 time 1628 temp 82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116423 - and wind 14 mph; EKG looks uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116424 - reported HR 150 Unclassified - see below. ref SDS 0 48ST (indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116425 - AFL)  HR did not drop severely today, during pause for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116426 - and nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116427 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3, wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116428 - Bondi 6 size 10 wide shoes, with Stable Elite inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116429 - On-The-Run, and 2 pair double ply socks, per above. ref SDS 0 TSTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116430 - Burning sensation PL 1 mpt severe. right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116431 - left foot #5 edge blister/callus PL 1, new severe blister top and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116432 - wrapping inside between toes; had to remove shoe and sock.  Moved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116433 - bandaging from edge to new blister - only worked partially rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116434 - hike 5 miles home, per above, ref SDS 0 TSUX, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116435 - blister/callus PL 1, #5 edge callus/blister PL 0, used pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116436 - interdigital spacer today, per above, ref SDS 0 TSUX, Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116437 - meniscus PL 1, left shoulder PL 2, left elbow PL 2 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116438 - 1 Naproxen 200 mg for pain and inflammation management - avoided 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116439 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116440 - ref SDS 37 YP8F  Did not take Gabapentin 300 mg to complement Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116441 - for pain and peripheral neuropathy relief, which may have contributed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116442 - to flipping into AFL on 240527, per above. ref SDS 0 RYQU  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116443 - Magnesium complex 300 mg pill for energy.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116444 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116445 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116446 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116447 - to complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116448 - ref SDS 0 TQXW  Exited college heading North downhill Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116449 - slowly, because of pain from new blister #5 left foot.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116450 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116451 - 12, continued past Crystal Ranch Road, uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116452 - against wind 20 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116453 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116454 - camber.  Hiked West to end concrete traffic barriar.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116455 - turned around and hiked back .5 miles.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116456 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116457 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116458 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116459 - and home.  Ended hike mile 16 time 1759 temp 77, wind 11, feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116460 - burning sensation PL 3, left foot #5 PL 5 new blister, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116461 - top blister/callus PL 1, right foot Tailor's bunions PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116462 - splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116463 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116464 - left side PL 0, left elbow PL 1, when lifting.  EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116465 - (perfect like AFL) with no artifact, Kardia reported HR 151                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116466 - Unclassified - see below. ref SDS 0 82K3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116478 -  ..
116479 - Kardia recorded HR 134 at 0739, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116480 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116481 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116482 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116483 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116484 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116485 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116487 -  ..
116488 - Sent copy to Doctor Pellegrini saying still in AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116490 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116491 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240609-ecg-073948_mile_00_135_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116493 -            [On 240610 1554 letter from Doctor Pellegrini saying thanks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116494 -            for getting everything done. ref SDS 45 EN3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116498 -  ..
116499 - Post hike HR profile beginning 1043, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116500 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116501 - 130, indicates AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116502 - Metoprolol today, pending 6th ablation scheduled on 240611, after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116503 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116504 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116506 -        ..
116507 -       Date      240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330    
116508 -       Time       1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150     
116509 -       Hours         4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10     
116510 -       HR AVG      132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70     
116511 -       HR MAX      143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     
116512 -       HR Min       46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47     
116513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116515 -              https://flow.polar.com/training/analysis/7897328860                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116518 -               ..
116520 -   
116521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116524 -        ..
116525 -       Date      240609b 240608b 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330    
116526 -       Time       1901    1917    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150     
116527 -       Hours        11      12      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10     
116528 -       HR AVG      129     134     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70     
116529 -       HR MAX      146     148     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     
116530 -       HR Min       35     107      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47     
116531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116533 -              https://flow.polar.com/training/analysis/7897600524                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116536 -               ..
116538 -   
116539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116541 -  ..
116542 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116543 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116544 - Dinner - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116546 -  ..
116547 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116577 -         ..
116578 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116579 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116580 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116581 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116582 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116583 -  162.  240610 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116584 -               0710....BP HR......................AFL............................ 136 103 137  Kardia ECG reports HR status, see below. ref SDS 0 GS5N                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116585 -               0715....BP HR......................AFL............................ 140  98 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116586 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116587 -               0720....80 400960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116588 -               0000... 20  160 Metoprolol Tartrate restore sinus on 240609 paused after on 240608 resumed because feeling chest pressure on 240605 paused pending 6th ablation on 240611; VA doctor recommended treating AFL, 240607 0900, ref SDS 37 OD4K                                                                                                                                                                                                                                                                                                                                                   
116589 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116590 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116591 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116592 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116593 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116594 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116595 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116596 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116597 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116598 -     resumed   1700... 40 110800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
116599 -               1830............ 10 19900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116600 -               1830............ 10 20240  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116601 -               0000... 20  160 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116602 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116603 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116604 -               2130... 40 86940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116605 -               2200... 1000 2148000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116606 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116607 -               2330... 80 401040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116608 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116609 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116610 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116612 -  ..
116613 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116614 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116616 -  ..
116617 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116618 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116624 -  ..
116625 - Kardia recorded HR 133 at 0548, Tachycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116626 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116627 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116628 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116629 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116630 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116631 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116634 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116635 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240610-ecg-054823_mile_00_133_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116641 -  ..
116642 - Post hike HR profile beginning 1011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116643 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116644 - 130, indicates AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116645 - Metoprolol today, pending 6th ablation scheduled on 240611, after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116646 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116647 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116649 -        ..
116650 -       Date      240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331    
116651 -       Time       1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117     
116652 -       Hours         6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13     
116653 -       HR AVG      137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64     
116654 -       HR MAX      154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     
116655 -       HR Min       86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38     
116656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116658 -              https://flow.polar.com/training/analysis/7897983523                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116661 -               ..
116663 -   
116664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116667 -        ..
116668 -       Date      240610b 240608b 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401  240331  240330    
116669 -       Time       1737    1917    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256    2117    2150     
116670 -       Hours         8      12      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11      13      10     
116671 -       HR AVG      135     134     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103      64      70     
116672 -       HR MAX      145     148     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     113     164     
116673 -       HR Min       75     107      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36      38      47     
116674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116676 -              https://flow.polar.com/training/analysis/7898153850                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116679 -               ..
116681 -   
116682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116684 -  ..
116685 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116686 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116687 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116689 -  ..
116690 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116721 -         ..
116722 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116723 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116724 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116725 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116726 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116727 -  163.  240611 0230............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116728 -               0230....BP HR......................AFL............................ 141  98 134  Kardia ECG reports HR status, see below. ref SDS 0 XJ3I                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116729 -               0235....BP HR......................AFL............................ 135  96 136                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116730 -               0240....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116731 -               0240....80 401120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116732 -               0000... 20  160 Metoprolol Tartrate restore sinus on 240609 paused after on 240608 resumed because feeling chest pressure on 240605 paused pending 6th ablation on 240611; VA doctor recommended treating AFL, 240607 0900, ref SDS 37 OD4K                                                                                                                                                                                                                                                                                                                                                   
116733 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116734 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116735 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116736 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116737 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116738 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116739 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116740 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116741 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116742 -               1700... 40 110840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
116743 -             1 0000............ 10 19900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116744 -             1 0000............ 10 20240  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116745 -               0000... 20  160 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116746 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116747 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116748 -               2130... 40 86940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116749 -               2200... 1000 2149000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116750 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116751 -               2330... 80 401200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116752 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116753 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116754 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116757 -  ..
116758 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116759 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116761 -  ..
116762 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116763 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116769 -  ..
116770 - Kardia recorded HR 134 at 0233, Tachycardia, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116771 - lengths with p-waves and no artifact; AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116772 - yesterday, and pausing Metoprolol to maintain AFL until 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116773 - scheduled on 240611, and after 5th cardiac ablation (atypical) on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116774 - 231214 0630, ref SDS 28 PR4W, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116775 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116776 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116779 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116780 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240611-ecg-023317_mile_00_134_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116785 -  ..
116786 - Post hike HR profile beginning 0506, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116787 - hiking 00 miles and continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116788 - 130, indicates AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116789 - Metoprolol today, pending 6th ablation scheduled on 240611, after 5th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116790 - cardiac ablation on 231214 0630. ref SDS 28 JG7N  See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116791 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116793 -        ..
116794 -       Date      240611a 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401    
116795 -       Time       0506    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256     
116796 -       Hours         4       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11     
116797 -       HR AVG      131     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103     
116798 -       HR MAX      144     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     
116799 -       HR Min       51      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36     
116800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116802 -              https://flow.polar.com/training/analysis/7899033090                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116805 -               ..
116807 -   
116808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116811 -        ..
116812 -       Date      240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402  240401    
116813 -       Time       2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637    2256     
116814 -       Hours         8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16      11     
116815 -       HR AVG       96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     103     
116816 -       HR MAX      115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     144     
116817 -       HR Min       59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41      36     
116818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116820 -              https://flow.polar.com/training/analysis/7899033133                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116823 -               ..
116825 -   
116826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116829 -  ..
116830 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116831 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116832 - Dinner - broccoli cauliflower few bites after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116834 -  ..
116835 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116863 -         ..
116864 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116865 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116866 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116867 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116868 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116869 -  164.  240612 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116870 -               0650....BP HR..................................................... 115  68  55  Kardia ECG reports HR status, see below. ref SDS 0 V6AT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116871 -               0655....BP HR..................................................... 121  73  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116872 -               0700....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116873 -               0700....80 401280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116874 -               0000... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116875 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116876 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116877 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116878 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116879 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116880 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116881 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116882 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116883 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116884 -               1700... 40 110880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
116885 -               1830............ 10 19910  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116886 -               1830............ 10 20250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116887 -               0000... 20  160 Metoprolol Tartrate restore sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116888 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116889 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116890 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116891 -               2130... 40 86980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116892 -               2200... 1000 2150000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116893 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116894 -               2330... 80 401360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116895 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116896 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116897 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116900 -  ..
116901 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116902 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116904 -  ..
116905 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116906 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116910 -  ..
116911 - Kardia EKG not recorded on 240612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116915 -  ..
116916 - Post hike HR profile beginning 2010, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116917 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116918 - 130, indicates no AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116919 - Metoprolol today, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116920 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116923 -        ..
116924 -       Date      240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403  240402    
116925 -       Time       2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000    1637     
116926 -       Hours         8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19      16     
116927 -       HR AVG       76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67      82     
116928 -       HR MAX      104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     152     
116929 -       HR Min       43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45      41     
116930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116932 -              https://flow.polar.com/training/analysis/7899571599                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116935 -               ..
116937 -   
116938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116942 -  ..
116943 - Breakfast - sausage cream of wheat - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116944 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116945 - Dinner - rice hamburger broccoli cauliflower few bites after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116947 -  ..
116948 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116978 -         ..
116979 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116980 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116981 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116982 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116983 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116984 -  165.  240613 0435............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116985 -               0435....BP HR..................................................... 148  88  57  Kardia ECG reports HR status, see below. ref SDS 0 5PFS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116986 -               0440....BP HR..................................................... 123  83  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116987 -               0445....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116988 -               0445....80 401440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116989 -               0445... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116990 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
116991 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116992 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116993 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116994 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116995 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116996 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116997 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116998 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116999 -               1700... 40 110920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
117000 -             1 0000............ 10 19910  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117001 -             1 0000............ 10 20250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117002 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117003 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117004 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117005 -               2130... 40 87020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117006 -               2200... 1000 2151000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117007 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117008 -               2330... 80 401520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117009 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117010 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117011 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117014 -  ..
117015 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117016 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117018 -  ..
117019 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117020 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117023 -  ..
117024 - Kardia EKG not recorded on 240612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117028 -  ..
117029 - Post hike HR profile beginning 2308, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117030 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117031 - 130, indicates no AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117032 - Metoprolol today, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117033 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117036 -        ..
117037 -       Date      240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404  240403    
117038 -       Time       2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134    2000     
117039 -       Hours         7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8      19     
117040 -       HR AVG       63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64      67     
117041 -       HR MAX       99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     113     
117042 -       HR Min       43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45      45     
117043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117045 -              https://flow.polar.com/training/analysis/7900306826                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117048 -               ..
117050 -   
117051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117055 -  ..
117056 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117057 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117058 - Dinner - rice hamburger broccoli cauliflower few bites after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117060 -  ..
117061 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117091 -         ..
117092 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117093 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117094 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117095 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117096 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117097 -  166.  240614 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117098 -               0640....BP HR..................................................... 123  71  52  Kardia ECG reports HR status, see below. ref SDS 0 8QSX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117099 -               0645....BP HR..................................................... 121  74  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117100 -               0650....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117101 -               0650....80 401600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117102 -               0650... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117103 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
117104 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117105 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117106 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117107 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117108 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117109 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117110 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117111 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117112 -               1700... 40 110960 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
117113 -               1830............ 10 19920  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117114 -               1830............ 10 20260  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117115 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117116 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117117 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117118 -               2130... 40 87060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117119 -               2200... 1000 2152000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117120 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117121 -               2330... 80 401680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117122 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117123 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117124 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117127 -  ..
117128 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117129 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117131 -  ..
117132 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117133 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117139 -  ..
117140 - Kardia recorded HR 051 at 0700, Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117141 - lengths with p-waves and some artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117142 - yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117143 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117144 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117145 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117148 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117149 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240614-ecg-070005_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117153 -  ..
117154 - Post hike HR profile beginning 1936, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117155 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117156 - 130, indicates no AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117157 - Metoprolol today, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117158 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117161 -        ..
117162 -       Date      240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405  240404    
117163 -       Time       1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914    2134     
117164 -       Hours        11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13       8     
117165 -       HR AVG       67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63      64     
117166 -       HR MAX      102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     110     
117167 -       HR Min       45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36      45     
117168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117170 -              https://flow.polar.com/training/analysis/7900925545                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117173 -               ..
117175 -   
117176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117180 -  ..
117181 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117182 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117183 - Dinner - tuna broccoli onion tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117185 -  ..
117186 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117218 -         ..
117219 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117220 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117221 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117222 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117223 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117224 -  167.  240615 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117225 -               0620....BP HR..................................................... 145  86  56  Kardia ECG reports HR status, see below. ref SDS 0 WRQY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117226 -               0625....BP HR..................................................... 143  90  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117227 -               0630....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117228 -               0630....80 401760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117229 -               0630... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117230 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
117231 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117232 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117233 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117234 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117235 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117236 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117237 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117238 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117239 -               1700... 40 111000 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
117240 -             1 0000............ 10 19920  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117241 -             1 0000............ 10 20260  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117242 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117243 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117244 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117245 -               2130... 40 87100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117246 -               2200... 1000 2153000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117247 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117248 -               2330... 80 401840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117249 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117250 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117251 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117253 -  ..
117254 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117255 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117257 -  ..
117258 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117259 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117265 -  ..
117266 - Kardia recorded HR 050 at 0623, Normal Sinus Rhythm, mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117267 - heart beat lengths with p-waves and some artifact; no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117268 - 00 miles yesterday, and starting Apixaban on 240611 after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117269 - on 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117270 - 200612 0700, ref SDS 19 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117271 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117274 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117275 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240615-ecg-062333_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117279 -  ..
117280 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117281 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117282 - 130, indicates no AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117283 - Metoprolol today, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117284 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117287 -        ..
117288 -       Date      240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406  240405    
117289 -       Time       2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113    1914     
117290 -       Hours        12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7      13     
117291 -       HR AVG       59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66      63     
117292 -       HR MAX      156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     105     
117293 -       HR Min       40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45      36     
117294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117296 -              https://flow.polar.com/training/analysis/7901670082                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117299 -               ..
117301 -   
117302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117304 -  ..
117305 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117306 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117307 - Dinner - rice steak broccoli cauliflower onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117309 -  ..
117310 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117340 -         ..
117341 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117342 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117343 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117344 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117345 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117346 -  168.  240616 0630............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117347 -               0630....BP HR..................................................... 145  80  58  Kardia ECG reports HR status, see below. ref SDS 0 3SWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117348 -               0635....BP HR..................................................... 131  82  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117349 -               0640....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117350 -               0640....80 401920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117351 -               0640... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117352 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
117353 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117354 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117355 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117356 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117357 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117358 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117359 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117360 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117361 -               1700... 40 111040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
117362 -               1830............ 10 19930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117363 -               1830............ 10 20270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117364 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117365 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117366 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117367 -               2130... 40 87140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117368 -               2200... 1000 2154000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117369 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117370 -               2330... 80 402000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117371 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117372 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117373 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117375 -  ..
117376 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117377 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117379 -  ..
117380 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117381 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117385 -  ..
117386 - Kardia recorded HR 053 at 0726, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117387 - beat lengths with p-waves and no artifact; no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117388 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117389 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117390 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117391 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117394 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117395 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240616-ecg-072645_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117399 -  ..
117400 - Post hike HR profile beginning 2046, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117401 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117402 - 130, indicates no AFL, and no atril fibrillation, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117403 - Metoprolol today, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117404 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117407 -        ..
117408 -       Date      240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407  240406    
117409 -       Time       2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011    0113     
117410 -       Hours        10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12       7     
117411 -       HR AVG       65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68      66     
117412 -       HR MAX       98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     114     
117413 -       HR Min       42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38      45     
117414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117416 -              https://flow.polar.com/training/analysis/7902194754                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117419 -               ..
117421 -   
117422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117424 -  ..
117425 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117426 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117427 - Dinner - eggs rice steak broccoli cauliflower onion olives cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117429 -  ..
117430 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117459 -         ..
117460 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117461 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117462 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117463 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117464 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117465 -  169.  240617 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117466 -               0620....BP HR..................................................... 138  83  50  Kardia ECG reports HR status, see below. ref SDS 0 FT4S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117467 -               0625....BP HR..................................................... 140  81  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117468 -               0630....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117469 -               0630....80 402080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117470 -               0630... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117471 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
117472 -               0850... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117473 -               0850....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117474 -               0850....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117475 -               0850....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117476 -               0850....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117477 -               0850... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117478 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
117479 -  ..
117480 -               0920....miles...........  15.0  15.0  252   252 minutes  temp  82 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117481 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117482 -               1128....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117483 -               1128....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117484 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117485 -               1128... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117486 -               1128... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117487 -               1128....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117488 -               1220... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
117489 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117490 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117491 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117492 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117493 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117494 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117495 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117496 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117497 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117498 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117499 -               1401... Hike ends mile 15... ref SDS 0 FP3B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117500 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117501 -               1420....weight.................................... 169  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117502 -               1430....BP HR..................................................... 105  77 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117503 -               1435....BP HR..................................................... 113  87 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117504 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117505 -               1700... 40 111080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
117506 -             1 0000............ 10 19930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117507 -             1 0000............ 10 20270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117508 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117509 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117510 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117511 -               2130... 40 87180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117512 -               2200... 1000 2155000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117513 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117514 -               2330... 80 402160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117515 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117516 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117517 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117520 -  ..
117521 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117522 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117524 -  ..
117525 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117526 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117529 -  ..
117530 - Today, hiked 15 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117531 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117532 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117533 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117534 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117535 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117536 - Stopped mile 07, for EKG, hydration and nutrition.  Took Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117537 - manage pain and took nothing to prevent inflammation.  Feet hurting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117538 - today.  Took another Magnesium complex 300 mg for energy.  Took CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117539 - for energy and HDL.  Hiked 4 miles through parking lots.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117540 - Ygnacio Valley Road past Crystal Ranch Road and Cowell another 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117541 - home.  Wore Brooks Ghost x-wide shoes with 1 pair socks and Pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117542 - Interdigital Spacers to prevent painful injury both feet #4 - #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117543 - Worked on right foot, but not on left.  At least blood blister top #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117544 - did not get worse.  Was in sinus entire hike despite taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117545 - for pain, and following 6th cardiac ablation on 240611 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117546 - ref SDS 47 RX9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117550 -         ..
117551 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117552 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117553 -        Stomach pain ischemic colitis bloating.......   2         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis about mile 12, took Simethicone 40 minutes after taking Tramadol to avoid bad reaction                                                                                                                                                                                                                                                                                                                                                         
117554 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117555 -        Hands cramping hurting - post hike...........   3         20  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117556 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117557 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117558 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117559 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117560 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117561 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117562 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117563 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                       
117564 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117565 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117566 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
117567 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117568 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117569 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117570 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                           
117571 -        Knee left patalla...PRP 210705...............   0        100  knee swelled after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117572 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117573 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117574 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117575 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117576 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117577 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117578 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117579 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117580 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117581 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117582 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117583 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117584 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117585 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                                           
117586 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                                           
117587 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117588 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117589 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117590 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
117591 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
117592 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
117593 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117594 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
117595 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240613 - blistering today, so need further scaple care                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117596 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117597 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117598 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117599 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117600 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117601 -        Callus ring toe #4 right foot in web.........   1         40  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
117602 -        Callus ring toe #4 top right foot............   1         30  did not use neoprene protective sleeve took 1 Tramadol mile 11 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                                            
117603 -        Callus ring toe #4 left foot in web..........   3         70  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
117604 -        Blister ring toe left foot.new 240602........   3         70  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 11 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
117605 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - used wrong neoprene cover bandage - should have applied callus pad cutout held in place with tape - took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                      
117606 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117607 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117608 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117609 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Naproxen mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
117610 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117611 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117612 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117613 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117614 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117615 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117616 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117617 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117618 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117619 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117620 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117621 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117622 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117624 -  ..
117625 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117626 - Ghost size 10 x-wide.  Despite using new Pediplasti Interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117627 - Spacer to protect #4-#5 on left foot, had pain level 4 most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117628 - today.  Right foot was better.  With less cushioning on balls of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117629 - feet, metatarsalgia was worse.  Tramadol made feet pain more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117630 - tolerable.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117632 -  ..
117633 - Orthotic inserts - new Powerstep Protech Classic Plus with softer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117634 - padding that seems better that Doctor Tang made on 240419 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117635 - ref SDS 35 EQ8N - see case study on 200101 0701. ref SDS 16 NY7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117637 -  ..
117638 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117639 - today, to reduce width across forefoot, and in order to reduce lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117640 - pessure on #1 and #5, with evident pressure on left foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117641 - This was only partially successful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117643 -  ..
117644 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117645 - 0701, ref SDS 16 NS7J  Today, used new spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117646 - and #5, created by Doctor Tang at VAMCSF on 240613 0900. ref SDS 49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117647 - CT5K  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117648 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117649 - right foot.  Did not combine with neoprene sleeve to protect top of #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117650 - on either foot.  This worked only partially.  The left foot had PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117651 - much of the time, not sure if this was #4 or #5 or both.  When hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117652 - ended, there was no blood nor blistering.  Need to bring neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117653 - sleeves and a roll of white tape in backpack on hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117655 -  ..
117656 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117657 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117658 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117659 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117660 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117663 -  ..
117664 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117665 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117666 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117667 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117668 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117669 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117670 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117671 - PF45  In any case, Naproxen may be causing arrhythmia - AFL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117672 - research on 240428 1939. ref SDS 37 YP8F  Took Magnesium 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117673 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117674 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow, but too big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117675 - to slip through LESV; swallowed anyway and allowed to breakdown on top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117676 - of LESV...  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117677 - seeds for energy, and avocado for HDL, per above. ref SDS 0 WN7E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117678 - Soaking Chia seeds in water, Coca Cola, orange juice, etc., increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117679 - energy and aids hydration, shown in research on 240305 1256.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117680 - ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117681 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117682 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and specifically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117683 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117684 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117685 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117686 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117687 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117688 - Hiked Cuneo .25 miles and turned left, onto Treat about 1 mile.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117689 - starting hike feeling like pins and needles - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117690 - taking statins.  Breathed through nose entire hike without dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117691 - Temp started at 74, and reached 82.  West wind 12 mph and mostly 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117692 - mph.  Hiked East on Treat .50 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117693 - Turtle Creek Road with wide asphalt shoulder 1.5 miles mostly flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117694 - grade, some places 2% - 3% uphill, and very light traffic.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117695 - did not hike across Newhall Community Park and back today.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117696 - on Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117697 - East .75 miles on narrower asphalt road shoulder with moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117698 - traffic.  At mile 3, turned right onto Clayton Road hiking South .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117699 - miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117700 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117701 - sidewalk .5 miles.  Left foot #4 and/or #5 PL 3.  Considered stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117702 - to remove shoe for examination, but just continued.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117703 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117704 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117705 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117706 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117707 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117708 - Station store mile 5, time ____.  Turned left hiked 0.25 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117709 - Pine Hollow.  Turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117710 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117711 - mph.  At mile 7, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117712 - University East Bay Concord Campus.  Hiked loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117713 - Left foot hurting so had to change step and slow pace to reduce pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117714 - Back at Visitor Parking stopped at Administration Building mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117715 - time 1128 temp 75 and wind 09 mph; EKG looks uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117716 - artifact.  Kardia reported HR 105 (indicating no AFL) Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117717 - see below. ref SDS 0 7V3O  HR did not drop severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117718 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117719 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117720 - feet PL 2, wearing Brooks Ghost size 10 x-wide shoes, with custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117721 - orthootic inserts created by Doctor Tang at VAMCSF, and only 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117722 - double ply socks, per above. ref SDS 0 WSRQ  Burning sensation PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117723 - right foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117724 - 3.  Considered removing shoe and sock to inspect, but didn't today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117725 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117726 - used pediplasti interdigital spacers today, per above, ref SDS 0 WSSW,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117727 - Left knee meniscus PL 1, left shoulder PL 2, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117728 - intermitant.  Took 1 Tramadol 50 mg for pain, which does not reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117729 - inflammation - avoided 1 Naproxen because conflicts with Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117730 - blood thinner, cited in Discharge Instructions following cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117731 - ablation reported on 240612 0506. ref SDS 48 PF45  Additionally,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117732 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117733 - ref SDS 37 YP8F  Did not take Gabapentin 300 mg to complement Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117734 - for pain and peripheral neuropathy relief, which may have contributed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117735 - to flipping into AFL on 240527, per above. ref SDS 0 RYQU  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117736 - Magnesium complex 300 mg pill for energy.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117737 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117738 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117739 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117740 - to complete hike.  Since temperature elevated above 80, took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117741 - electrolyte pill, per above. ref SDS 0 WQVX  Continued hiking 4 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117742 - miles through Faculty and Student parking lots.  At mile 11, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117743 - college heading North downhill Campus Drive slowly, because of pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117744 - from #4 and/or #5 left foot.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117745 - Hiked West on flat grade .5 miles.  At mile 12, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117746 - Ranch Road, uphill 3% grade .5 miles against wind 20 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117747 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117748 - Ygnacio Valley Road to avoid severe camber.  Hiked West to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117749 - concrete traffic barriar.  At mile 13, turned around and hiked back .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117750 - miles.  Temperature rising into high 80s.  East wind 12 mph, and cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117751 - was very helpful.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117752 - downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117753 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117754 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117755 - hike mile 15 time 1401 temp 81, wind 10, feet PL 3, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117756 - PL 1, left foot #5 PL 3, right foot #4 top blister/callus PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117757 - foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117758 - swollen), right knee PL 0, left shoulder PL 1, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117759 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 1, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117760 - lifting.  EKG looks uniform with no artifact, Kardia reported HR 123                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117761 - Tachycardia - see below. ref SDS 0 FP3B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117770 -  ..
117771 - Kardia recorded HR 050 at 0622, Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117772 - lengths with p-waves and no artifact; no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117773 - yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117774 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117775 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117776 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117779 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117780 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240617-ecg-062219_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117787 -  ..
117788 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117789 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117790 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117792 -  ..
117793 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117795 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117796 -       Date        240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330 240329   
117797 -       Miles          15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18      0     
117798 -       HR AVG        115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     no     
117799 -         MAX         141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  report    
117800 -         Min          65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65            
117801 -       El Climb Ft   305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                             715    715    715    715    715                         495    495    715           615
117802 -       Temp Max       82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62            
117803 -       Wind Max       12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12            
117804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117806 -              https://flow.polar.com/training/analysis/7892627453                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117809 -               ..
117811 -   
117812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117816 -  ..
117817 - EKG at mile 07 time 1128 HR 105 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117818 - Tachycardia... looks uniform with mild artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117819 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117822 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240617-ecg-112824_mile_07_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117827 -  ..
117828 - End hike EKG at mile 15, time 1401 HR 123 temp 81 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117829 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117830 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117833 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117834 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240617-ecg-140108_mile_15_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117838 -  ..
117839 - Post hike HR profile beginning 1740, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117840 - hiking 15 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117841 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117842 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117843 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117846 -        ..
117847 -       Date      240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408  240407    
117848 -       Time       1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041    2011     
117849 -       Hours        13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10      12     
117850 -       HR AVG       63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64      68     
117851 -       HR MAX      132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     172     
117852 -       HR Min       42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45      38     
117853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117855 -              https://flow.polar.com/training/analysis/7902862834                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117858 -               ..
117860 -   
117861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117863 -  ..
117864 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117865 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117866 - Dinner - tuna rice hot dog broccoli cauliflower onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117868 -  ..
117869 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117898 -         ..
117899 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117900 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117901 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117902 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117903 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117904 -  170.  240618 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117905 -               0710....BP HR..................................................... 131  70  55  Kardia ECG reports HR status, see below. ref SDS 0 WU2N                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117906 -               0715....BP HR..................................................... 130  69  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117907 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117908 -               0720....80 402240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117909 -               0720... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117910 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
117911 -               0850... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117912 -               0850....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117913 -               0850....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117914 -               0850....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117915 -               0850....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117916 -               0850... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
117917 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117918 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117919 -               1700... 40 111120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
117920 -               1830............ 10 19940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117921 -               1830............ 10 20280  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117922 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117923 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117924 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117925 -               2130... 40 87220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117926 -               2200... 1000 2156000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117927 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117928 -               2330... 80 402320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117929 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117930 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117931 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117934 -  ..
117935 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117936 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117938 -  ..
117939 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117940 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117944 -  ..
117945 - Kardia recorded HR 050 at 0941, Normal Sinus Rhythm, uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117946 - beat lengths with p-waves and no artifact; no AFL after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117947 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117948 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117949 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117950 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117953 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117954 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240618-ecg-094122_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117959 -  ..
117960 - Post hike HR profile beginning 1821, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117961 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117962 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117963 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117964 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117967 -        ..
117968 -       Date      240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409  240408    
117969 -       Time       1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041    2041     
117970 -       Hours        12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8      10     
117971 -       HR AVG       59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68      64     
117972 -       HR MAX      129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     105     
117973 -       HR Min       38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45      45     
117974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117976 -              https://flow.polar.com/training/analysis/7903574223                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117979 -               ..
117981 -   
117982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117984 -  ..
117985 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117986 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117987 - Dinner - rice steak broccoli cauliflower onion cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117989 -  ..
117990 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118017 -         ..
118018 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118019 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118020 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118021 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118022 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118023 -  171.  240619 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118024 -               0700....BP HR..................................................... 130  74  53  Kardia ECG reports HR status, see below. ref SDS 0 A7SL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118025 -               0705....BP HR..................................................... 137  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118026 -               0710....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118027 -               0710....80 402400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118028 -               0710... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118029 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
118030 -               0850... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118031 -               0850....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118032 -               0850....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118033 -               0850....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118034 -               0850....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118035 -               0850... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118036 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118037 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118038 -               1700... 40 111160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
118039 -             1 0000............ 10 19940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118040 -             1 0000............ 10 20280  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118041 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118042 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118043 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118044 -               2130... 40 87260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118045 -               2200... 1000 2157000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118046 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118047 -               2330... 80 402480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118048 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118049 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118050 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118052 -  ..
118053 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118054 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118056 -  ..
118057 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118058 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118063 -  ..
118064 - Kardia recorded HR 053 at 0901, Possible Atrial Fibrillation variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118065 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118066 - hiking 00 miles yesterday, and starting Apixaban on 240611 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118067 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118068 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118069 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118072 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118073 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240619-ecg-090134_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118077 -  ..
118078 - Post hike HR profile beginning 1845, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118079 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118080 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118081 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118082 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118085 -        ..
118086 -       Date      240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410  240409    
118087 -       Time       1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226    2041     
118088 -       Hours        14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8       8     
118089 -       HR AVG       58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66      68     
118090 -       HR MAX      124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     102     
118091 -       HR Min       41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38      45     
118092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118094 -              https://flow.polar.com/training/analysis/7904335379                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118097 -               ..
118099 -   
118100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118102 -  ..
118103 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118104 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118105 - Dinner - rice steak broccoli cauliflower onion cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118107 -  ..
118108 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118137 -         ..
118138 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118139 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118140 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118141 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118142 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118143 -  172.  240620 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118144 -               0710....BP HR..................................................... 143  81  49  Kardia ECG reports HR status, see below. ref SDS 0 VFX7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118145 -               0715....BP HR..................................................... 140  79  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118146 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118147 -               0720....80 402560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118148 -               0720... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118149 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
118150 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118151 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118152 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118153 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118154 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118155 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118156 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118157 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118158 -               1700... 40 111200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
118159 -               1830............ 10 19950  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118160 -               1830............ 10 20290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118161 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118162 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118163 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118164 -               2130... 40 87300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118165 -               2200... 1000 2158000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118166 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118167 -               2330... 80 402640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118168 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118169 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118170 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118173 -  ..
118174 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118175 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118177 -  ..
118178 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118179 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118183 -  ..
118184 - Kardia recorded HR 055 at 0726,Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118185 - lengths with p-waves and some artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118186 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118187 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118188 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118189 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118192 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118193 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240620-ecg-072649_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118197 -  ..
118198 - Post hike HR profile beginning 1841, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118199 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118200 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118201 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118202 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118205 -        ..
118206 -       Date      240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411  240410    
118207 -       Time       1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023    2226     
118208 -       Hours        11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7       8     
118209 -       HR AVG       55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63      66     
118210 -       HR MAX      100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124      92     
118211 -       HR Min       36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37      38     
118212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118214 -              https://flow.polar.com/training/analysis/7904842636                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118217 -               ..
118219 -   
118220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118222 -  ..
118223 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118224 - Lunch - tomato avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118225 - Dinner - rice steak broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118227 -  ..
118228 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118257 -         ..
118258 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118259 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118260 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118261 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118262 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118263 -  173.  240621 0615............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118264 -               0615....BP HR..................................................... 150  78  46  Kardia ECG reports HR status, see below. ref SDS 0 BVP3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118265 -               0620....BP HR..................................................... 136  77  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118266 -               0625....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118267 -               0625....80 402720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118268 -               0625... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118269 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
118270 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118271 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118272 -               1110....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118273 -               1110....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118274 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118275 -               1110... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118276 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
118277 -  ..
118278 -               1147....miles...........  15.0  30.0  254   506 minutes  temp  91 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118279 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118280 -               1414....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118281 -               1414....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118282 -               1414... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118283 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118284 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118285 -               1414... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118286 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118287 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
118288 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118289 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118290 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118291 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118292 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118293 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118294 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118295 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118296 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118297 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118298 -               1621... Hike ends mile 15... ref SDS 0 X3L5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118299 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118300 -               1645....weight.................................... 169  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118301 -               1650....BP HR..................................................... 112  72 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118302 -               1655....BP HR..................................................... 103  67  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118303 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118304 -               1700... 40 111240 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
118305 -             1 0000............ 10 19950  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118306 -             1 0000............ 10 20290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118307 -               1900... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118308 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118309 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118310 -               2130... 40 87340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118311 -               2200... 1000 2159000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118312 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118313 -               2330... 80 402800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118314 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118315 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118316 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118318 -  ..
118319 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118320 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118322 -  ..
118323 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118324 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118327 -  ..
118328 - Today, hiked 15 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118329 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118330 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118331 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118332 - Valley Road 1 mile.  Hiked East on Pine Hollow 1.00 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118333 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118334 - Stopped mile 09, for EKG, hydration and nutrition.  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118335 - Gabapentin to manage pain and took nothing to prevent inflammation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118336 - Feet hurting less today.  Did not take another Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118337 - mg for energy.  Took CoQ10 for energy and HDL.  Hiked 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118338 - parking lots.  Continued on Ygnacio Valley Road past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118339 - Road and Cowell another 4 miles home.  Wore Hoka Bondi 6 wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118340 - with 2 pair socks and Pediplasti Interdigital Spacers to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118341 - painful injury both feet #4 - #5.  Worked well on both feet.  Blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118342 - blister top #5 did not get worse.  Was in sinus entire hike despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118343 - taking Tramadol for pain, and following 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118344 - 0930. ref SDS 47 RX9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118348 -         ..
118349 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118350 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118351 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                 
118352 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118353 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118354 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118355 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118356 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118357 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118358 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118359 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                 
118360 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118361 -        Elbow left arm PRP on 231121.................   3         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                      
118362 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118363 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118364 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
118365 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118366 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118367 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118368 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                          
118369 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118370 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118371 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118372 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118373 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118374 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118375 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118376 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118377 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118378 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118379 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118380 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118381 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118382 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118383 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                                           
118384 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                                           
118385 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118386 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118387 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118388 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
118389 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
118390 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
118391 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118392 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
118393 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240613 - blistering today, so need further scaple care                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118394 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118395 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118396 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118397 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118398 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
118399 -        Callus ring toe #4 right foot in web.........   1         10  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
118400 -        Callus ring toe #4 top right foot............   1         10  used neoprene protective sleeve took 1 Tramadol mile 11 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118401 -        Callus ring toe #4 left foot in web..........   1         20  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
118402 -        Blister ring toe left foot.new 240602........   1         20  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 11 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
118403 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - used wrong neoprene cover bandage - should have applied callus pad cutout held in place with tape - took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                      
118404 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118405 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118406 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118407 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
118408 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118409 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118410 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118411 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118412 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118413 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118414 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118415 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118416 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118417 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118418 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118419 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapintin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118420 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118422 -  ..
118423 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118424 - Bondi 6 size 10 wide.  Using new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118425 - protect #4-#5 on left foot worked well PL 0 most of hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118426 - Right foot was slightly worse PL 2 for 30%, then PL 0 rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118427 - hike, and With better cushioning on balls of feet, metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118428 - was evident for 70% of hike; Tramadol and Gabapentin made feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118429 - pain more tolerable.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118431 -  ..
118432 - Orthotic inserts - Stable Elite were okay entire hike used with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118433 - Bondi 6 shoes - see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118435 -  ..
118436 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118437 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118438 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118439 - today.  This was mostly tolerable, especially after taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118440 - and Gabapentin at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118442 -  ..
118443 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118444 - 0701, ref SDS 16 NS7J  Today, used new spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118445 - and #5, created by Doctor Tang at VAMCSF on 240613 0900. ref SDS 49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118446 - CT5K  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118447 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118448 - right foot.  Combine with neoprene sleeve to protect top of #4 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118449 - right foot.  This worked well.  The left foot had PL 0 most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118450 - time.  When hike ended, there was no blood nor blistering.  Need to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118451 - bring neoprene sleeves and a roll of white tape in backpack on hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118453 -  ..
118454 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118455 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118456 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118457 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118458 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118461 -  ..
118462 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118463 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118464 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118465 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118466 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118467 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118468 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118469 - PF45  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118470 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118471 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118472 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118473 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118474 - energy, and avocado for HDL, per above. ref SDS 0 NM5G  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118475 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118476 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118477 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118478 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118479 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118480 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118481 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118482 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118483 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118484 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118485 - and turned left, onto Treat about 1 mile.  Feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118486 - like pins and needles - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118487 - statins.  Breathed through nose entire hike without dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118488 - started at 78, and reached 91.  West wind 14 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118489 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118490 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118491 - some places 2% - 3% uphill, and very light traffic.  At mile 2, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118492 - not hike across Newhall Community Park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118493 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118494 - .75 miles on narrower asphalt road shoulder with moderate traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118495 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118496 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118497 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118498 - Left foot #4 and/or #5 PL 0, right foot #4 - #5 PL 2.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118499 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118500 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118501 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118502 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118503 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118504 - Texaco Gas Station store mile 5, time ____.  Turned left hiked 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118505 - mile East on Pine Hollow.  Past Rolling Woods Way and up the hill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118506 - turned around at Camino Solano.  Hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118507 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118508 - mph.  At mile 8, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118509 - University East Bay Concord Campus.  Hiked loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118510 - Back at Visitor Parking stopped at Administration Building mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118511 - time 1414 temp 85 and wind 14 mph; EKG looks uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118512 - artifact.  Kardia reported HR 120 (indicating no AFL, and alighs with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118513 - temp 85) Tachycardia - see below. ref SDS 0 6VTN  HR did not drop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118514 - severely today, during pause for EKG, hydration and nutrition, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118515 - case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118516 - 0942. ref SDS 34 RU6M  Both feet PL 2, wearing Hoka Bondi 6 size 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118517 - wide shoes, with Stable Elite inserts, and 2 pair double ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118518 - per above. ref SDS 0 XTUV  Burning sensation PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118519 - bunions PL 0, left foot #5 edge blister/callus PL 1, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118520 - blister/callus PL 0, #5 edge callus/blister PL 1, used pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118521 - interdigital spacers today, per above. ref SDS 0 XTWU  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118522 - meniscus PL 1, left shoulder PL 2, left elbow PL 2 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118523 - 1 Tramadol 50 mg and Gabapentin 300 mg for pain, which does not reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118524 - inflammation - avoided 1 Naproxen because conflicts with Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118525 - blood thinner, cited in Discharge Instructions following cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118526 - ablation reported on 240612 0506. ref SDS 48 PF45  Additionally,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118527 - Naproxen may trigger AFL, reported in research on 240428 1939.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118528 - ref SDS 37 YP8F  Did not take 2nd Magnesium complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118529 - energy, because forgot to bring the pill.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118530 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118531 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118532 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118533 - to complete hike.  Since temperature elevated above 80, wanted to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118534 - Nuun electrolyte pill, but forgot they are in backpack, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118535 - ref SDS 0 XSPQ  Continued hiking 3 more miles through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118536 - Student parking lots.  At mile 11, exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118537 - downhill Campus Drive Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118538 - West on flat grade .5 miles.  At mile 12, continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118539 - Road, uphill 3% grade .5 miles against wind 12 mph.  Crossed Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118540 - stop light.  At break in traffic, crossed to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118541 - Road to avoid severe camber.  Hiked West to end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118542 - barriar.  At mile 13, turned around and hiked back .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118543 - Temperature rising into high 90s.  East wind 12 mph, and cool was very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118544 - helpful.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118545 - grade, then flat grade .25 miles, then .5 miles with narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118546 - against oncoming afternoon commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118547 - hiking West .25 miles back to Cuneo and home.  Ended hike mile 15 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118548 - 1621 temp 91, wind 13, feet PL 1, burning sensation PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118549 - PL 0, right foot #4 top blister/callus PL 1, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118550 - bunions PL 0, shin splints PL 0, left knee PL 1 (not swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118551 - knee PL 0, left shoulder PL 2, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118552 - intermittantly, lower back left side PL 0, left elbow PL 3, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118553 - lifting.  EKG looks uniform with artifact, Kardia reported HR 136                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118554 - Possible Atrial Fibrillation - see below. ref SDS 0 X3L5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118563 -  ..
118564 - Kardia recorded HR 047 at 0621,Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118565 - lengths with p-waves and some artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118566 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118567 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118568 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118569 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118572 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118573 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240621-ecg-062153_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118580 -  ..
118581 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118582 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118583 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118585 -  ..
118586 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118588 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118589 -       Date        240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331 240330   
118590 -       Miles          15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     18     
118591 -       HR AVG        123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no    115     
118592 -         MAX         156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report   140  r  
118593 -         Min          67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            65     
118594 -       El Climb Ft   305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                             715    715    715    715    715                         495    495    715           615
118595 -       Temp Max       91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            62     
118596 -       Wind Max       14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            12     
118597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118599 -              https://flow.polar.com/training/analysis/7905104170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118602 -               ..
118604 -   
118605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118609 -  ..
118610 - EKG at mile 09 time 1414 HR 120 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118611 - Tachycardia... looks uniform with mild artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118612 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118615 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118616 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240621-ecg-141426_mile_09_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118620 -  ..
118621 - End hike EKG at mile 15, time 1621 HR 136 temp 91 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118622 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118623 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118626 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118627 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240621-ecg-162148_mile_15_136_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118631 -  ..
118632 - Post hike HR profile beginning 2007, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118633 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118634 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118635 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118636 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118639 -        ..
118640 -       Date      240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412  240411    
118641 -       Time       2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955    0023     
118642 -       Hours         9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10       7     
118643 -       HR AVG       63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62      63     
118644 -       HR MAX      120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     124     
118645 -       HR Min       43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41      37     
118646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118648 -              https://flow.polar.com/training/analysis/7905459683                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118651 -               ..
118653 -   
118654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118656 -  ..
118657 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118658 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118659 - Dinner - eggs rice steak broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118661 -  ..
118662 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118689 -         ..
118690 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118691 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118692 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118693 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118694 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118695 -  174.  240622 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118696 -               0700....BP HR..................................................... 149  78  47  Kardia ECG reports HR status, see below. ref SDS 0 83K2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118697 -               0705....BP HR..................................................... 142  84  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118698 -               0710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118699 -               0710....80 402880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118700 -               0710... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118701 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
118702 -               0920... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118703 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118704 -               0920....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118705 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118706 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118707 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118708 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
118709 -  ..
118710 -               0950....miles...........  16.0  46.0  263   769 minutes  temp  95 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118711 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118712 -               1226....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118713 -               1226....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118714 -               1226... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118715 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118716 -               1226... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118717 -               1226... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118718 -               1226....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118719 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
118720 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118721 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118722 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118723 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118724 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118725 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118726 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118727 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118728 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118729 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118730 -               1401... Hike ends mile 16... ref SDS 0 FP3B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118731 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118732 -               1450....weight.................................... 168  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118733 -               1510....BP HR..................................................... 111  74 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118734 -               1520....BP HR..................................................... 103  67  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118735 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118736 -               1700... 40 111280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
118737 -               1730............ 10 19960  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118738 -               1730............ 10 20300  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118739 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118740 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118741 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118742 -               2130... 40 87380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118743 -               2200... 1000 2160000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118744 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118745 -               2330... 80 402960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118746 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118747 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118748 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118750 -  ..
118751 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118752 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118754 -  ..
118755 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118756 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118759 -  ..
118760 - Today, hiked 16 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118761 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118762 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118763 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118764 - Valley Road 1 mile.  Hiked East on Pine Hollow 1.50 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118765 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118766 - Stopped mile 09, for EKG, hydration and nutrition.  Took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118767 - without Gabapentin to manage pain and took nothing to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118768 - inflammation.  Feet hurting more today.  Took another Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118769 - complex 300 mg for energy.  Took CoQ10 for energy and HDL.  Hiked 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118770 - miles through parking lots.  Continued on Ygnacio Valley Road past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118771 - Crystal Ranch Road and Cowell another 3 miles home.  Wore Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118772 - wide shoes with 2 pair socks and Pediplasti Interdigital Spacers to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118773 - prevent painful injury both feet #4 - #5.  Did not work well.  Skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118774 - from healing Blood blister top #5 tore loose causing increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118775 - pressure PL 5.  Was in sinus entire hike despite taking Tramadol for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118776 - pain, and following 6th cardiac ablation on 240611 0930. ref SDS 47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118777 - RX9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118781 -         ..
118782 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118783 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118784 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                 
118785 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118786 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118787 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118788 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118789 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118790 -        Spine below neck lift left or right arm......   0        100  this did not seem to occur today, despite continuing issue past years                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118791 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118792 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                 
118793 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118794 -        Elbow left arm PRP on 231121.................   3         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                      
118795 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118796 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118797 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
118798 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118799 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118800 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118801 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                          
118802 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118803 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118804 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118805 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118806 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118807 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118808 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118809 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118810 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118811 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118812 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118813 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118814 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118815 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118816 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                                           
118817 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                                           
118818 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118819 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118820 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118821 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
118822 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
118823 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
118824 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118825 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
118826 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - blistering today, so need further scaple care                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118827 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118828 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118829 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118830 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118831 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
118832 -        Callus ring toe #4 right foot in web.........   1         10  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
118833 -        Callus ring toe #4 top right foot............   1         10  used neoprene protective sleeve took 1 Tramadol mile 11 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118834 -        Callus ring toe #4 left foot in web..........   1         20  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
118835 -        Blister ring toe left foot.new 240602........   1         20  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 11 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
118836 -        Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang cut out core of callus again on 240613 - used wrong neoprene cover bandage - should have applied callus pad cutout held in place with tape - took 1 Tramadol mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                      
118837 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118838 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118839 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118840 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
118841 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118842 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118843 -        Stinging sensation both feet.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118844 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118845 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118846 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118847 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118848 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118849 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118850 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118851 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118852 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118853 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118855 -  ..
118856 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118857 - 6 size 10 wide.  Using new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118858 - #4-#5 on left foot had PL 5 by mile 9.  After hike discovered large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118859 - skin came loose from blister 3 weeks ago.  Cut this loose after hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118860 - so will not be a problem tomorrow.  Toe #1 both feet need to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118861 - scraped tonight, and possibly protected tomorrow with callus bandages                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118862 - that have the midddle cut out that relieves pressure from sides of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118863 - shoes.  Will switch to wider Brooks Ghost x-wide shoes tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118865 -  ..
118866 - Orthotic inserts - Stable Elite were okay entire hike used with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118867 - Bondi 6 shoes - see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118869 -  ..
118870 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118871 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118872 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118873 - today.  This was difficult to tolerate, even after taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118874 - Gabapentin at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118876 -  ..
118877 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118878 - 0701, ref SDS 16 NS7J  Today, used new spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118879 - and #5, created by Doctor Tang at VAMCSF on 240613 0900. ref SDS 49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118880 - CT5K  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118881 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118882 - right foot.  Combine with neoprene sleeve to protect top of #4 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118883 - right foot.  The left foot had PL 4 most of the time.  When hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118884 - ended, there was no blood nor blistering.  Skin from blister came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118885 - loose during hike causing pressure on #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118887 -  ..
118888 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118889 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118890 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118891 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118892 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118895 -  ..
118896 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118897 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118898 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118899 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118900 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118901 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118902 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118903 - PF45  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118904 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118905 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118906 - anyway and allowed to breakdown on top of LESV...  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118907 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118908 - energy, and avocado for HDL, per above. ref SDS 0 HLK6  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118909 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118910 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118911 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118912 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118913 - 0900, ref SDS 22 TL6I, and specifically reviewing biopsy results on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118914 - 200716 0800. ref SDS 20 N88N; Bloating and stomach pain can also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118915 - result from ablation procedures cited in letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118916 - on 200508 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118917 - 2U4O, and reviewed in meeting with VA medical team on 220503 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118918 - ref SDS 22 TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118919 - and turned left, onto Treat about 1 mile.  Feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118920 - like pins and needles - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118921 - statins.  Breathed through nose entire hike without dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118922 - started at 78, and reached 95.  West wind 08 mph and mostly 05 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118923 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118924 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118925 - some places 2% - 3% uphill, and very light traffic.  At mile 2, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118926 - not hike across Newhall Community Park and back today.  Bocci ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118927 - tournament at the park today.  Lots of cars in auxillary parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118928 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118929 - Ayers hiking East .75 miles on narrower asphalt road shoulder with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118930 - moderate traffic.  At mile 3, turned right onto Clayton Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118931 - South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118932 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118933 - concrete sidewalk .5 miles.  Left foot #4 and/or #5 PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118934 - #4 - #5 PL 2.  At mile 4, turned right hiking West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118935 - Road using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118936 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118937 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118938 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118939 - Stopped at Union 76 Texaco Gas Station store mile 5, time 1200, only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118940 - few minutes saying hello to Stacy.  She was leaving after her shift                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118941 - ended.  Have not seen Stacy for over 2 months.  She now working only 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118942 - days a week.  Turned left hiked 1.50 mile East on Pine Hollow.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118943 - Pennsylvania Boulevard and near Pine Hollow Middle School turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118944 - around.  Hiked back to YV.  Turned left onto Campus Drive hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118945 - 1 mile uphill 3% - 4% grade against wind 07 mph.  At mile 9, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118946 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118947 - Campus.  Hiked loop around main buildings.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118948 - stopped at Administration Building mile 09 time 1226 temp 86 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118949 - 07 mph; EKG looks uniform with some artifact.  Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118950 - (indicating no AFL, and aligns with temp 86) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118951 - ref SDS 0 BWUX  HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118952 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118953 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118954 - wearing Hoka Bondi 6 size 10 wide shoes, with Stable Elite inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118955 - and 2 pair double ply socks, per above. ref SDS 0 XUWQ  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118956 - sensation PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118957 - blister/callus PL 5, right foot #4 top blister/callus PL 2, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118958 - callus/blister PL 2, used pediplasti interdigital spacers today, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118959 - above. ref SDS 0 XUYQ  Left knee meniscus PL 1, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118960 - left elbow PL 2 intermitant.  Took 1 Tramadol 50 mg and did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118961 - Gabapentin 300 mg for pain.  Since Tramadol does not reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118962 - inflammation, and since avoided 1 Naproxen because conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118963 - Apixaban blood thinner, cited in Discharge Instructions following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118964 - cardiac ablation reported on 240612 0506. ref SDS 48 PF45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118965 - Additionally, Naproxen may trigger AFL, reported in research on 240428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118966 - 1939. ref SDS 37 YP8F  Took 2nd Magnesium complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118967 - energy.  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118968 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118969 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118970 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118971 - temperature elevated above 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118972 - electrolytes, took Nuun electrolyte pill, per above. ref SDS 0 XTQU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118973 - Continued hiking 4 more miles through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118974 - lots.  At mile 13, exited college heading North downhill Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118975 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118976 - miles.  At mile 14, continued past Crystal Ranch Road, uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118977 - .5 miles against wind 08 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118978 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118979 - camber.  Hiked East and turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118980 - miles downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118981 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118982 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118983 - hike mile 16 time 1431 temp 93, wind 07, feet PL 3, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118984 - PL 0, left foot #5 PL 5, right foot #4 top blister/callus PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118985 - foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118986 - swollen), right knee PL 0, left shoulder PL 2, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118987 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118988 - lifting.  EKG looks uniform with no artifact, Kardia reported HR 135                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118989 - Tachycardia - see below. ref SDS 0 C7B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118998 -  ..
118999 - Kardia recorded HR 048 at 0430,Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119000 - lengths with p-waves and some artifact; likely no AFL after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119001 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119002 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119003 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119004 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119007 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119008 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240622-ecg-043054_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119015 -  ..
119016 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119017 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119018 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119020 -  ..
119021 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119023 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119024 -       Date        240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402 240401 240331   
119025 -       Miles          16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     31      0     
119026 -       HR AVG        125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130    124     no     
119027 -         MAX         150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155    170  report    
119028 -         Min          66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     58            
119029 -       El Climb Ft   305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495    715                             715    715    715    715    715                         495    495    715
119030 -       Temp Max       94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     73            
119031 -       Wind Max       10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     10            
119032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119034 -              https://flow.polar.com/training/analysis/7905669869                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119037 -               ..
119039 -   
119040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119044 -  ..
119045 - EKG at mile 09 time 1226 HR 118 temp 86, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119046 - Tachycardia... looks uniform with mild artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119047 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119050 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119051 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240622-ecg-122617_mile_09_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119055 -  ..
119056 - End hike EKG at mile 16, time 1431 HR 135 temp 91 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119057 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119058 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119061 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119062 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240622-ecg-143159_mile_16_135_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119066 -  ..
119067 - Post hike HR profile beginning 1903, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119068 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119069 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119070 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119071 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119074 -        ..
119075 -       Date      240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413  240412    
119076 -       Time       1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049    1955     
119077 -       Hours        13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10      10     
119078 -       HR AVG       64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58      62     
119079 -       HR MAX      161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     120     
119080 -       HR Min       39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41      41     
119081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119083 -              https://flow.polar.com/training/analysis/7906158493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119086 -               ..
119088 -   
119089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119091 -  ..
119092 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119093 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119094 - Dinner - salmon tomato onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119096 -  ..
119097 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119124 -         ..
119125 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119126 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119127 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119128 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119129 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119130 -  175.  240623 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119131 -               0710....BP HR..................................................... 141  81  50  Kardia ECG reports HR status, see below. ref SDS 0 YH28                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119132 -               0715....BP HR..................................................... 140  81  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119133 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119134 -               0720....80 403040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119135 -               0720... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119136 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
119137 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119138 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119139 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119140 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119141 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119142 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119143 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119144 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119145 -               1700... 40 111320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
119146 -             1 0000............ 10 19960  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
119147 -             1 0000............ 10 20300  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
119148 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119149 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119150 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119151 -               2130... 40 87420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119152 -               2200... 1000 2161000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119153 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119154 -               2330... 80 403120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119155 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119156 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119157 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119160 -  ..
119161 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119162 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119164 -  ..
119165 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119166 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119171 -  ..
119172 - Kardia recorded HR 047 at 0745,Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119173 - with p-waves and no artifact; likely no AFL after hiking 16 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119174 - yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119175 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119176 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119177 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119180 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119181 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240623-ecg-074526_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119185 -  ..
119186 - Post hike HR profile beginning 1928, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119187 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119188 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119189 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119190 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119193 -        ..
119194 -       Date      240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414  240413    
119195 -       Time       1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152    2049     
119196 -       Hours        10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9      10     
119197 -       HR AVG       57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61      58     
119198 -       HR MAX      109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     142     
119199 -       HR Min       38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41      41     
119200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119202 -              https://flow.polar.com/training/analysis/7906658248                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119205 -               ..
119207 -   
119208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119210 -  ..
119211 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119212 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119213 - Dinner - salmon broccoli tomato onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119215 -  ..
119216 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119244 -         ..
119245 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119246 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119247 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119248 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119249 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119250 -  176.  240624 0610............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119251 -               0610....BP HR..................................................... 140  78  48  Kardia ECG reports HR status, see below. ref SDS 0 FSXT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119252 -               0615....BP HR..................................................... 132  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119253 -               0620....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119254 -               0620....80 403200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119255 -               0620... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119256 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
119257 -               0920... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119258 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119259 -               0920....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119260 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119261 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119262 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119263 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
119264 -  ..
119265 -               0712....miles...........  20.0  20.0  327   327 minutes  temp  93 wind 13  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119266 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119267 -               1022....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119268 -               1022....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119269 -               1022... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119270 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119271 -               1022... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119272 -               1022... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119273 -               1022....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119274 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
119275 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119276 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119277 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119278 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119279 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119280 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119281 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119282 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119283 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119284 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119285 -               1401... Hike ends mile 15... ref SDS 0 FP3B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119286 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119287 -               1320....weight.................................... 168  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119288 -               1325....BP HR..................................................... 108  72 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119289 -               1335....BP HR.....................................................  96  69  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119290 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119291 -               1700... 40 111360 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
119292 -               1830............ 10 19970  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
119293 -               1830............ 10 20310  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
119294 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119295 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119296 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119297 -               2130... 40 87460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119298 -               2200... 1000 2162000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119299 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119300 -               2330... 80 403280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119301 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119302 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119303 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119305 -  ..
119306 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119307 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119309 -  ..
119310 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119311 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119314 -  ..
119315 - Today, hiked 20 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119316 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119317 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119318 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119319 - Valley Road 1 mile.  Hiked East on Pine Hollow 0.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119320 - around and hiked back.  Turned West 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119321 - Hiked 4 miles through faculty and student parking lots.  Stopped mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119322 - 11, for EKG, hydration and nutrition.  Feet hurting.  Took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119323 - and Gabapentin to manage pain.  Took another magnesium to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119324 - inflammation, and increase energy.  Took electrolyte pill, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119325 - CoQ10 for energy and HDL.  Continued 4 miles on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119326 - past Crystal Ranch Road.  At Oak Grove hiked 2 1-mile loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119327 - shopping comples.  Took Oak Grove 1 mile.  Turned right hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119328 - East on Treat and home.  Hike better because started 3 hours earlier,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119329 - so temperature was lower most of hike.  Ended temp 93, but most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119330 - time was in 70s.  Wore Hoka Bondi 6 wide shoes with 2 pair dualply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119331 - Wrightsocks, and Pediplasti Interdigital Spacers to prevent painful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119332 - injury both feet #4 - #5.  Worked well - much better than prior hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119333 - oin 240622 - likely because removed blistered skin on left foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119334 - and scrapped calluses #1 both feet.  Despite taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119335 - Gabapenin with temperatrure elevated did not flip into flutter, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119336 - following 6th cardiac ablation on 240611 0930. ref SDS 47 RX9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119340 -         ..
119341 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119342 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119343 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                 
119344 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119345 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119346 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119347 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119348 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119349 -        Spine below neck lift left or right arm......   6          5  occurred today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119350 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119351 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                 
119352 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119353 -        Elbow left arm PRP on 231121.................   3         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                      
119354 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119355 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119356 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
119357 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119358 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119359 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119360 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                          
119361 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119362 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119363 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119364 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119365 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119366 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119367 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119368 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119369 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119370 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119371 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119372 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
119373 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119374 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119375 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
119376 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
119377 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119378 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119379 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119380 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
119381 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
119382 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
119383 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119384 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
119385 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 240613 - less blistering today, after scrapping callus Saturday 240622                                                                                                                                                                                                                                                                                                                                                                                                                                           
119386 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scrapping callus Saturday 240622                                                                                                                                                                                                                                                                                                                                                                                                                                           
119387 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119388 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119389 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119390 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
119391 -        Callus ring toe #4 right foot in web.........   1         10  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
119392 -        Callus ring toe #4 top right foot............   2         20  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                           
119393 -        Callus ring toe #4 left foot in web..........   1         20  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
119394 -        Blister ring toe left foot.new 240602........   1         20  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 11 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
119395 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
119396 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119397 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119398 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119399 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
119400 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119401 -        Burning sensation both feet..................   3         20  subsided after taking 1 Tramadol and 1 Gababenin mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119402 -        Stinging sensation both feet.................   2          5  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin                                                                                                                                                                                                                                                                                                                                                                                                                                   
119403 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119404 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119405 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119406 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119407 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119408 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119409 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119410 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119411 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119412 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119414 -  ..
119415 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119416 - 6 size 10 wide.  Using new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119417 - #4-#5 on left foot had PL 2 by mile 11.  Toe #1 both feet need to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119418 - scraped again tonight,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119420 -  ..
119421 - Orthotic inserts - Stable Elite were okay entire hike used with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119422 - Bondi 6 shoes - see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119424 -  ..
119425 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119426 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119427 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119428 - today.  Tolerated this well, and better after taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119429 - Gabapentin at mile 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119431 -  ..
119432 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119433 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119434 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119435 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119436 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119437 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119438 - top of #4 on right foot.  The left foot had PL 1 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119439 - When hike ended, there was no blood nor blistering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119441 -  ..
119442 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119443 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119444 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119445 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119446 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119449 -  ..
119450 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119451 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119452 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119453 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119454 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119455 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119456 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119457 - PF45  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119458 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119459 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119460 - anyway and allowed to breakdown on top of LESV...  Magnesium increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119461 - by disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119462 - disapates inflammation, critical for raising HDL, and general health                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119463 - in major organs.  Had small amount peanut butter and margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119464 - chia seeds for electrolytes, including energy, and avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119465 - per above. ref SDS 0 JK9F  Soaking Chia seeds in water, Coca Cola,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119466 - orange juice, etc., increases energy and aids hydration, shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119467 - research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119468 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119469 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119470 - TL6I, and reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119471 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119472 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119473 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119474 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119475 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119476 - 1 mile.  Feet starting hike feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119477 - - peripheral neuropathy caused by taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119478 - nose entire hike without dyspnea.  Temp started at 75, and reached 93.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119479 - West wind 08 mph and mostly 05 mph.  Hiked East on Treat .50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119480 - Turned right hiking South on Turtle Creek Road with wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119481 - shoulder 1.5 miles mostly flat grade, some places 2% - 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119482 - very light traffic.  At mile 2, hiked across Newhall Community Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119483 - and back.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119484 - left onto Ayers hiking East .75 miles on narrower asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119485 - shoulder with moderate traffic.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119486 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119487 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119488 - on concrete sidewalk .5 miles.  Left foot #4 and/or #5 PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119489 - foot #4 - #5 PL 1.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119490 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119491 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119492 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119493 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119494 - Did not stop at Union 76 Texaco Gas Station store mile 5, time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119495 - Turned left hiked 0.25 mile East on Pine Hollow. turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119496 - Hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119497 - uphill 3% - 4% grade against wind 05 mph.  At mile 7, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119498 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119499 - 4 miles loops through Faculty and Student parking.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119500 - Parking stopped at Administration Building mile 11 time 1022 temp 75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119501 - and wind 08 mph; EKG looks uniform with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119502 - HR 105 (indicating no AFL, and aligns with temp 75) Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119503 - below. ref SDS 0 Y38M  HR did not drop severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119504 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119505 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119506 - feet PL 3, wearing Hoka Bondi 6 size 10 wide shoes, with Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119507 - inserts, and 2 pair double ply socks, per above. ref SDS 0 YTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119508 - Burning sensation PL 3, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119509 - edge blister/callus PL 1, right foot #4 top blister/callus PL 2, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119510 - edge callus/blister PL 0, used pediplasti interdigital spacers today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119511 - per above. ref SDS 0 YTVR  Left knee meniscus PL 2, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119512 - 2, left elbow PL 2 intermitant.  Took 1 Tramadol 50 mg and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119513 - Gabapentin 300 mg for pain.  Since Tramadol does not reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119514 - inflammation, and since avoided 1 Naproxen because conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119515 - Apixaban blood thinner, cited in Discharge Instructions following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119516 - cardiac ablation reported on 240612 0506. ref SDS 48 PF45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119517 - Additionally, Naproxen may trigger AFL, reported in research on 240428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119518 - 1939. ref SDS 37 YP8F  Took 2nd Magnesium complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119519 - energy, and magnesium disipates inflammation, essential to raise HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119520 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119521 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119522 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119523 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119524 - temperature elevated above 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119525 - electrolytes, took Nuun electrolyte pill, per above. ref SDS 0 YRXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119526 - Hiked another loop around main buildings.  Exited college hiking .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119527 - mile North on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119528 - Hiked West on flat grade .5 miles.  At mile 12, continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119529 - Crystal Ranch Road and uphill 3% grade .5 miles against wind 07 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119530 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119531 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119532 - uphill 3% grade to summit.  At end of concrete barriar and break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119533 - traffic about mile 13, crossed back to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119534 - to use wider shoulder.  Continued 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119535 - Noticed Polar showing HR 142 steady, indicating possible AFL.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119536 - again to North side Ygnacio Valley Road.  Crossed Oak Grove at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119537 - light.  At mile 15, hiked 1-mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119538 - complex.  Noticed Polar showing HR 127, indicating no AFL.  Today, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119539 - not stop near Mod Pizza for vitals, nutrition, hydration, etc.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119540 - Continued hiking another 1-mile loop around the block - turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119541 - onto path parallel to Via Monte hiking North .25 miles, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119542 - onto Shadelands hiking .25 miles, and turned left onto Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119543 - Hiked 1 mile North on asphalt shoulder.  Crossed Treat on green                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119544 - traffic light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119545 - San Miguel continued .75 miles on Treat uphill 5% grade with wind 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119546 - mph, temp 76.  Handled this well, though feeling low energy after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119547 - passing nutrition and energy supplements at typical stop near Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119548 - Pizza.  At summit, mile 19, hiked another mile to Cuneo.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119549 - onto Cuneo.  Ended hike mile 20 time 1304 temp 91, wind 12, feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119550 - left foot #5 edge PL 0, right foot #4 top PL 1, #5 PL 1, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119551 - sensation PL 2, shin splints PL 0, left knee PL 2 (swollen slightly),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119552 - right knee PL 0, left shoulder PL 2, neck and right shoulder PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119553 - intermittantly, lower back left side PL 0, left elbow PL 3, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119554 - extending.  EKG variable, with much artifact, Kardia reported HR 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119555 - Tachycardia - see below. ref SDS 0 NY7A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119565 -  ..
119566 - Kardia recorded HR 049 at 0551 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119567 - with p-waves and minor artifact; likely no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119568 - yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119569 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119570 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119571 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119574 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119575 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240624-ecg-055105_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119582 -  ..
119583 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119584 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119585 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119587 -  ..
119588 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119590 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119591 -       Date        240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403 240402   
119592 -       Miles          20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     11     
119593 -       HR AVG        116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104    130     
119594 -         MAX         148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124    155     
119595 -         Min          60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     39     
119596 -       El Climb Ft   305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715    495     71                             715    715    715    715    715                         495    495
119597 -       Temp Max       93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     75     
119598 -       Wind Max       13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     10     
119599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119601 -              https://flow.polar.com/training/analysis/7906999197                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119604 -               ..
119606 -   
119607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119611 -  ..
119612 - EKG at mile 11 time 1022 HR 105 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119613 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119614 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119617 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119618 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240624-ecg-102241_mile_11_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119622 -  ..
119623 - End hike EKG at mile 20, time 1304 HR 125 temp 91 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119624 - Tachycardia... looks variable with much artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119625 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119628 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119629 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240624-ecg-130447_mile_20_125_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119634 -  ..
119635 - Post hike HR profile beginning 1847, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119636 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119637 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119638 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119639 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119642 -        ..
119643 -       Date      240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415  240414    
119644 -       Time       1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243    2152     
119645 -       Hours        12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8       9     
119646 -       HR AVG       58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67      61     
119647 -       HR MAX      111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     118     
119648 -       HR Min       37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34      41     
119649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119651 -              https://flow.polar.com/training/analysis/7907390929                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119654 -               ..
119656 -   
119657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119659 -  ..
119660 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119661 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119662 - Dinner - rice steak broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119664 -  ..
119665 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119694 -         ..
119695 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119696 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119697 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119698 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119699 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119700 -  177.  240625 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119701 -               0640....BP HR..................................................... 147  79  45  Kardia ECG reports HR status, see below. ref SDS 0 YW3R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119702 -               0645....BP HR..................................................... 150  82  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119703 -               0650....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119704 -               0650....80 403360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119705 -               0650... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119706 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
119707 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119708 -               0710....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119709 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119710 -               0710....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119711 -               0710....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119712 -               0710... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119713 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
119714 -  ..
119715 -               0741....miles...........  20.0  40.0  330   657 minutes  temp  91 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119716 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119717 -               0957....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119718 -               0957....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119719 -               0957... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119720 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119721 -               0957... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119722 -               0957... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119723 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119724 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
119725 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119726 -               1152....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119727 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119728 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119729 -               1152... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119730 -               1152... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119731 -               1152....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119732 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119733 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119734 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119735 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119736 -               1345... Hike ends mile 20... ref SDS 0 S93H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119737 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119738 -               1400....weight.................................... 168  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119739 -               1405....BP HR..................................................... 117  75 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119740 -               1408....BP HR..................................................... 111  76  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119741 -               1415....BP HR..................................................... 111  76  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119742 -               1418....BP HR..................................................... 107  75  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119743 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119744 -               1700... 40 111400 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
119745 -             1 0000............ 10 19970  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
119746 -             1 0000............ 10 20310  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
119747 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119748 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119749 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119750 -               2130... 40 87500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119751 -               2200... 1000 2163000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119752 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119753 -               2330... 80 403440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119754 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119755 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119756 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119758 -  ..
119759 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119760 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119762 -  ..
119763 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119764 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119767 -  ..
119768 - Today, hiked 20 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119769 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119770 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119771 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119772 - Valley Road 1 mile.  Hiked East on Pine Hollow 2.50 miles.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119773 - mile 08, for EKG, hydration and nutrition.  Feet hurting.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119774 - Tramadol and Gabapentin to manage pain.  Took another magnesium to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119775 - prevent inflammation, and increase energy.  Took CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119776 - HDL.  Turned around and hiked back 2.5 miles.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119777 - Campus Drive to college.  Hiked 3 miles through faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119778 - parking lots.  Stopped mile 14, for EKG, hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119779 - Took another magnesium pill to prevent inflammation, and increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119780 - energy.  Took CoQ10 for energy and HDL.  Continued hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119781 - through parking lots.  At mile 16 left college hiking 2 miles West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119782 - Ygnacio Valley Road.  Turned around at summit and hiked hack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119783 - Cowell, then North 1 mile and home.  Hike better today because less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119784 - feet pain after scrapping calluses last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119787 -         ..
119788 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119789 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119790 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                 
119791 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119792 -        Hands cramping hurting - post hike...........   3         20  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119793 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119794 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119795 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119796 -        Spine below neck lift left or right arm......   6          5  occurred today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119797 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119798 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                 
119799 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119800 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                      
119801 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119802 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119803 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
119804 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119805 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119806 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119807 -        Knee left meniscus...PRP 231121..............   2         40  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                          
119808 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119809 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119810 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119811 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119812 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119813 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119814 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119815 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119816 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119817 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119818 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119819 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
119820 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119821 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119822 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
119823 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
119824 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119825 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119826 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119827 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
119828 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
119829 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
119830 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119831 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
119832 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 240613 - less blistering today, after scrapping callus Monday 240624 and after taking 1 Tramadol and 1 Gabapentin mile 08                                                                                                                                                                                                                                                                                                                                                                                        
119833 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scrapping callus Monday 240624 and after taking 1 Tramadol and 1 Gabapentin mile 08                                                                                                                                                                                                                                                                                                                                                                                        
119834 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119835 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119836 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119837 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
119838 -        Callus ring toe #4 right foot in web.........   1         10  recurrance on #4 in web next to #5 has gotten worse, applied Doctor Tang's pediplasti spacer worked well entire                                                                                                                                                                                                                                                                                                                                                                                                                              
119839 -        Callus ring toe #4 top right foot............   1         20  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                           
119840 -        Callus ring toe #4 left foot in web..........   1         20  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420, did not wear spacer today                                                                                                                                                                                                                                                                                                                                                                                                   
119841 -        Blister ring toe left foot.new 240602........   1         20  did not notice until got home and remove sock, but feeling PL 5 hiking loops at college after changing dressing at mile 08 huge blister top #5                                                                                                                                                                                                                                                                                                                                                                                               
119842 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
119843 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119844 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119845 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119846 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
119847 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119848 -        Burning sensation both feet..................   3         20  subsided after taking 1 Tramadol and 1 Gababenin mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119849 -        Stinging sensation both feet.................   2          5  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin                                                                                                                                                                                                                                                                                                                                                                                                                                   
119850 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119851 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119852 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119853 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119854 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119855 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119856 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119857 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119858 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 08 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119859 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119861 -  ..
119862 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119863 - 6 size 10 wide.  Using new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119864 - #4-#5 on left foot had PL 2 by mile 08.  Toe #1 both feet need to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119865 - scraped again tonight, after scraping last night.  Less pain, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119866 - needs daily maintenance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119868 -  ..
119869 - Orthotic inserts - Stable Elite were okay entire hike used with Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119870 - Bondi 6 shoes - see case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119872 -  ..
119873 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119874 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119875 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119876 - today.  Tolerated this well, and better after taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119877 - Gabapentin at mile 08.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119879 -  ..
119880 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119881 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119882 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119883 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119884 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119885 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119886 - top of #4 on right foot.  The left foot had PL 1 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119887 - When hike ended, there was no blood nor blistering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119889 -  ..
119890 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119891 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119892 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119893 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119894 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119897 -  ..
119898 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119899 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119900 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119901 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119902 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119903 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119904 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119905 - PF45  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119906 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119907 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119908 - anyway and allowed to breakdown on top of LESV...  Magnesium increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119909 - energy by disapating lactic acid that causes fatigue in muscles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119910 - also reduces inflammation, critical for raising HDL, and general                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119911 - health in major organs.  Had small amount peanut butter and margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119912 - and chia seeds for electrolytes, including energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119913 - HDL, per above. ref SDS 0 C13W  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119914 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119915 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119916 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119917 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119918 - TL6I, and reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119919 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119920 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119921 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119922 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119923 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119924 - 1 mile.  Feet starting hike feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119925 - - peripheral neuropathy caused by taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119926 - nose entire hike without dyspnea.  Temp started at 72, and reached 91.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119927 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119928 - Turned right hiking South on Turtle Creek Road with wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119929 - shoulder 1.5 miles mostly flat grade, some places 2% - 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119930 - very light traffic.  At mile 2, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119931 - Park and back.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119932 - Turned left onto Ayers hiking East .75 miles on narrower asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119933 - shoulder with moderate traffic.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119934 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119935 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119936 - on concrete sidewalk .5 miles.  Left foot #4 and/or #5 PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119937 - foot #4 - #5 PL 1.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119938 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119939 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119940 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119941 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119942 - Did not stop at Union 76 Texaco Gas Station store mile 5, time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119943 - Turned left hiked 2.50 mile East on Pine Hollow to dead end.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119944 - at mile 08 time 0957 temp 75 and wind 10 mph; EKG looks uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119945 - no artifact.  Kardia reported HR 098 (indicating no AFL, and aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119946 - with temp 75, and minimal elevation gain) Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119947 - below. ref SDS 0 WY7L  HR did not drop severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119948 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119949 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119950 - feet PL 3, wearing Hoka Bondi 6 size 10 wide shoes, with Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119951 - inserts, and 2 pair double ply socks, per above. ref SDS 0 YUXQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119952 - Burning sensation PL 3, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119953 - edge blister/callus PL 1, right foot #4 top blister/callus PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119954 - edge callus/blister PL 0, used pediplasti interdigital spacers today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119955 - per above. ref SDS 0 YUYX  Left knee meniscus PL 2, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119956 - 2, left elbow PL 2 intermitant.  Took 1 Tramadol 50 mg and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119957 - Gabapentin 300 mg for pain.  Since Tramadol does not reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119958 - inflammation, and since avoided 1 Naproxen because conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119959 - Apixaban blood thinner, cited in Discharge Instructions following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119960 - cardiac ablation reported on 240612 0506. ref SDS 48 PF45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119961 - Additionally, Naproxen may trigger AFL, reported in research on 240428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119962 - 1939. ref SDS 37 YP8F  Took 2nd Magnesium complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119963 - energy, and magnesium reduces inflammation, essential to raise HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119964 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119965 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119966 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119967 - sip of Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119968 - Temperature still below 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119969 - electrolytes.  Since temp below 80, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119970 - pill, per above. ref SDS 0 YTRP  Turned around and Hiked back 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119971 - miles back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119972 - uphill 3% - 4% grade against wind 08 mph.  At mile 11, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119973 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119974 - 3 miles through Faculty and Student parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119975 - stopped at Administration Building mile 14 time 1152 temp 81 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119976 - 12 mph; EKG looks mostly uniform with mild artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119977 - HR 114 (indicating no AFL, and aligns with temp 81) Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119978 - below. ref SDS 0 7X3S  HR did not drop severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119979 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119980 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119981 - feet PL 2.  Burning sensation PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119982 - left foot #5 edge blister/callus PL 1, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119983 - blister/callus PL 1, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119984 - PL 1, left shoulder PL 2, left elbow PL 2 intermitant.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119985 - another Tramadol 50 mg and 1 Gabapentin 300 mg for pain.  Took 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119986 - Magnesium complex 300 mg pill for energy, and magnesium reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119987 - inflammation, essential to raise HDL.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119988 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119989 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119990 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119991 - to complete hike.  Since temperature elevated above 80, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119992 - increases sweating that ejects electrolytes, took Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119993 - pill, per above. ref SDS 0 YTRP  Hiked 2 loops through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119994 - At mile 16, exited college hiking .5 mile North on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119995 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119996 - miles.  At mile 17, continued West past Crystal Ranch Road and uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119997 - 3% grade .5 miles against wind 10 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119998 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119999 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120000 - end of concrete barriar - mile 18, turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120001 - heading East .5 miles.  Temperature rising into 90s, so cool East wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120002 - was very helpful.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120003 - downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120004 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120005 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120006 - hike mile 20 time 1345 temp 90, wind 12, feet PL 3, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120007 - PL 3, left foot #5 PL 0, right foot #4 top blister/callus PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120008 - foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120009 - swollen), right knee PL 0, left shoulder PL 2, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120010 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120011 - lifting.  EKG looks variable with heavy artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120012 - 120 Tachycardia - see below. ref SDS 0 S93H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120023 -  ..
120024 - Kardia recorded HR 045 at 0636 Bradycardia, variable heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120025 - with p-waves and minor artifact; likely no AFL after hiking 20 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120026 - yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120027 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120028 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120029 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120032 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120033 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240625-ecg-063615_mile_00_045_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120040 -  ..
120041 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120042 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120043 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120045 -  ..
120046 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120048 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120049 -       Date        240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331 240403   
120050 -       Miles          20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     11     
120051 -       HR AVG        110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no    104     
120052 -         MAX         138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report   124     
120053 -         Min          58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 68     
120054 -       El Climb Ft   305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495    715     49 715                                715    715    715    715    715                         495
120055 -       Temp Max       91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          66     
120056 -       Wind Max       12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          18     
120057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120059 -              https://flow.polar.com/training/analysis/7907717404                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120062 -               ..
120064 -   
120065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120069 -  ..
120070 - EKG at mile 08 time 0957 HR 098 temp 75, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120071 - Rhythm... looks uniform with no artifact - medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120072 - on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120075 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120076 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240625-ecg-095751_mile_08_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120079 -  ..
120080 - EKG at mile 14 time 1152 HR 114 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120081 - Tachycardia... looks mostly uniform with mild artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120082 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120085 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120086 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240625-ecg-115209_mile_14_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120090 -  ..
120091 - End hike EKG at mile 20, time 1345 HR 120 temp 90 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120092 - Tachycardia... looks uniform with heavy` artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120093 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120096 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120097 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240625-ecg-134535_mile_20_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120102 -  ..
120103 - Post hike HR profile beginning 1950, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120104 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120105 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120106 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120107 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120110 -        ..
120111 -       Date      240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416  240415    
120112 -       Time       1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214    2243     
120113 -       Hours        11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9       8     
120114 -       HR AVG       56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62      67     
120115 -       HR MAX      119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     127     
120116 -       HR Min       38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38      34     
120117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120119 -              https://flow.polar.com/training/analysis/7908103065                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120122 -               ..
120124 -   
120125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120127 -  ..
120128 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120129 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120130 - Dinner - rice steak broccoli cauliflower onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120132 -  ..
120133 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120162 -         ..
120163 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120164 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120165 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120166 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120167 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120168 -  178.  240626 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120169 -               0710....BP HR..................................................... 147  79  45  Kardia ECG reports HR status, see below. ref SDS 0 PR2U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120170 -               0715....BP HR..................................................... 143  83  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120171 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120172 -               0720....80 403520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120173 -               0720... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120174 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
120175 -               0800... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120176 -               0800....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120177 -               0800....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120178 -               0800....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120179 -               0800....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120180 -               0800... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120181 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
120182 -  ..
120183 -               0835....miles...........  16.0  56.0  265   922 minutes  temp  81 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120184 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120185 -               1950....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120186 -               1150....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120187 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120188 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120189 -               1150... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120190 -               1150... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120191 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120192 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
120193 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120194 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120195 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120196 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120197 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120198 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120199 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120200 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120201 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120202 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120203 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120204 -               1401... Hike ends mile 16... ref SDS 0 FP3B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120205 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120206 -               1345....weight.................................... 171  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120207 -               1350....BP HR..................................................... 132  86  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120208 -               1400....BP HR..................................................... 115  82  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120209 -               1408....BP HR..................................................... 113  72  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120210 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120211 -               1700... 40 111440 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
120212 -               1830............ 10 19980  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
120213 -               1830............ 10 20320  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
120214 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120215 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120216 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120217 -               2130... 40 87540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120218 -               2200... 1000 2164000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120219 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120220 -               2330... 80 403600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120221 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120222 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120223 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120226 -  ..
120227 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120228 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120230 -  ..
120231 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120232 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120235 -  ..
120236 - Today, hiked 16 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120237 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120238 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120239 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120240 - Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 1.00 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120241 - Turned around and hiked back 1.0 miles.  Turned West 1 mile on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120242 - Drive to college.  Hiked 3 miles through faculty and student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120243 - lots.  Stopped mile 11, for EKG, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120244 - another magnesium pill to prevent inflammation, and increase energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120245 - Took CoQ10 for energy and HDL.  At mile 11 left college hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120246 - West on Ygnacio Valley Road/  Turned South on Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120247 - hiking uphill .5 mile; turned around at street light/storm drain #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120248 - and hiked back.  Turned left heading uphill and West again on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120249 - Valley Road.  At mile 14, turned around at summit and hiked hack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120250 - Cowell, then North 1 mile and home.  Hike better today because temp <
120251 - 90, and less feet pain after scrapping calluses last night.  Nearly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120252 - did not take Tramadol at mile 11, and did not take Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120255 -         ..
120256 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120257 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120258 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                 
120259 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120260 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs no cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120261 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120262 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120263 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120264 -        Spine below neck lift left or right arm......   6          5  occurred today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120265 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120266 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                 
120267 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120268 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                      
120269 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120270 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120271 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
120272 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120273 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120274 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120275 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                          
120276 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120277 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120278 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120279 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120280 -        Knee right meniscus PRP 190816...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120281 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120282 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120283 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120284 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120285 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120286 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120287 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
120288 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120289 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120290 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
120291 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
120292 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120293 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120294 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120295 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
120296 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
120297 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
120298 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120299 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
120300 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 0 Gabapentin mile 08                                                                                                                                                                                                                                                                                                                                                                                        
120301 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 0 Gabapentin mile 08                                                                                                                                                                                                                                                                                                                                                                                        
120302 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120303 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120304 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120305 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
120306 -        Callus ring toe #4 right foot in web.........   1         10  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
120307 -        Callus ring toe #4 top right foot............   1         20  did not use neoprene protective sleeve took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                           
120308 -        Callus ring toe #4 left foot in web..........   1         20  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
120309 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120310 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
120311 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120312 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120313 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120314 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 0 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
120315 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120316 -        Burning sensation both feet..................   2         20  subsided after taking 1 Tramadol and 1 Gababenin mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120317 -        Stinging sensation both feet.................   2          5  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin                                                                                                                                                                                                                                                                                                                                                                                                                                   
120318 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120319 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120320 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120321 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120322 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120323 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120324 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120325 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120326 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120327 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120329 -  ..
120330 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120331 - Ghost 6 size 10 x-wide.  Using new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120332 - protect #4-#5 on left foot had PL 2 by mile 08.  Toe #1 both feet need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120333 - to be scraped again tonight, after scraping last night.  Less pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120334 - but needs daily maintenance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120336 -  ..
120337 - Orthotic inserts - Doctor Tang made new inserts Powerstep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120338 - Classic Plus Have different padding that seems better if it will hold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120339 - up over many hikes, reported on 240419 0900. ref SDS 35 EQ8N  See also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120340 - case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120342 -  ..
120343 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120344 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120345 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120346 - today.  Tolerated this well, and better after taking only Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120347 - at mile 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120349 -  ..
120350 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120351 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120352 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120353 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120354 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120355 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120356 - top of #4 on right foot.  The left foot had PL 1 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120357 - When hike ended, there was no blood nor blistering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120359 -  ..
120360 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120361 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120362 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120363 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120364 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120367 -  ..
120368 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120369 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120370 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120371 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120372 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120373 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120374 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120375 - PF45  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120376 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120377 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120378 - anyway and allowed to breakdown on top of LESV...  Magnesium increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120379 - energy by disapating lactic acid that causes fatigue in muscles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120380 - also reduces inflammation, critical for raising HDL, and general                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120381 - health in major organs.  Had small amount peanut butter and margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120382 - and chia seeds for electrolytes, including energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120383 - HDL, per above. ref SDS 0 2Z9N  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120384 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120385 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120386 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120387 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120388 - TL6I, and reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120389 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120390 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120391 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120392 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120393 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120394 - 1 mile.  Feet starting hike feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120395 - - peripheral neuropathy caused by taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120396 - nose entire hike without dyspnea.  Temp started at 64, and reached 81.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120397 - West wind 15 mph and mostly 10 mph.  Hiked East on Treat .50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120398 - Turned right hiking South on Turtle Creek Road with wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120399 - shoulder 1.5 miles mostly flat grade, some places 2% - 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120400 - very light traffic.  At mile 2, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120401 - Park and back.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120402 - Turned left onto Ayers hiking East .75 miles on narrower asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120403 - shoulder with moderate traffic.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120404 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120405 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120406 - on concrete sidewalk .5 miles.  Left foot #4 and/or #5 PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120407 - foot #4 - #5 PL 1.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120408 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120409 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120410 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120411 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120412 - Did not stop at Union 76 Texaco Gas Station store mile 5, time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120413 - Turned left hiked 1.00 mile East on Pine Hollow.  At mile 6, near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120414 - Camino Salano, turned around and Hiked back 1.00 mile to YV.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120415 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120416 - wind 08 mph.  At mile 08, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120417 - University East Bay Concord Campus.  Hiked 3 miles through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120418 - Student parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120419 - Building mile 11 time 1150 temp 73 and wind 15 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120420 - uniform with mild artifact.  Kardia reported HR 103 (indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120421 - AFL, and aligns with temp 73) Tachycardia - see below. ref SDS 0 PR4T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120422 - HR did not drop severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120423 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120424 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 2.  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120425 - sensation PL 2, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120426 - blister/callus PL 1, right foot #4 top blister/callus PL 1, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120427 - callus/blister PL 0.  Left knee meniscus PL 1, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120428 - left elbow PL 2 intermitant.  Took Tramadol 50 mg and did not take 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120429 - Gabapentin 300 mg for pain.  Took 2nd Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120430 - for energy, and magnesium reduces inflammation, essential to raise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120431 - HDL.  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120432 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120433 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120434 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120435 - temperature not elevated above 80, which increases sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120436 - ejects electrolytes, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120437 - ref SDS 0 YXXX  At mile 11, exited college hiking .5 mile North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120438 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120439 - flat grade .5 miles.  At mile 12, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120440 - Hiked .5 mile uphill 5% grade against wind 12 mph.  At 4th light pole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120441 - and storm grade, turned around and hiked back.  Tunred left heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120442 - West again on Ygnacio Valley Road uphill 3% grade.  Crossed Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120443 - stop light.  At break in traffic, crossed to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120444 - Road to avoid severe camber.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120445 - summit.  At end of concrete barriar - mile 14, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120446 - back heading East .5 miles.  Temperature rising into 80s.  Cool East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120447 - wind was helpful.  Turned left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120448 - downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120449 - narrow shoulder against oncoming afternoon commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120450 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120451 - hike mile 16 time 1326 temp 81, wind 15, feet PL 3, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120452 - PL 3, left foot #5 PL 0, right foot #4 top blister/callus PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120453 - foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 2 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120454 - swollen), right knee PL 0, left shoulder PL 2, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120455 - PL 0 intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120456 - lifting.  EKG looks mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120457 - HR 114 Tachycardia - see below. ref SDS 0 8PE6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120468 -  ..
120469 - Kardia recorded HR 049 at 0719 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120470 - lengths with p-waves and minor artifact; likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120471 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120472 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120473 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120474 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120477 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120478 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240626-ecg-071932_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120485 -  ..
120486 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120487 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120488 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120490 -  ..
120491 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120493 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120494 -       Date        240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406 240405 240404 240331   
120495 -       Miles          16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30      0      0      0     
120496 -       HR AVG        107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     no     no     no     
120497 -         MAX         133    138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report report report report    
120498 -         Min          66     58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78                                 
120499 -       El Climb Ft   405    305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715    600    544    495     71 495    715                                715    715    715    715    715
120500 -       Temp Max       81     91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61                          
120501 -       Wind Max       15     12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14                          
120502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120504 -              https://flow.polar.com/training/analysis/7908383293                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120507 -               ..
120509 -   
120510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120514 -  ..
120515 - EKG at mile 11 time 1150 HR 103 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120516 - Tachycardia... looks mostly uniform with mild artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120517 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120520 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120521 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240626-ecg-115003_mile_11_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120524 -  ..
120525 - End hike EKG at mile 16, time 1326 HR 114 temp 81 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120526 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120527 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120530 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120531 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240626-ecg-132621_mile_16_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120536 -  ..
120537 - Post hike HR profile beginning 1920, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120538 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120539 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120540 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120541 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120544 -        ..
120545 -       Date      240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417  240416    
120546 -       Time       1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214    2214     
120547 -       Hours        11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9       9     
120548 -       HR AVG       56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62      62     
120549 -       HR MAX      103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     103     
120550 -       HR Min       39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38      38     
120551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120553 -              https://flow.polar.com/training/analysis/7908734213                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120556 -               ..
120558 -   
120559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120561 -  ..
120562 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120563 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120564 - Dinner - eggs potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120566 -  ..
120567 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120596 -         ..
120597 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120598 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120599 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120600 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120601 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120602 -  179.  240627 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120603 -               0620....BP HR..................................................... 138  81  51  Kardia ECG reports HR status, see below. ref SDS 0 PVQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120604 -               0625....BP HR..................................................... 141  92  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120605 -               0630....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120606 -               0630....80 403680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120607 -               0630... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120608 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
120609 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120610 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120611 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120612 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120613 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120614 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120615 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120616 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120617 -               1700... 40 111480 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
120618 -             1 0000............ 10 19980  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
120619 -             1 0000............ 10 20320  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
120620 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120621 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120622 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120623 -               2130... 40 87580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120624 -               2200... 1000 2165000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120625 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120626 -               2330... 80 403760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120627 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120628 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120629 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120632 -  ..
120633 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120634 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120636 -  ..
120637 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120638 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120642 -  ..
120643 - Kardia recorded HR 045 at 0625 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120644 - lengths with p-waves and minor artifact; likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120645 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120646 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120647 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120648 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120651 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120652 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240627-ecg-062546_mile_00_045_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120656 -  ..
120657 - Post hike HR profile beginning 2010, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120658 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120659 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120660 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120661 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120664 -        ..
120665 -       Date      240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418  240417    
120666 -       Time       2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944    2214     
120667 -       Hours        11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7       9     
120668 -       HR AVG       56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62      62     
120669 -       HR MAX      117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     103     
120670 -       HR Min       37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41      38     
120671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120673 -              https://flow.polar.com/training/analysis/7909411936                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120676 -               ..
120678 -   
120679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120681 -  ..
120682 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120683 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120684 - Dinner - eggs hamburger potato broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120686 -  ..
120687 - Vomitting:  20% - reflux, slept in chair 4 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120716 -         ..
120717 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120718 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120719 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120720 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120721 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120722 -  180.  240628 0530............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120723 -               0530....BP HR..................................................... 157  82  47  Kardia ECG reports HR status, see below. ref SDS 0 QP2M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120724 -               0535....BP HR..................................................... 143  82  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120725 -               0540....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120726 -               0540....80 403840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120727 -               0540... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120728 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
120729 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120730 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120731 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120732 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120733 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120734 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120735 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120736 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120737 -               1700... 40 111520 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
120738 -               1830............ 10 19990  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
120739 -               1830............ 10 20340  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
120740 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120741 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120742 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120743 -               2130... 40 87620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120744 -               2200... 1000 2166000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120745 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120746 -               2330... 80 403920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120747 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120748 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120749 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120752 -  ..
120753 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120754 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120756 -  ..
120757 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120758 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120762 -  ..
120763 - Kardia recorded HR 047 at 0530 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120764 - lengths with p-waves and minor artifact; likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120765 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120766 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120767 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120768 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120771 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120772 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240628-ecg-053004_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120776 -  ..
120777 - Post hike HR profile beginning 1952, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120778 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120779 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120780 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120781 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120784 -        ..
120785 -       Date      240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419  240418    
120786 -       Time       1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941    1944     
120787 -       Hours        12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11       7     
120788 -       HR AVG       59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59      62     
120789 -       HR MAX      114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     105     
120790 -       HR Min       40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40      41     
120791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120793 -              https://flow.polar.com/training/analysis/7910031900                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120796 -               ..
120798 -   
120799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120802 -  ..
120803 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120804 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120805 - Dinner - tuna broccoli avocado tomato onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120807 -  ..
120808 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120837 -         ..
120838 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120839 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120840 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120841 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120842 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120843 -  181.  240629 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120844 -               0710....BP HR..................................................... 153  80  53  Kardia ECG reports HR status, see below. ref SDS 0 6QWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120845 -               0715....BP HR..................................................... 139  81  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120846 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120847 -               0720....80 404000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120848 -               0720... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120849 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
120850 -               1120... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120851 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120852 -               1120....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120853 -               1120....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120854 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120855 -               1120... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120856 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol
120857 -  ..
120858 -               1159....miles...........  14.0  70.0  245  1167 minutes  temp  94 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120859 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120860 -               1533....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120861 -               1533....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120862 -               1533... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120863 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120864 -               1533... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120865 -               1533... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120866 -               1533....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120867 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
120868 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120869 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120870 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120871 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120872 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120873 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120874 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120875 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120876 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120877 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120878 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120879 -               1650... Hike ends mile 14... ref SDS 0 Q5RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120880 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120881 -               1700....weight.................................... 167  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120882 -               1705....BP HR..................................................... 113  82 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120883 -               1710....BP HR.....................................................  99  75 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120884 -               1740....BP HR..................................................... 116  82 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120885 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120886 -               1730... 40 111560 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
120887 -             1 0000............ 10 19990  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
120888 -             1 0000............ 10 20340  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
120889 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120890 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120891 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120892 -               2130... 40 87660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120893 -               2200... 1000 2167000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120894 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120895 -               2330... 80 404080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120896 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120897 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120898 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120901 -  ..
120902 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120903 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120905 -  ..
120906 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120907 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120910 -  ..
120911 - Today, hiked 14 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120912 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120913 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120914 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120915 - Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 0.50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120916 - Turned around and hiked back 0.50 miles.  Turned West 1 mile on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120917 - Drive to college.  Hiked 3 miles through faculty and student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120918 - lots.  Stopped mile 11, for EKG, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120919 - another magnesium pill to prevent inflammation, and increase energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120920 - Took CoQ10 for energy and HDL.  At mile 11. hiked another mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120921 - parking lots.  Left college hiking 1 mile West on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120922 - Continued past Crystal Ranch Road heading uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120923 - Road.  Turned right on Cowell, 1 mile and home.  Hike more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120924 - because temp > 90; however, less feet pain after scrapping calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120925 - last night.  Took Tramadol amd Gabapentin at mile 11, testing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120926 - AFL. Maintained sinus, despite HR > 130 last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120929 -         ..
120930 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120931 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120932 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis most of hike, but did not take Simethicone and colitis resolved last 3 miles.                                                                                                                                                                                                                                                                                                                                                                  
120933 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120934 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs no cramping after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120935 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120936 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120937 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120938 -        Spine below neck lift left or right arm......   6          5  occurred today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120939 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120940 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                 
120941 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120942 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                      
120943 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120944 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120945 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
120946 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120947 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120948 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120949 -        Knee left meniscus...PRP 231121..............   1         20  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                          
120950 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120951 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120952 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120953 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120954 -        Knee right meniscus PRP 190816...............   2         30  feeling right knee doing laps in college parking lots, subsided after taking Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                         
120955 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120956 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120957 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120958 -        Hamstring right leg..........................   0        100  off leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120959 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120960 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120961 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
120962 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120963 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120964 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
120965 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00 for                                                                                                                                                                                                                                                                                                                                                                          
120966 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120967 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120968 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120969 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
120970 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
120971 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
120972 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120973 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
120974 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Saturday 240629 and after taking 1 Tramadol and 1 Gabapentin mile 08                                                                                                                                                                                                                                                                                                                                                                                       
120975 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 08                                                                                                                                                                                                                                                                                                                                                                                        
120976 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120977 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120978 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120979 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                            
120980 -        Callus ring toe #4 right foot in web.........   1         10  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
120981 -        Callus ring toe #4 top right foot............   1         20  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00 worked well                                                                                                                                                                                                                                                                                                                                                                                                                           
120982 -        Callus ring toe #4 left foot in web..........   1         20  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
120983 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120984 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
120985 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120986 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120987 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120988 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
120989 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120990 -        Burning sensation both feet..................   3         20  subsided after taking 1 Tramadol and 1 Gababenin mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120991 -        Stinging sensation both feet.................   2          5  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin                                                                                                                                                                                                                                                                                                                                                                                                                                   
120992 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120993 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120994 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120995 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120996 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120997 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120998 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120999 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121000 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121001 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121003 -  ..
121004 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121005 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121006 - Using new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121007 - feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121009 -  ..
121010 - Orthotic inserts - Doctor Tang made new inserts Powerstep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121011 - Classic Plus Have different padding that seems better if it will hold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121012 - up over many hikes, reported on 240419 0900. ref SDS 35 EQ8N  See also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121013 - case study on 200101 0701. ref SDS 16 PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121015 -  ..
121016 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121017 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121018 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121019 - today.  Tolerated this well, and better after taking only Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121020 - at mile 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121022 -  ..
121023 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121024 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121025 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121026 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121027 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121028 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121029 - top of #4 on right foot.  The left foot had PL 1 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121030 - When hike ended, there was no blood nor blistering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121032 -  ..
121033 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121034 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121035 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121036 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121037 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121040 -  ..
121041 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121042 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121043 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121044 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121045 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121046 - Discharge Instructions for cardiac ablation prescribed Apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121047 - said it conflicts with NSAIDs, reported on 240612 0506. ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121048 - PF45  Took Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121049 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121050 - - designed to swallow, but too big to slip through LESV; swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121051 - anyway and allowed to breakdown on top of LESV...  Magnesium increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121052 - energy by disapating lactic acid that causes fatigue in muscles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121053 - also reduces inflammation, critical for raising HDL, and general                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121054 - health in major organs.  Had small amount peanut butter and margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121055 - and chia seeds for electrolytes, including energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121056 - HDL, per above. ref SDS 0 CI8L  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121057 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121058 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121059 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121060 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121061 - TL6I, and reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121062 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121063 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121064 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121065 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121066 - carry stuff.  Hiked Cuneo .25 miles and turned left, onto Treat about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121067 - 1 mile.  Feet starting hike feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121068 - - peripheral neuropathy caused by taking statins.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121069 - nose entire hike without dyspnea.  Temp started at 78, and reached 94.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121070 - West wind 15 mph and mostly 12 mph.  Hiked East on Treat .50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121071 - Turned right hiking South on Turtle Creek Road with wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121072 - shoulder 1.5 miles mostly flat grade, some places 2% - 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121073 - very light traffic.  At mile 2, did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121074 - Park and back.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121075 - Turned left onto Ayers hiking East .75 miles on narrower asphalt road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121076 - shoulder with moderate traffic.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121077 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121078 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121079 - on concrete sidewalk .5 miles.  Left foot #4 and/or #5 PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121080 - foot #4 - #5 PL 0.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121081 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121082 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121083 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121084 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121085 - Stopped at Union 76 Texaco Gas Station store mile 5, time ____, The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121086 - young girl new hire said Kim has moved to Washington - happy for her,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121087 - but disappointing.  Continued hike, and turned left hiked 0.50 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121088 - East on Pine Hollow.  Near Rolling Woods Way, turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121089 - back 0.50 mile to YV.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121090 - mile uphill 3% - 4% grade against wind 15 mph.  At mile 08, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121091 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121092 - Campus.  Hiked 3 miles through Faculty and Student parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121093 - Visitor Parking stopped at Administration Building mile 11 time 1533                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121094 - temp 94 and wind 15 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121095 - reported HR 135 (indicating no AFL, and aligns with temp 94 which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121096 - looks like AFL, see e.g., on 240622, above. ref SDS 0 C7B2)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121097 - Tachycardia - see below. ref SDS 0 QRQX  HR did not drop severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121098 - today, during pause for EKG, hydration and nutrition, see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121099 - on 200101 0701, ref SDS 16 PY3I, and research on 240416 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121100 - ref SDS 34 RU6M  Both feet PL 2.  Burning sensation PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121101 - Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121102 - foot #4 top blister/callus PL 0, #5 edge callus/blister PL 2.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121103 - knee meniscus PL 1, left shoulder PL 2, left elbow PL 2 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121104 - Took Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...test this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121105 - combination with temperature > 90...).  Took 2nd Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121106 - mg pill for energy, and magnesium reduces inflammation, essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121107 - raise HDL.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121108 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121109 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121110 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121111 - Since temperature elevated above 80, which increases sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121112 - ejects electrolytes, took Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121113 - ref SDS 0 PXWV  Hiked another loop through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121114 - lots.  Exited college at North end Student Parking onto Campus drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121115 - heading West and bending North at summit heading North.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121116 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121117 - 12, continued past Crystal Ranch Road, heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121118 - Road uphill 3% grade against wind 15 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121119 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121120 - to avoid severe camber.  Noticed Polar showing HR 134 steady, similar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121121 - to AFL, e.g., on 240601, per above, ref SDS 0 T8SP, concerning for AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121122 - recurrence.  Continued onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121123 - grade, then flat grade .25 miles, then .5 miles with narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121124 - against oncoming afternoon commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121125 - hiking West .25 miles back to Cuneo and home.  Ended hike mile 14 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121126 - 1650 temp 93, wind 14, feet PL 3, burning sensation PL 3, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121127 - PL 0, right foot #4 top blister/callus PL 1, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121128 - bunions PL 0, shin splints PL 0, left knee PL 1 (not swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121129 - knee PL 2, left shoulder PL 2, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121130 - intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121131 - lifting.  EKG looks mostly uniform with mild artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121132 - HR 137 Tachycardia - see below. ref SDS 0 Q5RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121140 -  ..
121141 - Kardia recorded HR 049 at 0753 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121142 - lengths with p-waves and minor artifact; likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121143 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121144 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121145 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121146 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121149 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121150 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240629-ecg-075351_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121154 -  ..
121155 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121156 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121157 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121159 -  ..
121160 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121162 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121163 -       Date        240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419 240418 240417 240416 240415 240414 240413 240412 240411 240410 240409 240408 240407 240406   
121164 -       Miles          14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     14     15     23     17     23      0      0      0      0     20     31     24     20     30     
121165 -       HR AVG        122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115    102    109    115    112    120     no     no     no     no    108    114    114    110     no     
121166 -         MAX         149  report  eport   133    138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142    131    123    137    128    142  report report report report   131    140    139    132  report r  
121167 -         Min          73                   66     58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     48     80     35     45     37                                 53     51     72     78            
121168 -       El Climb Ft   305                  405    305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495                  495                         600    600    600           715    715    715    600    715     60 544    495    715    495    715                                715    715    715    715    715
121169 -       Temp Max       95                   81     91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     78     79     77     77     68                                 79     79     73     64     61     
121170 -       Wind Max       14                   15     12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     12     08     10     10     12                                  7      8      9     11     14     
121171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121173 -              https://flow.polar.com/training/analysis/7910255262                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121176 -               ..
121178 -   
121179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121183 -  ..
121184 - EKG at mile 11 time 1533 HR 135 temp 94, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121185 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121186 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121189 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121190 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240629-ecg-153352_mile_11_135_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121194 -  ..
121195 - End hike EKG at mile 14, time 1650 HR 137 temp 93 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121196 - Tachycardia... looks mostly uniform with mild artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121197 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121200 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121201 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240629-ecg-165056_mile_14_137_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121206 -  ..
121207 - Post hike HR profile beginning 2103, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121208 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121209 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121210 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121211 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121214 -        ..
121215 -       Date      240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420  240419    
121216 -       Time       2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253    1941     
121217 -       Hours        12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10      11     
121218 -       HR AVG       60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63      59     
121219 -       HR MAX      119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     105     
121220 -       HR Min       40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36      40     
121221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121223 -              https://flow.polar.com/training/analysis/7910700061                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121226 -               ..
121228 -   
121229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121232 -  ..
121233 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121234 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121235 - Dinner - tuna broccoli avocado tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121237 -  ..
121238 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121269 -         ..
121270 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121271 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121272 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121273 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121274 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121275 -  182.  240630 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121276 -               0700....BP HR..................................................... 148  83  52  Kardia ECG reports HR status, see below. ref SDS 0 8RYV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121277 -               0705....BP HR..................................................... 147  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121278 -               0710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121279 -               0710....80 404160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121280 -               0710... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121281 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
121282 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121283 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121284 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121285 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121286 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121287 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121288 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121289 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121290 -               1730... 40 111600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
121291 -               1830............ 10 20000  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121292 -               1830............ 10 20350  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121293 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121294 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121295 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121296 -               2130... 40 87700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121297 -               2200... 1000 2168000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121298 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121299 -               2330... 80 404240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121300 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121301 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121302 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121305 -  ..
121306 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121307 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121309 -  ..
121310 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121311 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121316 -  ..
121317 - Kardia recorded HR 047 at 0841 Bradycardia, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121318 - lengths with p-waves and artifact; likely no AFL after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121319 - yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121320 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121321 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121322 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121325 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121326 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240630-ecg-084154_mile_00_047_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121331 -  ..
121332 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121333 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121334 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121335 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121336 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121339 -        ..
121340 -       Date      240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421  240420    
121341 -       Time       1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144    2253     
121342 -       Hours        11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9      10     
121343 -       HR AVG       55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66      63     
121344 -       HR MAX      119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     115     
121345 -       HR Min       38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45      36     
121346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121348 -              https://flow.polar.com/training/analysis/7911191073                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121351 -               ..
121353 -   
121354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121357 -  ..
121358 - Breakfast - pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121359 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121360 - Dinner - tuna broccoli avocado tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121362 -  ..
121363 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121392 -         ..
121393 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121394 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121395 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121396 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121397 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121398 -  183.  240701 0625............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121399 -               0625....BP HR..................................................... 156  81  46  Kardia ECG reports HR status, see below. ref SDS 0 A9R2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121400 -               0630....BP HR..................................................... 146  84  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121401 -               0635....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121402 -               0635....80 404320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121403 -               0635... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121404 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
121405 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121406 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121407 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121408 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121409 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121410 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121411 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121412 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121413 -               1700... 40 111640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
121414 -             1 0000............ 10 20000  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121415 -             1 0000............ 10 20350  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121416 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121417 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121418 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121419 -               2130... 40 87740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121420 -               2200... 1000 2169000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121421 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121422 -               2330... 80 404480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121423 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121424 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121425 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121428 -  ..
121429 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121430 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121432 -  ..
121433 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121434 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121436 -  ..
121437 - Ischemic colitis symptoms past few days gradually building.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121438 - effects became much worse...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121441 -         ..
121442 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121443 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121444 -        Stomach pain ischemic colitis bloating.......   5        100  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121445 -        Chest pain...................................   7         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121446 -        Breathing ARDS...............................   9         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121447 -        Coughing very painful........................   7         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121448 -        sore throat..................................   6        100  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121449 -   ***  Face head chest legs severe pain.............   7         40  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121450 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121451 -        Falling......................................   4        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121452 -        Restless legs................................   4         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121453 -        Wobbly disoriented staggering dizzy..........   5        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121454 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2, noticed time 0830, next noticed time 1540, just fell asleep for about 7 hours                                                                                                                                                                                                                                                                                                                                                                                                                     
121455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121459 -  ..
121460 - Kardia recorded HR 046 at 0636 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121461 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121462 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121463 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121464 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121465 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121468 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121469 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240701-ecg-063634_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121474 -  ..
121475 - Post hike HR profile beginning 1934, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121476 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121477 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121478 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121479 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121482 -        ..
121483 -       Date      240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422  240421    
121484 -       Time       1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215    2144     
121485 -       Hours        11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7       9     
121486 -       HR AVG       73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63      66     
121487 -       HR MAX      113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     130     
121488 -       HR Min       48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38      45     
121489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121491 -              https://flow.polar.com/training/analysis/7911987008                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121494 -               ..
121496 -   
121497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121500 -  ..
121501 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121502 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121503 - Dinner - avocado tomato cottage cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121505 -  ..
121506 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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121512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121534 -         ..
121535 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121536 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121537 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121538 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121539 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121540 -  184.  240702 0910............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121541 -               0910....BP HR..................................................... 127  74  72  Kardia ECG reports HR status, see below. ref SDS 0 UX3C                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121542 -               0911....BP HR..................................................... 134  82  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121543 -               0920....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121544 -               0925....80 404560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121545 -               0925... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121546 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
121547 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121548 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121549 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121550 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121551 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121552 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121553 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121554 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121555 -               1700... 40 111680 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
121556 -               1830............ 10 20010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121557 -               1830............ 10 20360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121558 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121559 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121560 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121561 -               2130... 40 87780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121562 -               2200... 1000 2170000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121563 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121564 -               2330... 80 404640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121565 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121566 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121567 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121570 -  ..
121571 - Ischemic colitis symptoms slightly better...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121574 -         ..
121575 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121576 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121577 -        Stomach pain ischemic colitis bloating.......   6        100  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121578 -        Chest pain...................................   7         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121579 -        Breathing ARDS...............................   9         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121580 -        Coughing very painful........................   7         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121581 -        sore throat..................................   6        100  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121582 -        Face head chest legs severe pain.............   7         40  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121583 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121584 -        Falling......................................   2        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121585 -        Restless legs................................   3         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121586 -        Wobbly disoriented staggering dizzy..........   5        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121587 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121591 -  ..
121592 - Kardia recorded HR 067 at 0742 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121593 - heart beat lengths with p-waves and some artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121594 - hiking 00 miles yesterday, and starting Apixaban on 240611 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121595 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121596 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121597 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121600 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121601 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240702-ecg-074232_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121606 -  ..
121607 - Post hike HR profile beginning 2029, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121608 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121609 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121610 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121611 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121614 -        ..
121615 -       Date      240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423  240422    
121616 -       Time       2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145    2215     
121617 -       Hours         9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10       7     
121618 -       HR AVG       69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61      63     
121619 -       HR MAX       96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     106     
121620 -       HR Min       51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32      38     
121621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121623 -              https://flow.polar.com/training/analysis/7912517920                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121626 -               ..
121628 -   
121629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121632 -  ..
121633 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121634 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121635 - Dinner - avocado tomato cottage cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121637 -  ..
121638 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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121648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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121653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121666 -         ..
121667 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121668 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121669 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121670 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121671 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121672 -  185.  240703 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121673 -               0645....BP HR..................................................... 149  86  68  Kardia ECG reports HR status, see below. ref SDS 0 E2QS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121674 -               0650....BP HR..................................................... 134  82  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121675 -               0655....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121676 -               0655....80 404720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121677 -               0655... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121678 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
121679 -               0830... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121680 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121681 -               0830....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121682 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121683 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121684 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121685 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121686 -               0830....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121687 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121688 -               1700... 40 111720 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
121689 -             1 0000............ 10 20010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121690 -             1 0000............ 10 20360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121691 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121692 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121693 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121694 -               2130... 40 87820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121695 -               2200... 1000 2171000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121696 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121697 -               2330... 80 404800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121698 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121699 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121700 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121703 -  ..
121704 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121705 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121707 -  ..
121708 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121709 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121712 -  ..
121713 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121714 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121715 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121719 -         ..
121720 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121721 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121722 -        Stomach pain ischemic colitis bloating.......   6        100  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121723 -        Chest pain...................................   7         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121724 -        Breathing ARDS...............................   9         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121725 -        Coughing very painful........................   7         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121726 -        sore throat..................................   6        100  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121727 -        Face head chest legs severe pain.............   7         40  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121728 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121729 -        Falling......................................   2        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121730 -        Restless legs................................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121731 -        Wobbly disoriented staggering dizzy..........   5        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121732 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121736 -  ..
121737 - Kardia HR not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121741 -  ..
121742 - Post hike HR profile beginning 2132, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121743 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121744 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121745 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121746 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121749 -        ..
121750 -       Date      240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424  240423    
121751 -       Time       2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126    2145     
121752 -       Hours        10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9      10     
121753 -       HR AVG       60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62      61     
121754 -       HR MAX      113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135      95     
121755 -       HR Min       39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34      32     
121756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121758 -              https://flow.polar.com/training/analysis/7913552619                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121761 -               ..
121763 -   
121764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121767 -  ..
121768 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121769 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121770 - Dinner - macaroni cheese steak broccoli cauliflower onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121772 -  ..
121773 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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121783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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121785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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121787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121802 -         ..
121803 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121804 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121805 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121806 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121807 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121808 -  186.  240704 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121809 -               0720....BP HR..................................................... 143  77  72  Kardia ECG reports HR status, see below. ref SDS 0 K483                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121810 -               0725....BP HR..................................................... 145  82  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121811 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121812 -               0730....80 404880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121813 -               0730... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121814 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
121815 -               0900... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121816 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121817 -               0900....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121818 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121819 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121820 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121821 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121822 -               0900....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121823 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121824 -               1700... 40 111800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
121825 -               1830............ 10 20020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121826 -               1830............ 10 20370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121827 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121828 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121829 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121830 -               2130... 40 87900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121831 -               2200... 1000 2172000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121832 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121833 -               2330... 80 404960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121834 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121835 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121836 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121839 -  ..
121840 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121841 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121843 -  ..
121844 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121845 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121848 -  ..
121849 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121850 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121851 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121854 -         ..
121855 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121856 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121857 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121858 -        Chest pain...................................   4         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121859 -        Breathing ARDS...............................   5         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121860 -        Coughing very painful........................   3         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121861 -        sore throat..................................   4        100  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121862 -        Face head chest legs severe pain.............   2         40  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121863 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121864 -        Falling......................................   2        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121865 -        Restless legs................................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121866 -        Wobbly disoriented staggering dizzy..........   3        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121867 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121872 -  ..
121873 - Kardia recorded HR 053 at 1459 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121874 - heart beat lengths with p-waves and some artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121875 - hiking 00 miles yesterday, and starting Apixaban on 240611 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121876 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121877 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121878 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121881 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121882 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240704-ecg-145906_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121887 -  ..
121888 - Post hike HR profile beginning 1945, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121889 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121890 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121891 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121892 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121895 -        ..
121896 -       Date      240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425  240424    
121897 -       Time       1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440    2126     
121898 -       Hours        12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9       9     
121899 -       HR AVG       60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123      62     
121900 -       HR MAX      109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     135     
121901 -       HR Min       40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39      34     
121902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121905 -              https://flow.polar.com/training/analysis/7913913788                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121908 -               ..
121910 -   
121911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121914 -  ..
121915 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121916 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121917 - Dinner - macaroni cheese steak broccoli cauliflower onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121919 -  ..
121920 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121949 -         ..
121950 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121951 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121952 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121953 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121954 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121955 -  187.  240705 0940............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121956 -               0940....BP HR..................................................... 151  84  64  Kardia ECG reports HR status, see below. ref SDS 0 R8AQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121957 -               0945....BP HR..................................................... 153  82  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121958 -               0950....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121959 -               0950....80 405040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121960 -               0950... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121961 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
121962 -               0950... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121963 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121964 -               0950....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121965 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121966 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121967 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121968 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121969 -               0950....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121970 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121971 -               1700... 40 111840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
121972 -             1 0000............ 10 20020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121973 -             1 0000............ 10 20370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121974 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121975 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121976 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121977 -               2130... 40 87940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121978 -               2200... 1000 2173000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121979 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121980 -               2330... 80 405120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121981 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121982 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121983 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121986 -  ..
121987 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121988 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121990 -  ..
121991 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121992 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121995 -  ..
121996 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121997 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121998 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122001 -         ..
122002 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122003 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122004 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122005 -        Chest pain...................................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122006 -        Breathing ARDS...............................   3         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122007 -        Coughing very painful........................   3         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122008 -        sore throat..................................   3         40  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122009 -        Face head chest legs severe pain.............   2         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122010 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122011 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122012 -        Restless legs................................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122013 -        Wobbly disoriented staggering dizzy..........   2        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122014 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122021 -  ..
122022 - Kardia HR not recorded......                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122023 - Kardia recorded HR 053 at 1459 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122024 - heart beat lengths with p-waves and some artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122025 - hiking 00 miles yesterday, and starting Apixaban on 240611 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122026 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122027 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122028 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122031 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122032 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240704-ecg-145906_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122038 -  ..
122039 - Post hike HR profile beginning 1842, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122040 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122041 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122042 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122043 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122046 -        ..
122047 -       Date      240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a 240425    
122048 -       Time       1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600    1440     
122049 -       Hours        12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15       9     
122050 -       HR AVG       55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     123     
122051 -       HR MAX      108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     152     
122052 -       HR Min       38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35      39     
122053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122055 -              https://flow.polar.com/training/analysis/7914506031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122058 -               ..
122060 -   
122061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122064 -  ..
122065 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122066 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122067 - Dinner - macaroni cheese steak broccoli cauliflower onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122069 -  ..
122070 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122100 -         ..
122101 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122102 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122103 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122104 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122105 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122106 -  188.  240706 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122107 -               0720....BP HR..................................................... 150  84  54  Kardia ECG reports HR status, see below. ref SDS 0 B83F                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122108 -               0725....BP HR..................................................... 146  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122109 -               0730....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122110 -               0730....80 405040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122111 -               0730... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122112 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
122113 -               0730... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122114 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122115 -               0730....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122116 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122117 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122118 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122119 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122120 -               0730....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122121 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122122 -               1700... 40 111840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
122123 -               1830............ 10 20020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122124 -               1830............ 10 20370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122125 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122126 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122127 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122128 -               2130... 40 87940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122129 -               2200... 1000 2173000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122130 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122131 -               2330... 80 405120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122132 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122133 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122134 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122137 -  ..
122138 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122139 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122141 -  ..
122142 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122143 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122146 -  ..
122147 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122148 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122149 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122152 -         ..
122153 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122154 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122155 -        Stomach pain ischemic colitis bloating.......   2         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122156 -        Chest pain...................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122157 -        Breathing ARDS...............................   3         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122158 -        Coughing very painful........................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122159 -        sore throat..................................   1         10  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122160 -        Face head chest legs severe pain.............   1         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122161 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122162 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122163 -        Restless legs................................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122164 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122165 -        Sleeping - blacking out......................   0        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122170 -  ..
122171 - Kardia recorded HR 041 at 0647 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122172 - lengths with p-waves and minor artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122173 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122174 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122175 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122176 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122179 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122180 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240706-ecg-064752_mile_00_041_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122185 -  ..
122186 - Post hike HR profile beginning 2102, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122187 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122188 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122189 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122190 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122193 -        ..
122194 -       Date      240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b 240426a   
122195 -       Time       1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237    0600     
122196 -       Hours        11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8      15     
122197 -       HR AVG       52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     134     
122198 -       HR MAX      101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     147     
122199 -       HR Min       38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42      35     
122200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122202 -              https://flow.polar.com/training/analysis/7915106113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122205 -               ..
122207 -   
122208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122211 -  ..
122212 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122213 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122214 - Dinner - macaroni cheese steak broccoli cauliflower onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122217 -  ..
122218 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122249 -         ..
122250 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122251 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122252 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122253 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122254 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122255 -  189.  240707 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122256 -               0700....BP HR..................................................... 150  84  54  Kardia ECG reports HR status, see below. ref SDS 0 V9E6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122257 -               0705....BP HR..................................................... 155  90  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122258 -               0710....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122259 -               0710....80 405200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122260 -               0710... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122261 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
122262 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122263 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122264 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122265 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122266 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122267 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122268 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122269 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122270 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122271 -               1700... 40 111880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
122272 -             1 0000............ 10 20020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122273 -             1 0000............ 10 20370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122274 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122275 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122276 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122277 -               2130... 40 87980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122278 -               2200... 1000 2174000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122279 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122280 -               2330... 80 405280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122281 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122282 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122283 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122286 -  ..
122287 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122288 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122290 -  ..
122291 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122292 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122295 -  ..
122296 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122297 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122298 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122301 -         ..
122302 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122303 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122304 -        Stomach pain ischemic colitis bloating.......   2         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122305 -        Chest pain...................................   1         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122306 -        Breathing ARDS...............................   2         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122307 -        Coughing very painful........................   2         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122308 -        sore throat..................................   2         30  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122309 -        Face head chest legs severe pain.............   2         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122310 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122311 -        Falling......................................   1        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122312 -        Restless legs................................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122313 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122314 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122319 -  ..
122320 - Kardia recorded HR 049 at 0810 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122321 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122322 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122323 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122324 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122325 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122329 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240707-ecg-081025_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122334 -  ..
122335 - Post hike HR profile beginning 2310, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122336 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122337 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122338 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122339 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122342 -        ..
122343 -       Date      240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427  240426b   
122344 -       Time       2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920    2237     
122345 -       Hours         8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12       8     
122346 -       HR AVG       52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     105     
122347 -       HR MAX       91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     145     
122348 -       HR Min       38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37      42     
122349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122351 -              https://flow.polar.com/training/analysis/7915693813                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122354 -               ..
122356 -   
122357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122360 -  ..
122361 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122362 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122363 - Dinner - tuna avocado cottage cheese onion bread                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122366 -  ..
122367 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122398 -         ..
122399 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122400 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122401 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122402 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122403 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122404 -  190.  240708 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122405 -               0720....BP HR..................................................... 140  90  53  Kardia ECG reports HR status, see below. ref SDS 0 RU27                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122406 -               0725....BP HR..................................................... 138  85  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122407 -               0730....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122408 -               0730....80 405360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122409 -               0730... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122410 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
122411 -               0730... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122412 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122413 -               0730....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122414 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122415 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122416 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122417 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122418 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122419 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122420 -               1700... 40 111920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
122421 -               1830............ 10 20030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122422 -               1830............ 10 20380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122423 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122424 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122425 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122426 -               2130... 40 88020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122427 -               2200... 1000 2175000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122428 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122429 -               2330... 80 405440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122430 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122431 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122432 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122435 -  ..
122436 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122437 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122439 -  ..
122440 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122441 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122444 -  ..
122445 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122446 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122447 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122450 -         ..
122451 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122452 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122453 -        Stomach pain ischemic colitis bloating.......   1         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122454 -        Chest pain...................................   0         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122455 -        Breathing ARDS...............................   0         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122456 -        Coughing very painful........................   1         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122457 -        sore throat..................................   1         40  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122458 -        Face head chest legs severe pain.............   0         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122459 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122460 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122461 -        Restless legs................................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122462 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122463 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122468 -  ..
122469 - Kardia recorded HR 047 at 0719 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122470 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122471 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122472 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122473 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122474 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122477 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122478 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240708-ecg-071956_mile_00_047_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122483 -  ..
122484 - Post hike HR profile beginning 1922, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122485 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122486 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122487 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122488 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122491 -        ..
122492 -       Date      240707  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428  240427    
122493 -       Time       1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954    1920     
122494 -       Hours        13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12      12     
122495 -       HR AVG       58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     120     
122496 -       HR MAX      117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     151     
122497 -       HR Min       40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37      37     
122498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122500 -              https://flow.polar.com/training/analysis/7916454042                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122503 -               ..
122505 -   
122506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122509 -  ..
122510 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122511 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122512 - Dinner - macaroni cheese steak broccoli cauliflower onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122515 -  ..
122516 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122547 -         ..
122548 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122549 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122550 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122551 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122552 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122553 -  191.  240709 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122554 -               0640....BP HR..................................................... 137  76  54  Kardia ECG reports HR status, see below. ref SDS 0 K8VX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122555 -               0645....BP HR..................................................... 131  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122556 -               0650....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122557 -               0650....80 405520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122558 -               0650... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122559 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
122560 -               0650... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122561 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122562 -               0650....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122563 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122564 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122565 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122566 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122567 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122568 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122569 -               1700... 40 111960 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
122570 -             1 0000............ 10 20030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122571 -             1 0000............ 10 20380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122572 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122573 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122574 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122575 -               2130... 40 88060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122576 -               2200... 1000 2175000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122577 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122578 -               2330... 80 405600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122579 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122580 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122581 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122584 -  ..
122585 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122586 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122588 -  ..
122589 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122590 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122593 -  ..
122594 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122595 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122596 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122599 -         ..
122600 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122601 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122602 -        Stomach pain ischemic colitis bloating.......   1         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122603 -        Chest pain...................................   0         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122604 -        Breathing ARDS...............................   0         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122605 -        Coughing very painful........................   1         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122606 -        sore throat..................................   1         40  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122607 -        Face head chest legs severe pain.............   0         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122608 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122609 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122610 -        Restless legs................................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122611 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122612 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122618 -  ..
122619 - Kardia recorded HR 057 at 0817 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122620 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122621 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122622 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122623 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122624 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122627 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122628 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240709-ecg-081719_mile_00_057_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122633 -  ..
122634 - Post hike HR profile beginning 1956, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122635 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122636 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122637 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122638 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122641 -        ..
122642 -       Date      240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429  240428    
122643 -       Time       1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955    1954     
122644 -       Hours        12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11      12     
122645 -       HR AVG       62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93      83     
122646 -       HR MAX      119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     153     
122647 -       HR Min       40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39      37     
122648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122650 -              https://flow.polar.com/training/analysis/7917117503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122653 -               ..
122655 -   
122656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122659 -  ..
122660 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122661 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122662 - Dinner - eggs pancake - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122665 -  ..
122666 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122697 -         ..
122698 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122699 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122700 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122701 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122702 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122703 -  192.  240710 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122704 -               0700....BP HR..................................................... 137  76  82  Kardia ECG reports HR status, see below. ref SDS 0 GXR3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122705 -               0705....BP HR..................................................... 126  85  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122706 -               0710....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122707 -               0710....80 405680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122708 -               0710... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122709 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
122710 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122711 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122712 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122713 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122714 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122715 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122716 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122717 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122718 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122719 -               1700... 40 112000 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
122720 -               1830............ 10 20040  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122721 -               1830............ 10 20390  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122722 -               1930... Apixiban recover 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122723 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122724 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122725 -               2130... 40 88100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122726 -               2200... 1000 2176000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122727 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122728 -               2330... 80 405760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122729 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122730 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122731 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122733 -  ..
122734 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122735 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122737 -  ..
122738 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122739 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122742 -  ..
122743 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122744 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122745 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122748 -         ..
122749 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122750 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122751 -        Stomach pain ischemic colitis bloating.......   1         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122752 -        Chest pain...................................   0         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122753 -        Breathing ARDS...............................   0         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122754 -        Coughing very painful........................   1         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122755 -        sore throat..................................   1         40  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122756 -        Face head chest legs severe pain.............   0         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122757 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122758 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122759 -        Restless legs................................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122760 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122761 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122766 -  ..
122767 - Kardia recorded HR 084 at 0907 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122768 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122769 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122770 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122771 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122772 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122775 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122776 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240710-ecg-090747_mile_00_084_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122781 -  ..
122782 - Post hike HR profile beginning 2316, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122783 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122784 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122785 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122786 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122789 -        ..
122790 -       Date      240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430  240429    
122791 -       Time       2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916    1955     
122792 -       Hours         7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12      11     
122793 -       HR AVG       67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80      93     
122794 -       HR MAX       99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     150     
122795 -       HR Min       38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44      39     
122796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122798 -              https://flow.polar.com/training/analysis/7917743404                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122801 -               ..
122803 -   
122804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122807 -  ..
122808 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122809 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122810 - Dinner - hamburger eggs pancake - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122813 -  ..
122814 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122844 -         ..
122845 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122846 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122847 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122848 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122849 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122850 -  193.  240711 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122851 -               0700....BP HR..................................................... 141  86  82  Kardia ECG reports HR status, see below. ref SDS 0 SPQ5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122852 -               0705....BP HR..................................................... 141  85  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122853 -               0710....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122854 -               0710....80 405840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122855 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122856 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
122857 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122858 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122859 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122860 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122861 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122862 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122863 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122864 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122865 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122866 -               1700... 40 112040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
122867 -             1 0000............ 10 20040  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122868 -             1 0000............ 10 20390  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122869 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122870 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122871 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122872 -               2130... 40 88140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122873 -               2200... 1000 2177000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122874 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122875 -               2330... 80 405920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122876 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122877 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122878 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122881 -  ..
122882 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122883 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122885 -  ..
122886 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122887 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122890 -  ..
122891 - Ischemic colitis symptoms continue severe.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122892 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122893 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122896 -         ..
122897 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122898 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122899 -        Stomach pain ischemic colitis bloating.......   1         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122900 -        Chest pain...................................   0         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122901 -        Breathing ARDS...............................   0         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122902 -        Coughing very painful........................   1         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122903 -        sore throat..................................   1         40  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122904 -        Face head chest legs severe pain.............   0         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122905 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122906 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122907 -        Restless legs................................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122908 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122909 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122914 -  ..
122915 - Kardia recorded HR 056 at 0755 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122916 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122917 - hiking 00 miles yesterday, and starting Apixaban on 240611 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122918 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122919 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122920 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122923 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122924 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240711-ecg-075545_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122928 -  ..
122929 - Post hike HR profile beginning 2224, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122930 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122931 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122932 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122933 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122936 -        ..
122937 -       Date      240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501  240430    
122938 -       Time       2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837    1916     
122939 -       Hours         9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12      12     
122940 -       HR AVG       63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62      80     
122941 -       HR MAX      114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     150     
122942 -       HR Min       40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42      44     
122943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122945 -              https://flow.polar.com/training/analysis/7918456753                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122948 -               ..
122950 -   
122951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122954 -  ..
122955 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122956 - Lunch - half sandwich balogna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122957 - Dinner - broccoli cauliflower macaroni cheese onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122959 -  ..
122960 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122989 -         ..
122990 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122991 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122992 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122993 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122994 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122995 -  194.  240712 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122996 -               0720....BP HR..................................................... 146  86  86  Kardia ECG reports HR status, see below. ref SDS 0 S4VF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122997 -               0725....BP HR..................................................... 151  89  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122998 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122999 -               0730....80 406000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123000 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123001 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
123002 -               0730... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123003 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123004 -               0730....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123005 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123006 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123007 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123008 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123009 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123010 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123011 -               1700... 40 112080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
123012 -               1830............ 10 20060  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123013 -               1830............ 10 20400  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123014 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123015 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123016 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123017 -               2130... 40 88180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123018 -               2200... 1000 2178000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123019 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123020 -               2330... 80 406080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123021 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123022 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123023 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123026 -  ..
123027 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123028 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123030 -  ..
123031 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123032 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123035 -  ..
123036 - Ischemic colitis symptoms continue mild.  Took Magnesium for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123037 - and to reduce inflammation, and chia seeds for energy,  Took Tranadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123038 - to relieve pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123041 -         ..
123042 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123043 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123044 -        Stomach pain ischemic colitis bloating.......   1         40  bloating can be side effect statins and cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123045 -        Chest pain...................................   0         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123046 -        Breathing ARDS...............................   0         30  very difficult inhale breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123047 -        Coughing very painful........................   1         30  taking Niqual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123048 -        sore throat..................................   1         40  painful to swallow anything - taking Nyquil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123049 -        Face head chest legs severe pain.............   0         10  have to lay still - took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123050 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123051 -        Falling......................................   0        100  getting up from recliner chair and from bed, lost balance and fell back                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123052 -        Restless legs................................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123053 -        Wobbly disoriented staggering dizzy..........   1        100  difficult to walk anywhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123054 -        Sleeping - blacking out......................   2        100  working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123060 -  ..
123061 - Kardia recorded HR 060 at 0743 Unclassified, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123062 - lengths with p-waves and minor artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123063 - miles yesterday, and starting Apixaban on 240611 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123064 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123065 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123066 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123069 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123070 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240712-ecg-074312_mile_00_060_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123074 -  ..
123075 - Post hike HR profile beginning 2023, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123076 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123077 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123078 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123079 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123082 -        ..
123083 -       Date      240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502  240501    
123084 -       Time       2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022    1837     
123085 -       Hours         8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11      12     
123086 -       HR AVG       62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63      62     
123087 -       HR MAX      107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     116     
123088 -       HR Min       41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42      42     
123089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123091 -              https://flow.polar.com/training/analysis/7918907394                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123094 -               ..
123096 -   
123097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123100 -  ..
123101 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123102 - Lunch - half sandwich balogna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123103 - Dinner - rice hamburger broccoli cauliflower cheese onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123105 -  ..
123106 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123134 -         ..
123135 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123136 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123137 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123138 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123139 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123140 -  195.  240713 0430............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123141 -               0430....BP HR..................................................... 151  93  74  Kardia ECG reports HR status, see below. ref SDS 0 FS52                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123142 -               0435....BP HR..................................................... 151  83  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123143 -               0440....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123144 -               0440....80 406160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123145 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123146 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
123147 -               0500... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123148 -               0500....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123149 -               0500....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123150 -               0500....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123151 -               0500....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123152 -               0500... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123153 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123154 -               0000....Tramadol 50 mg took 1 pill -
123155 -  ..
123156 -         * cr  0523....miles...........  22.0  22.0  361   361 minutes  temp  80 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123157 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123158 -               0730... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
123159 -               0838....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123160 -               0838....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123161 -               0838... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123162 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123163 -               0838... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123164 -               0838... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123165 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123166 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123167 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123168 -               1021....mile 17 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123169 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123170 -               1021... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123171 -               1021... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123172 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123173 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123174 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123175 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123176 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123177 -               1650... Hike ends mile 14... ref SDS 0 Q5RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123178 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123179 -               1210....weight.................................... 171  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123180 -               1215....BP HR..................................................... 105  69 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123181 -               1230....BP HR..................................................... 104  73  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123182 -               1740....BP HR..................................................... 116  82 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123183 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123184 -               1700... 40 112120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
123185 -             1 0000............ 10 20060  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123186 -             1 0000............ 10 20400  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123187 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123188 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123189 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123190 -               2130... 40 88220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123191 -               2200... 1000 2179000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123192 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123193 -               2330... 80 406240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123194 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123195 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123196 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123199 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123200 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123201 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123202 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123203 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123204 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123205 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123206 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123209 -  ..
123210 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123211 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123213 -  ..
123214 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123215 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123218 -  ..
123219 - Today, hiked 22 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123220 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123221 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123222 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123223 - Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 1.00 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123224 - Turned around and hiked back 1.00 miles.  Turned West 1 mile on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123225 - Drive to college.  Hiked 3 miles through faculty and student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123226 - lots.  Stopped mile 11, for EKG, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123227 - another magnesium pill to prevent inflammation, and increase energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123228 - Took CoQ10 for energy and HDL.  At mile 11. hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123229 - main buildings, then left college hiking North on Campus Drive; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123230 - left heading West 4 miles over summit Ygnacio Valley Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123231 - 1 mile loop around Safeway shopping complex.  At mile 17, stopped near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123232 - Mod Pizza for hydration and nutrition.  Feet PL 5, so took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123233 - Tramadol and Gabapentin.  Took another magnesium to control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123234 - inflammation and increase energy.  Took more CoQ10 for energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123235 - complete hike.  Hiked around shopping complex.  Turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123236 - Grove hiked 1 mile and turned right heading East on Treat.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123237 - miles to Cuneo, and another mile in residential streets.  Wore Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123238 - Bondi 6 wide shoes with 2 pair socks, and pediplasti inserts between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123239 - #4 and #5 both feet.  Got blisters both feet, and metatarsalgia was PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123240 - 5 at end of hike.  Did not flip into AFL after 6th ablation and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123241 - despite taking 2 Tramadol and Gabepentin.  Very good 1st hike after 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123242 - weeks off to recover ischemic colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123246 -         ..
123247 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123248 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123249 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis most of hike, took Simethicone about mile 10                                                                                                                                                                                                                                                                                                                                                                                                   
123250 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123251 -        Hands cramping hurting - post hike...........   3        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123252 -        Chest pain...................................   2         40  began about mile 8, taking Tramadol and Gabapenin mile 11 helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123253 -        Breathing ARDS...............................   1         40  taking Simethicone at mile 10 helped, drinking carbonated softdrink to hydrate at mile 11 helped                                                                                                                                                                                                                                                                                                                                                                                                                                             
123254 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123255 -        Spine below neck lift left or right arm......   6          5  occurred today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123256 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123257 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                   
123258 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123259 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
123260 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123261 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123262 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
123263 -        Hip right....................................   3         20  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123264 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123265 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123266 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                            
123267 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123268 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123269 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123270 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123271 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
123272 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123273 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123274 -        Hamstring left leg...........................   0        100  odd leg pain at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123275 -        Hamstring right leg..........................   3         10  pain flared hiking uphill on Turtle Creek road before turning into Ayers.. subsided on flat grade, flared again doing small hills at college did not recur after taking Tramadol and Gabapentin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                              
123276 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123277 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123278 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
123279 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123280 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123281 -        Metatarsalgia left foot...PRP 210705.........   5         40  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17 ...very atypical metatarsalgia did not respond to pain medications today                                                                                                                                                                                                                                                                                                       
123282 -        Metatarsalgia right foot..PRP 210705.........   5         40  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17 ...very atypical metatarsalgia did not respond to pain medications today                                                                                                                                                                                                                                                                                                       
123283 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123284 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123285 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123286 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
123287 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
123288 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
123289 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123290 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
123291 -        Callus big toe left foot...PRP 210705........   2         70  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Saturday 240713 and after taking 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                  
123292 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                   
123293 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123294 -        Blister below big toe left foot..............   4         30  new today 240713, made hike difficult - seems caused by newest orthotic inserts received from VA on 240419 0900. ref SDS 29 QL4L softer material enables toes to create grooves that then cause blistering of toes                                                                                                                                                                                                                                                                                                                     
123295 -        Blister bottom #5 left foot..................   4         30  new today 240713, made hike difficult - seems caused by newest orthotic inserts received from VA on 240419 0900. ref SDS 29 QL4L softer material enables toes to create grooves that then cause blistering of toes                                                                                                                                                                                                                                                                                                                     
123296 -        Blister bottom #4 right foot.................   4         30  new today 240713, made hike difficult - seems caused by newest orthotic inserts received from VA on 240419 0900. ref SDS 29 QL4L softer material enables toes to create grooves that then cause blistering of toes                                                                                                                                                                                                                                                                                                                     
123297 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123298 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
123299 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
123300 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
123301 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
123302 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123303 -        Blister ring toe right foot.new 240713.......   3         40  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit???                                                                                                                                                                                                                                                                                                                                                                                                                                      
123304 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
123305 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123306 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123307 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123308 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
123309 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123310 -        Burning sensation both feet..................   3         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123311 -        Stinging sensation both feet.................   2          5  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                   
123312 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123313 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123314 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123315 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123316 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123317 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123318 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123319 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123320 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123321 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123325 -  ..
123326 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123327 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123328 - Using new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123329 - feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123331 -  ..
123332 - Orthotic inserts - Doctor Tang made new inserts Powerstep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123333 - Classic Plus Have different padding that seems better if it will hold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123334 - up over many hikes, reported on 240419 0900. ref SDS 35 EQ8N  See also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123335 - case study on 200101 0701. ref SDS 16 PR6F  Inserts feel great until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123336 - about mile 8, then it seems tight fit that caused blisters primarily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123337 - to the toes.  The toes indent the soft padding, then blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123338 - continuing to hike in the grooves.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123340 -  ..
123341 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123342 - today, causing slightly reduced width across forefoot with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123343 - lateral pessure on #1 and #5, with evident pressure on left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123344 - today.  Tolerated this well, and better after taking only Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123345 - at mile 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123347 -  ..
123348 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123349 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123350 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123351 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123352 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123353 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123354 - top of #4 on right foot.  The left foot had PL 2 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123355 - Right foot #4 bottom had blister possbly caused by tight fitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123356 - orthotic insetl                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123358 -  ..
123359 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123360 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123361 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123362 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123363 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123366 -  ..
123367 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123368 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123369 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123370 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123371 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123372 - it may cause ischemic colitis.  Took Magnesium 300 mg 1 Pill Bioemblem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123373 - Triple Complex Glycinate, Malate, & Citrate (...see research on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123374 - 1653. ref SDS 42 VY92...) - designed to swallow, but too big to slip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123375 - through LESV; swallowed anyway and allowed to breakdown on top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123376 - LESV...  Magnesium increases energy by disapating lactic acid that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123377 - causes fatigue in muscles, and also reduces inflammation, critical for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123378 - raising HDL, and general health in major organs.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123379 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123380 - energy, and avocado for HDL, per above. ref SDS 0 AV9H  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123381 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123382 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123383 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123384 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123385 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123386 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123387 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123388 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123389 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123390 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123391 - left, onto Treat about 1 mile.  Feet starting hike feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123392 - like pins and needles - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123393 - statins.  Breathed through nose entire hike without dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123394 - started at 78, and reached 94.  West wind 15 mph and mostly 12 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123395 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123396 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123397 - some places 2% - 3% uphill, and very light traffic.  At mile 2, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123398 - not hike across Newhall Community Park and back.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123399 - Creek Road uphill 4% grade.  Turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123400 - miles on narrower asphalt road shoulder with light traffic.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123401 - 3, turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123402 - pavement in parking lots of shopping complex.  Starting to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123403 - bloated - did not take Simethicone.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123404 - light and continued on concrete sidewalk .5 miles.  Left foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123405 - and/or #5 PL 0, right foot #4 - #5 PL 0.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123406 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123407 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123408 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123409 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123410 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123411 - store mile 5, time ____, turned left hiked 1.00 mile East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123412 - Hollow.  Near Camino Salona, turned around and hiked back 1.00 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123413 - YV.  Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123414 - grade against wind 10 mph.  Body feels good with level of effort after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123415 - not hiking since 240629.  Mile 08, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123416 - California State University East Bay Concord Campus.  Hiked 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123417 - through Faculty and Student parking.  About mile 10, took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123418 - for bloating.  Tramadol will be taken mile 11, about 30 minutes later,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123419 - so hopefully will avoid severe reaction that occurred taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123420 - within 10 minutes after taking Simethicone, reported on 230527,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123421 - reported in case study on 230101 0654. ref SDS 23 SPSY  More people                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123422 - walking dogs today, and at an early hour - possibly because very cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123423 - today.  One dog was barking continuously - thought it was odd, more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123424 - like a "scream" than a usual dog bark.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123425 - stopped at Administration Building mile 11 time 0838 temp 65 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123426 - 11 mph; EKG looks uniform with no artifact.  Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123427 - (indicating no AFL, and aligns with temp 65) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123428 - ref SDS 0 S93G  HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123429 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123430 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 4 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123431 - unusual, because metatarsalgia has been moderate for over a year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123432 - Burning sensation PL 2, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123433 - edge blister/callus PL 3, right foot #4 top blister/callus PL 2, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123434 - edge callus/blister PL 2.  Left knee meniscus PL 2, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123435 - 2, left elbow PL 2 intermitant.  Took Tramadol 50 mg and 1 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123436 - 300 mg for pain (...test this combination with temperature < 90...).
123437 - Did not suffer extreme reaction after taking Tramadol about 40 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123438 - after taking Simethicone, which occurred taking Tramadol about 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123439 - minutes after taking Simethicone, reported on 230527, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123440 - study on 230101 0654. ref SDS 23 SPSY  Took 2nd Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123441 - mg pill for energy, and magnesium reduces inflammation, essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123442 - raise HDL.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123443 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123444 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123445 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123446 - Since temperature below 80, sweating moderate that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123447 - electrolytes, did not take`Nuun electrolyte pill (...save money...),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123448 - per above. ref SDS 0 SPXS  Hiked another loop arond main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123449 - Exited college onto Campus drive heading North and bending North at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123450 - summit heading North.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123451 - West on flat grade .5 miles.  At mile 12, continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123452 - Road, heading West on Ygnacio Valley Road uphill 3% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123453 - 12 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123454 - to North side Ygnacio Valley Road to avoid severe camber.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123455 - Polar showing HR 134 steady, similar to AFL, e.g., on 240601, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123456 - above, ref SDS 0 T8SP - concerning for AFL recurrence.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123457 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123458 - Valley Road to avoid severe camber.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123459 - summit.  At end of concrete barriar and break in light traffic about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123460 - mile 13, crossed back to South side Ygnacio Valley Road to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123461 - shoulder.  Continued 2 miles downhill 3-4% grade.  Noticed Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123462 - showing HR 142 steady, indicating possible AFL.  Crossed again to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123463 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123464 - At mile 15, hiked 1-mile loop around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123465 - complex.  Noticed Polar showing HR 127, indicating no AFL.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123466 - stopped near Mod Pizza Stopped near Mod Pizza mile 17, time 1021, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123467 - 70 and wind 10 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123468 - reported HR 132 (indicating no AFL - elevated HR aligns with rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123469 - temperature, and hiking 17 miles after no hiking past 3 weeks),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123470 - Tachycardia - see below. ref SDS 0 DUZ7  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123471 - drop severely today, during pause for EKG, hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123472 - see case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123473 - 0942. ref SDS 34 RU6M  Both feet PL 3, burning sensation PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123474 - foot Tailor's bunions PL 0, left foot #5 edge callus/blister PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123475 - right foot #4 bottom blister/callus PL 2, #5 edge callus/blister PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123476 - left knee meniscus PL 1, left shoulder PL 1, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123477 - intermitant.  Took another set of Tramadol 50 mg and 1 Gabapentin 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123478 - mg for pain (...further test this combination with temperature <
123479 - 90...).  Took 3rd Magnesium complex 300 mg pill for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123480 - magnesium reduces inflammation, evident today with increased feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123481 - pain, and magnesium is essential to raise HDL.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123482 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123483 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123484 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123485 - energy to complete hike.  Since temperature is still below 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123486 - sweating moderate that ejects electrolytes, did not take`Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123487 - electrolyte pill (...save money... could have been a mistake, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123488 - forecast temperatue to reach 88 in next hour or so.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123489 - carried from home for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123490 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123491 - juice) for energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123492 - for HDL and energy to complete hike.  Because temp was not yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123493 - elevated > 80, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123494 - ref SDS 0 SPXS  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123495 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123496 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123497 - Grove.  Hiked 1 mile North on asphalt shoulder.  There about 10 police                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123498 - cars parked with lights flashing at the Intersection.  There was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123499 - apparent accident vehicles.  Crossed Treat on green traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123500 - Hiked 1 mile East on flat grade concrete sidewalk.  About .5 miles out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123501 - there was serious traffic accident involving at least 3 cars at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123502 - corner of Summerwood Pl and Treat.  Heard loud noise and looked up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123503 - Saw 1 car across the island separating East and West traffic.  Another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123504 - car was spun around and shown severe damage to front, with bumper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123505 - strewn on the roadway.  Traffic was already backed up.  There was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123506 - indication of injury to anyone.  A woman driver asked if there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123507 - egress on Summerwood Pl.  Walked back and asked a driver exiting if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123508 - there was a way through.  He said no.  Relayed this to the woman who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123509 - asked, and continued hiking.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123510 - uphill 5% grade with wind 16 mph, temp 76.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123511 - summit, mile 20, hiked another mile to Cuneo.  Continued .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123512 - Cowell.  Turned around hiking back.  Turned right onto Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123513 - North to Kaski. turned around and hiked home.  Ended hike mile 22 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123514 - 1200 temp 80, wind 13, feet PL 6, left foot #5 edge PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123515 - blister #4 bottom PL 3, #5 PL 1, burning sensation PL 3, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123516 - PL 2, left knee PL 2 (swollen slightly), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123517 - shoulder PL 2, neck and right shoulder PL 5 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123518 - left side PL 0, left elbow PL 2, when lifting.  EKG uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123519 - artifact, Kardia reported HR 129 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123520 - 6SVW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123534 -  ..
123535 - Kardia recorded HR 055 at 0440 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123536 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123537 - hiking 00 miles yesterday, and starting Apixaban on 240611 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123538 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123539 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123540 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123543 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123544 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240713-ecg-044026_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123550 -  ..
123551 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123552 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123553 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123555 -  ..
123556 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123558 -                                                 x                                       x                           x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123559 -       Date        240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501 240430 240429 240428 240427 240426 240425 240424 240423 240422 240421 240420 240419   
123560 -       Miles          22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0      0     20     20     14      0     11     19     27     15     21     21     
123561 -       HR AVG        122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     no    146    147    143     no    104    104    103    108    113    115     
123562 -         MAX         146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report report  59    160    158  report   153    153    129    131    142    142     
123563 -         Min          66                                                                                                73                   66     58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                          56     73     83            46     46     38     75     78     48     
123564 -       El Climb Ft   305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415    715    715    615                  715                 495           495            495                         600    600    600           715    715    715    600    715    600
123565 -       Temp Max       80                                                                                                95                   81     91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                          74     74     72            66     66     65     82     84     78     
123566 -       Wind Max       12                                                                                                14                   15     12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                          15     14     14            14     14     14     12     10     12     
123567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123569 -              https://flow.polar.com/training/analysis/7919214425                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123572 -               ..
123574 -   
123575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123579 -  ..
123580 - EKG at mile 11 time 0838 HR 110 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123581 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123582 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123585 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123586 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240713-ecg-083836_mile_11_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123591 -  ..
123592 - EKG at mile 17 time 1021 HR 132 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123593 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123594 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123597 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123598 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240713-ecg-102138_mile_17_132_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123603 -  ..
123604 - End hike EKG at mile 22, time 1200 HR 129 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123605 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123606 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123609 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123610 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240713-ecg-120043_mile_22_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123615 -  ..
123616 - Post hike HR profile beginning 2206, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123617 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123618 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123619 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123620 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123623 -        ..
123624 -       Date      240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503  240502    
123625 -       Time       2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023    2022     
123626 -       Hours         9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11      11     
123627 -       HR AVG       58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60      63     
123628 -       HR MAX       84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     103     
123629 -       HR Min       39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40      42     
123630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123632 -              https://flow.polar.com/training/analysis/7919666539                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123635 -               ..
123637 -   
123638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123641 -  ..
123642 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123643 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123644 - Dinner - rice hamburger broccoli cauliflower cheese onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123646 -  ..
123647 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123676 -         ..
123677 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123678 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123679 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123680 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123681 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123682 -  196.  240714 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123683 -               0715....BP HR..................................................... 130  74  57  Kardia ECG reports HR status, see below. ref SDS 0 SWTY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123684 -               0720....BP HR..................................................... 126  81  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123685 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123686 -               0725....80 406320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123687 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123688 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
123689 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123690 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123691 -               0725....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123692 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123693 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123694 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123695 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123696 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123697 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123698 -               1700... 40 112160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
123699 -               1830............ 10 20070  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123700 -               1830............ 10 20410  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123701 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123702 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123703 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123704 -               2130... 40 88260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123705 -               2200... 1000 2180000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123706 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123707 -               2330... 80 406400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123708 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123709 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123710 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123713 -  ..
123714 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123715 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123717 -  ..
123718 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123719 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123723 -  ..
123724 - Kardia recorded HR 050 at 0734 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123725 - lengths with p-waves and minor artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123726 - miles yesterday, and ending Apixaban on 240711 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123727 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123728 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123729 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123732 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123733 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240714-ecg-073437_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123738 -  ..
123739 - Post hike HR profile beginning 1934, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123740 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123741 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123742 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123743 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123746 -        ..
123747 -       Date      240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504  240503    
123748 -       Time       1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938    0023     
123749 -       Hours        12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12      11     
123750 -       HR AVG       60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63      60     
123751 -       HR MAX      117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     104     
123752 -       HR Min       41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42      40     
123753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123755 -              https://flow.polar.com/training/analysis/7920373550                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123758 -               ..
123760 -   
123761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123764 -  ..
123765 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123766 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123767 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123769 -  ..
123770 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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123779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123799 -         ..
123800 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123801 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123802 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123803 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123804 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123805 -  197.  240715 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123806 -               0710....BP HR..................................................... 148  80  51  Kardia ECG reports HR status, see below. ref SDS 0 TRXP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123807 -               0715....BP HR..................................................... 139  89  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123808 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123809 -               0720....80 406480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123810 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123811 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
123812 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123813 -               0720....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123814 -               0720....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123815 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123816 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123817 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123818 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123819 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123820 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123821 -               1700... 40 112200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
123822 -             1 0000............ 10 20070  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123823 -             1 0000............ 10 20410  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123824 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123825 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123826 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123827 -               2130... 40 88300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123828 -               2200... 1000 2181000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123829 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123830 -               2330... 80 406560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123831 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123832 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123833 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123836 -  ..
123837 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123838 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123840 -  ..
123841 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123842 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123847 -  ..
123848 - Kardia recorded HR 049 at 0800 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123849 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123850 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123851 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123852 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123853 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123856 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123857 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240715-ecg-080018_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123861 -  ..
123862 - Post hike HR profile beginning 1921, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123863 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123864 - 130, indicates no AFL, and no atril fibrillation, and taking Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123865 - today, after 6th ablation on 240611, 240611 0930, ref SDS 47 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123866 - patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123869 -        ..
123870 -       Date      240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505  240504    
123871 -       Time       1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037    1938     
123872 -       Hours        11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11      12     
123873 -       HR AVG       60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60      63     
123874 -       HR MAX       99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     121     
123875 -       HR Min       38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40      42     
123876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123878 -              https://flow.polar.com/training/analysis/7920978004                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123881 -               ..
123883 -   
123884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123887 -  ..
123888 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123889 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123890 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123892 -  ..
123893 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123921 -         ..
123922 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123923 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123924 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123925 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123926 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123927 -  198.  240716 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123928 -               0710....BP HR..................................................... 154  87  51  Kardia ECG reports HR status, see below. ref SDS 0 TS4X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123929 -               0715....BP HR..................................................... 135  84  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123930 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123931 -               0720....80 406640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123932 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123933 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
123934 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123935 -               0720....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123936 -               0720....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123937 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123938 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123939 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123940 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123941 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123942 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123943 -               1700... 40 112240 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
123944 -               1830............ 10 20080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123945 -               1830............ 10 20420  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123946 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123947 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123948 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123949 -               2130... 40 88340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123950 -               2200... 1000 2182000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123951 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123952 -               2330... 80 406720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123953 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123954 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123955 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123958 -  ..
123959 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123960 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123962 -  ..
123963 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123964 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123970 -  ..
123971 - Kardia recorded HR 075 at 0955 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123972 - lengths with p-waves and some artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123973 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123974 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123975 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123976 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123979 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123980 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240716-ecg-095537_mile_00_075_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123985 -  ..
123986 - Post hike HR profile beginning 1935, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123987 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123988 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123989 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123990 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123993 -        ..
123994 -       Date      240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506  240505    
123995 -       Time       1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124    2037     
123996 -       Hours        12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9      11     
123997 -       HR AVG       57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62      60     
123998 -       HR MAX       93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     108     
123999 -       HR Min       40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43      40     
124000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124002 -              https://flow.polar.com/training/analysis/7921706729                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124005 -               ..
124007 -   
124008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124011 -  ..
124012 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124013 - Lunch - balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124014 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124016 -  ..
124017 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124045 -         ..
124046 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124047 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124048 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124049 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124050 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124051 -  199.  240717 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124052 -               0720....BP HR..................................................... 154  87  51  Kardia ECG reports HR status, see below. ref SDS 0 TS4X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124053 -               0725....BP HR..................................................... 126  78  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124054 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124055 -               0730....80 406800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124056 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124057 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124058 -               0730... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124059 -               0730....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124060 -               0730....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124061 -               0730....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124062 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124063 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124064 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124065 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124066 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124067 -               1700... 40 112280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124068 -             1 0000............ 10 20080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124069 -             1 0000............ 10 20420  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124070 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124071 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124072 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124073 -               2130... 40 88380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124074 -               2200... 1000 2183000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124075 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124076 -               2330... 80 406880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124077 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124078 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124079 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124081 -  ..
124082 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124083 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124085 -  ..
124086 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124087 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124091 -  ..
124092 - Kardia recorded HR 056 at 0755 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124093 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124094 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124095 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124096 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124097 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124100 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124101 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240717-ecg-075551_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124105 -  ..
124106 - Post hike HR profile beginning 2233, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124107 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124108 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124109 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124110 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124113 -        ..
124114 -       Date      240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507  240506    
124115 -       Time       2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036    2124     
124116 -       Hours         9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11       9     
124117 -       HR AVG       58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66      62     
124118 -       HR MAX      101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     106     
124119 -       HR Min       40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41      43     
124120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124122 -              https://flow.polar.com/training/analysis/7922393611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124125 -               ..
124127 -   
124128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124131 -  ..
124132 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124133 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124134 - Dinner - tuna rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124136 -  ..
124137 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124165 -         ..
124166 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124167 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124168 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124169 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124170 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124171 -  200.  240718 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124172 -               0700....BP HR..................................................... 124  82  87  Kardia ECG reports HR status, see below. ref SDS 0 T64M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124173 -               0705....BP HR..................................................... 136  78  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124174 -               0710....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124175 -               0710....80 406960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124176 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124177 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124178 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124179 -               0710....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124180 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124181 -               0710....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124182 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124183 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124184 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124185 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124186 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124187 -               1700... 40 112320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124188 -               1830............ 10 20090  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124189 -               1830............ 10 20430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124190 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124191 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124192 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124193 -               2130... 40 88420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124194 -               2200... 1000 2184000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124195 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124196 -               2330... 80 407040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124197 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124198 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124199 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124202 -  ..
124203 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124204 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124206 -  ..
124207 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124208 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124212 -  ..
124213 - Kardia recorded HR 053 at 0752 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124214 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124215 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124216 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124217 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124218 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124221 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124222 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240718-ecg-075234_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124225 -  ..
124226 - Post hike HR profile beginning 2042, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124227 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124228 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124229 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124230 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124233 -        ..
124234 -       Date      240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508  240507    
124235 -       Time       2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053    2036     
124236 -       Hours        10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11      11     
124237 -       HR AVG       60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58      66     
124238 -       HR MAX       98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     152     
124239 -       HR Min       41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41      41     
124240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124242 -              https://flow.polar.com/training/analysis/7923046334                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124245 -               ..
124247 -   
124248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124251 -  ..
124252 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124253 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124254 - Dinner - beef potato macaroni broccoli cauliflower toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124256 -  ..
124257 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124285 -         ..
124286 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124287 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124288 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124289 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124290 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124291 -  201.  240719 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124292 -               0705....BP HR..................................................... 138  90  83  Kardia ECG reports HR status, see below. ref SDS 0 T72S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124293 -               0710....BP HR..................................................... 123  82  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124294 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124295 -               0715....80 407120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124296 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124297 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124298 -               0715... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124299 -               0715....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124300 -               0715....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124301 -               0715....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124302 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124303 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124304 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124305 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124306 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124307 -               1700... 40 112360 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124308 -             1 0000............ 10 20090  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124309 -             1 0000............ 10 20430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124310 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124311 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124312 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124313 -               2130... 40 88460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124314 -               2200... 1000 2185000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124315 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124316 -               2330... 80 407200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124317 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124318 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124319 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124322 -  ..
124323 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124324 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124326 -  ..
124327 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124328 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124332 -  ..
124333 - Kardia recorded HR 049 at 0636 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124334 - heart beat lengths with p-waves and some artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124335 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124336 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124337 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124338 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124341 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124342 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240719-ecg-063648_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124346 -  ..
124347 - Post hike HR profile beginning 2140, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124348 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124349 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124350 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124351 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124354 -        ..
124355 -       Date      240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509  240508    
124356 -       Time       2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907    2053     
124357 -       Hours         9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9      11     
124358 -       HR AVG       59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70      58     
124359 -       HR MAX      118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     111     
124360 -       HR Min       40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43      41     
124361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124363 -              https://flow.polar.com/training/analysis/7923684171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124366 -               ..
124368 -   
124369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124372 -  ..
124373 - Breakfast - toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124374 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124375 - Dinner - macaroni cheese broccoli cauliflower onion tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124377 -  ..
124378 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124406 -         ..
124407 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124408 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124409 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124410 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124411 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124412 -  202.  240720 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124413 -               0720....BP HR..................................................... 155  97  82  Kardia ECG reports HR status, see below. ref SDS 0 V6KW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124414 -               0725....BP HR..................................................... 139  81  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124415 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124416 -               0730....80 407280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124417 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124418 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124419 -               0730... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124420 -               0730....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124421 -               0730....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124422 -               0730....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124423 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124424 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124425 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124426 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124427 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124428 -               1700... 40 112400 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124429 -               1830............ 10 20100  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124430 -               1830............ 10 20450  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124431 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124432 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124433 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124434 -               2130... 40 88500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124435 -               2200... 1000 2186000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124436 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124437 -               2330... 80 407360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124438 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124439 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124440 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124443 -  ..
124444 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124445 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124447 -  ..
124448 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124449 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124454 -  ..
124455 - Kardia recorded HR 061 at 0835 Uclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124456 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124457 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124458 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124459 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124460 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124463 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124464 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240720-ecg-083523_mile_00_061_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124468 -  ..
124469 - Post hike HR profile beginning 1923, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124470 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124471 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124472 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124473 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124476 -        ..
124477 -       Date      240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510  240509    
124478 -       Time       1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903    1907     
124479 -       Hours        12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12       9     
124480 -       HR AVG       63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58      70     
124481 -       HR MAX      117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     131     
124482 -       HR Min       38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34      43     
124483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124485 -              https://flow.polar.com/training/analysis/7924361896                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124488 -               ..
124490 -   
124491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124494 -  ..
124495 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124496 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124497 - Dinner - macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124499 -  ..
124500 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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124506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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124509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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124512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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124514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124529 -         ..
124530 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124531 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124532 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124533 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124534 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124535 -  203.  240721 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124536 -               0710....BP HR..................................................... 143  87  72  Kardia ECG reports HR status, see below. ref SDS 0 UN4Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124537 -               0715....BP HR..................................................... 153  82  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124538 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124539 -               0720....80 407440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124540 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124541 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124542 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124543 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124544 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124545 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124546 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124547 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124548 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124549 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124550 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124551 -               1700... 40 112440 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124552 -             1 0000............ 10 20100  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124553 -             1 0000............ 10 20450  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124554 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124555 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124556 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124557 -               2130... 40 88540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124558 -               2200... 1000 2187000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124559 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124560 -               2330... 80 407520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124561 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124562 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124563 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124566 -  ..
124567 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124568 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124570 -  ..
124571 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124572 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124576 -  ..
124577 - Kardia recorded HR 059 at 0712 Uclassified, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124578 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124579 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124580 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124581 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124582 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124585 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124586 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240721-ecg-071237_mile_00_059_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124590 -  ..
124591 - Post hike HR profile beginning 2030, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124592 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124593 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124594 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124595 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124598 -        ..
124599 -       Date      240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511  240510    
124600 -       Time       2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112    1903     
124601 -       Hours         9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11      12     
124602 -       HR AVG       59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64      58     
124603 -       HR MAX      110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119      97     
124604 -       HR Min       41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44      34     
124605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124607 -              https://flow.polar.com/training/analysis/7924900078                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124610 -               ..
124612 -   
124613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124616 -  ..
124617 - Breakfast - pancake - half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124618 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124619 - Dinner - macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124621 -  ..
124622 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124650 -         ..
124651 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124652 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124653 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124654 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124655 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124656 -  204.  240722 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124657 -               0710....BP HR..................................................... 158  91  64  Kardia ECG reports HR status, see below. ref SDS 0 U7RW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124658 -               0715....BP HR..................................................... 143  82  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124659 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124660 -               0720....80 407600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124661 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124662 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124663 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124664 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124665 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124666 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124667 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124668 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124669 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124670 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124671 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124672 -               1700... 40 112480 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124673 -               1830............ 10 20110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124674 -               1830............ 10 20460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124675 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124676 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124677 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124678 -               2130... 40 88580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124679 -               2200... 1000 2188000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124680 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124681 -               2330... 80 407680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124682 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124683 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124684 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124687 -  ..
124688 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124689 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124691 -  ..
124692 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124693 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124697 -  ..
124698 - Kardia recorded HR 049 at 0530 Bradycardia, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124699 - lengths with p-waves and minor artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124700 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124701 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124702 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124703 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124706 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124707 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240722-ecg-053043_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124711 -  ..
124712 - Post hike HR profile beginning 2003, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124713 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124714 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124715 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124716 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124719 -        ..
124720 -       Date      240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512  240511    
124721 -       Time       2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906    2112     
124722 -       Hours        13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12      11     
124723 -       HR AVG       68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58      64     
124724 -       HR MAX      122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     119     
124725 -       HR Min       45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32      44     
124726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124728 -              https://flow.polar.com/training/analysis/7925731716                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124731 -               ..
124733 -   
124734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124737 -  ..
124738 - Breakfast - pancake - half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124739 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124740 - Dinner - hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124742 -  ..
124743 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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124753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124771 -         ..
124772 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124773 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124774 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124775 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124776 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124777 -  205.  240723 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124778 -               0710....BP HR..................................................... 157  96  81  Kardia ECG reports HR status, see below. ref SDS 0 6RTB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124779 -               0715....BP HR..................................................... 139  84  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124780 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124781 -               0720....80 407760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124782 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124783 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124784 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124785 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124786 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124787 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124788 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124789 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124790 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124791 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124792 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124793 -               1700... 40 112520 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124794 -             1 0000............ 10 20110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124795 -             1 0000............ 10 20460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124796 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124797 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124798 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124799 -               2130... 40 88620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124800 -               2200... 1000 2189000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124801 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124802 -               2330... 80 407840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124803 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124804 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124805 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124808 -  ..
124809 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124810 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124812 -  ..
124813 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124814 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124819 -  ..
124820 - Kardia recorded HR 080 at 0926 Possible Atrial Fibrillation, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124821 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124822 - AFL after hiking 00 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124823 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124824 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124825 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124828 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124829 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240723-ecg-092611_mile_00_080_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124832 -  ..
124833 - Post hike HR profile beginning 1848, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124834 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124835 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124836 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124837 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124840 -        ..
124841 -       Date      240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513  240512    
124842 -       Time       1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851    1906     
124843 -       Hours         7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11      12     
124844 -       HR AVG       67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64      58     
124845 -       HR MAX      112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     104     
124846 -       HR Min       39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34      32     
124847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124849 -              https://flow.polar.com/training/analysis/7926186457                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124852 -               ..
124854 -   
124855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124858 -  ..
124859 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124860 - Lunch - cherries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124861 - Dinner - hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124863 -  ..
124864 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124893 -         ..
124894 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124895 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124896 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124897 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124898 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124899 -  206.  240724 0220............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124900 -               0220....BP HR..................................................... 152  81  55  Kardia ECG reports HR status, see below. ref SDS 0 USWP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124901 -               0225....BP HR..................................................... 152  90  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124902 -               0230....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124903 -               0230....80 407920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124904 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124905 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124906 -               0230....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124907 -               0340... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124908 -               0340....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124909 -               0340....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124910 -               0340....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124911 -               0340... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124912 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124913 -               0000....Tramadol 50 mg took 1 pill -
124914 -  ..
124915 -               0349....miles...........  13.0  13.0  221   221 minutes  temp  54 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124916 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124917 -               0730... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
124918 -               0838....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124919 -               0838....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124920 -               0838... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124921 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124922 -               0838... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124923 -               0838... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124924 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124925 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124926 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124927 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124928 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124929 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124930 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124931 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124932 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124933 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124934 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124935 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124936 -               0701... Hike ends mile 11... ref SDS 0 Q5RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124937 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124938 -               0705....weight.................................... 170  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124939 -               0710....BP HR..................................................... 104  71 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124940 -               0715....BP HR..................................................... 101  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124941 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124942 -               1700... 40 112560 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
124943 -               1830............ 10 20120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124944 -               1830............ 10 20470  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124945 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124946 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124947 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124948 -               2130... 40 88660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124949 -               2200... 1000 2190000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124950 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124951 -               2330... 80 408000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124952 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124953 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124954 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124956 -  ..
124957 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124958 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124960 -  ..
124961 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124962 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124965 -  ..
124966 - Today, hiked 13 miles - in San Francisco Golden Gate Park, with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124967 - 54 and wind 10; begin from VA Medical Center on Clement at 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124968 - street, hike to Point Lobos, then West 1 mile to Cliff House.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124969 - South 1 mile on Great Highway.  Turn East onto JFK through Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124970 - Park past Buffelow compound, and Sprekles Lake.   At mile 6, turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124971 - around near Pelosi Drive and hike back to hospital.  Left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124972 - left hamstring PL 3, unusual - may correlate with not hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124973 - month, so not taking Glucosamine Chondroiten, and not producing HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124974 - that restores cartalege in joints.  Took no pain meds, and NPO during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124975 - hike.  After hike, continued 1 mile through hospital, and another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124976 - mile at Costco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124981 -         ..
124982 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124983 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124984 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis 0% of hike, took no Simethicone about mile __                                                                                                                                                                                                                                                                                                                                                                                                  
124985 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124986 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124987 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11 helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124988 -        Breathing ARDS...............................   2         20  hiking up Great Highway to Cliff House and on Point Lobos back to hospital - just out of shape                                                                                                                                                                                                                                                                                                                                                                                                                                               
124989 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124990 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124991 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 0 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124992 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                   
124993 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124994 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
124995 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124996 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124997 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
124998 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124999 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125000 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125001 -        Knee left meniscus...PRP 231121..............   3         60  knee not hurting beginning of hike, increased later took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                            
125002 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125003 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125004 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125005 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125006 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
125007 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125008 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125009 -        Hamstring left leg...........................   3         90  most of hike from beginnint to end - unusual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125010 -        Hamstring right leg..........................   2         30  occurred initial 3 miles, then ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125011 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125012 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125013 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 0 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
125014 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125015 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125016 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17 ...very atypical no pain medications today                                                                                                                                                                                                                                                                                                                                     
125017 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17 ...very atypical no pain medications today                                                                                                                                                                                                                                                                                                                                     
125018 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125019 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125020 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125021 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
125022 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
125023 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
125024 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125025 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
125026 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
125027 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                   
125028 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125029 -        Blister below big toe left foot..............   0        100  switched to Stable Elite orthotic inserts that eliminated grooves causing blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125030 -        Blister bottom #5 left foot..................   0        100  switched to Stable Elite orthotic inserts that eliminated grooves causing blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125031 -        Blister bottom #4 right foot.................   0        100  switched to Stable Elite orthotic inserts that eliminated grooves causing blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125032 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
125033 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
125034 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
125035 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
125036 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125037 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
125038 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 0 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
125039 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125040 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125041 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125042 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
125043 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125044 -        Burning sensation both feet..................   1         20  subsided some after taking 0 Tramadol and 0 Gababenin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125045 -        Stinging sensation both feet.................   0        100  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                   
125046 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125047 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125048 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125049 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125050 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125051 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125052 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125053 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125054 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125055 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125059 -  ..
125060 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125061 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125062 - Using new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125063 - feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125065 -  ..
125066 - Orthotic inserts - Doctor Tang made new inserts Powerstep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125067 - Classic Plus Have different padding that seems better if it will hold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125068 - up over many hikes, reported on 240419 0900. ref SDS 35 EQ8N  See also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125069 - case study on 200101 0701. ref SDS 16 PR6F  Inserts feel great until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125070 - about mile 8, then it seems tight fit may cause blisters.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125071 - switched back to Stable Elite orthotic inserts.  Blistering did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125072 - recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125074 -  ..
125075 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125076 - wool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125078 -  ..
125079 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125080 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125081 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125082 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125083 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125084 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125085 - top of #4 on right foot.  The left foot had PL 0 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125086 - Right foot #4 bottom PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125088 -  ..
125089 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125090 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125091 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125092 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125093 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125096 -  ..
125097 - San Francisco 12 mile route, reported on 170519, ref SDS 6 WTRS  At VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125098 - time 0345, before starting hike at the VA, took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125099 - Chondroitin for OA.  Took few sips of Coca Cola to swallow 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125100 - pill for energy and inflammation management, and swallow few bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125101 - peanut butter with margarine and chia seeds for energy (magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125102 - oxide), and avocado for HDL, and took Ubiquinol CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125103 - HDL, per above. ref SDS 0 15TL  Weather overcast, temperature 54, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125104 - 10 mph, slight mist.  Started hike leaving parking lot at VAMCSF at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125105 - 0349.  Hiked slowly downhill on 42nd Street to warm up.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125106 - heading downhill West on Point Lobos to Cliff House at mile 1.  Too                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125107 - dark to see anything.  Did not wear headlight.  Road bends and changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125108 - to "Great Highway" going South along ocean beach.  At mile 2 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125109 - onto John F Kennedy (JFK) Drive entering Golden Gate Park.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125110 - left knee PL 2, and left hamstring PL 2.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125111 - slightly uphill into the park for .5 miles.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125112 - continued East on JFK.  Still dark, few widely spaced street lights,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125113 - cannot see the road.  Passed Buffalo compound, then Spreckles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125114 - Dawn starting to break - can see the road.  Hiking past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125115 - Meadow, said hello to early morning jogger (actually seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125116 - hiking) going West.  Continued past Helman Hollow.  Both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125117 - level 1.  Continued hiking under bridge at Crossover Drive (part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125118 - highway 1 that goes to Golden Gate Bridge). - JFK is blocked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125119 - vehicle traffic the rest of the way through the park to Stanyon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125120 - limiting attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125121 - coronavirus.  Now that the epidemic has been delcared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125122 - continues to deny access to drivers on JFK.  At mile 5, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125123 - Young Museum.  Now encountering a few bikers and joggers heading in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125124 - both directions.  Continued East toward Stanyon.  Due to late start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125125 - and meeting with the VA Eye Clinic at 0800, near Pelosi Drive and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125126 - across from the Planetarium, stopped mile 6, time 0530, temp 54, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125127 - 07; EKG variable with artifact.  Kardia reported HR 110 Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125128 - Atrial Fibrillation - see below. ref SDS 0 DTQS  Polar reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125129 - dropped about 80 today, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125130 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125131 - burning sensation PL 0, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125132 - top blister/callus PL 0, right foot #4 top blister/callus PL 0, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125133 - pediplasti spacer, left knee PL 3, and left hamstring PL 3.  NPO,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125134 - except took CoQ10 for energy and HDL.  Heading West through the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125135 - toward the ocean.  Stayed on South side against traffic (no actual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125136 - vehicle traffic in park) going Eest.  Passing De Young Museum most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125137 - everything pain level 0, except feet. left knee and hamstring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125138 - Increased pace with endorphins rising.  Noticed Waterfall not running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125139 - at 0630 this morning, before hiking under Crossover Road bridge and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125140 - past Hellman Hollow.  Hiked past Lindley Meadow, where 9 years ago, a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125141 - truck backed up because missed a turn, and struck Kathy's car; this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125142 - got her a new car, reported on 150729 0942. ref SDS 4 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125143 - hiking past Spreckles Lake, the Buffalo compound.  Crossed over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125144 - North side of JFK going with traffic.  Turned corner and headed toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125145 - the ocean.  Turned North onto Great Highway.  Hiked parallel to ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125146 - toward the Cliff House and the hospital.  Halfway to Cliff House drank                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125147 - rest of liquid CoQ10 for energy.  Maintained pace hiking up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125148 - - 5% - 6% grade.  Breathing through nose for 1.5 miles uphill all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125149 - way to the hospital.  Today, this was a struggle after not hiking to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125150 - recover from cardiac ablation on 240611 - see Plolar GPS/HR report on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125151 - daily hiking in the record today, below. ref SDS 0 USXY  At the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125152 - House, turned onto Point Lobos going East; hiked uphill for 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125153 - Turned onto 42nd street and maintained pace going up final steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125154 - to the VA campus, then walked through hospital to cafeteria and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125155 - Eye Clinic on Floor 1.floor - end hike 13 miles - time 0701 temp 54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125156 - wind 10, feet PL 2, left foot #4 top blister PL 0, left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125157 - 3, left knee PL 3, neck and right shoulder PL 5 (only when turning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125158 - head or lifting right arm), left shoulder PL 0 - getting better.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125159 - looks variable with p-wave and severe artifact, reported HR 132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125160 - Unclassified - see below. ref SDS 0 PTSW  Hiked 2 more miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125161 - hospital, and at Costco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125171 -  ..
125172 - Kardia recorded HR 053 at 0232 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125173 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125174 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125175 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125176 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125177 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125180 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125181 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240724-ecg-023209_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125185 -  ..
125186 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125187 - used*** hike 13 miles (including post hike walking through VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125188 - hospital, and later hiking from parking lot to Costco, through isles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125189 - and back to car - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125190 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125192 -  ..
125193 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125195 -                                                 x                                       x      y                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125196 -       Date        240724 240713 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503 240502 240501   
125197 -       Miles          13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22      0      0     
125198 -       HR AVG        120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     no     no     
125199 -         MAX         152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134    report report  
125200 -         Min          61                                                                           66                                                                                                73                   66     58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48                   
125201 -       El Climb Ft   305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305    715    415         615                  715                 495           495                  495
125202 -       Temp Max       54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78                   
125203 -       Wind Max       10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15                   
125204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125206 -              https://flow.polar.com/training/analysis/7926634044                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125209 -               ..
125211 -   
125212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125216 -  ..
125217 - EKG at mile 06 time 0530 HR 110 temp 84, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125218 - Atrial Fibrillation... looks variable with moderate artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125219 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125222 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125223 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240724-ecg-053011_mile_06_110_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125227 -  ..
125228 - End hike EKG at mile 13, time 0701 HR 132 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125229 - Unclassified... looks generally uniform with severe artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125230 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125233 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125234 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240724-ecg-070123_mile_13_132_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125238 -  ..
125239 - Post hike HR profile beginning 2129, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125240 - hiking 13 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125241 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125242 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125243 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125246 -        ..
125247 -       Date      240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514  240513    
125248 -       Time       2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123    1851     
125249 -       Hours        11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10      11     
125250 -       HR AVG       61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69      64     
125251 -       HR MAX      121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     114     
125252 -       HR Min       37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32      34     
125253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125255 -              https://flow.polar.com/training/analysis/7927121497                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125258 -               ..
125260 -   
125261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125264 -  ..
125265 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125266 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125267 - Dinner - eggs hamburger broccoli cauliflower onion potato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125269 -  ..
125270 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125298 -         ..
125299 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125300 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125301 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125302 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125303 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125304 -  207.  240725 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125305 -               0700....BP HR..................................................... 141 101  54  Kardia ECG reports HR status, see below. ref SDS 0 B58F                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125306 -               0705....BP HR..................................................... 139  84  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125307 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125308 -               0730....80 408080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125309 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125310 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
125311 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125312 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125313 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125314 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125315 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125316 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125317 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125318 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125319 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125320 -               1700... 40 112600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
125321 -             1 0000............ 10 20120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125322 -             1 0000............ 10 20470  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125323 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125324 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125325 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125326 -               2130... 40 88700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125327 -               2200... 1000 2191000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125328 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125329 -               2330... 80 408160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125330 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125331 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125332 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125335 -  ..
125336 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125337 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125339 -  ..
125340 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125341 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125345 -  ..
125346 - Kardia recorded HR 051 at 0756 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125347 - lengths with p-waves and no artifact; likely no AFL after hiking 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125348 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125349 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125350 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125351 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125354 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125355 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240725-ecg-075636_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125359 -  ..
125360 - Post hike HR profile beginning 1909, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125361 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125362 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125363 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125364 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125367 -        ..
125368 -       Date      240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515  240514    
125369 -       Time       1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110    2123     
125370 -       Hours         8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11      10     
125371 -       HR AVG       64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68      69     
125372 -       HR MAX      102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     122     
125373 -       HR Min       38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37      32     
125374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125376 -              https://flow.polar.com/training/analysis/7927592778                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125379 -               ..
125381 -   
125382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125385 -  ..
125386 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125387 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125388 - Dinner - eggs hamburger broccoli cauliflower onion potato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125390 -  ..
125391 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125416 -         ..
125417 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125418 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125419 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125420 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125421 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125422 -  208.  240726 0305............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125423 -               0305....BP HR..................................................... 147  96  89  Kardia ECG reports HR status, see below. ref SDS 0 SVK7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125424 -               0310....BP HR..................................................... 142  95  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125425 -               0315....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125426 -               0315....80 408240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125427 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125428 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
125429 -               0315....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125430 -               0450... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125431 -               0450....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125432 -               0450....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125433 -               0450....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125434 -               0450... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125435 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125436 -               0000....Tramadol 50 mg took 1 pill -
125437 -  ..
125438 -         * cr  0505....miles...........  10.0  23.0  166   387 minutes  temp  57 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125439 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125440 -               0730... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
125441 -               0838....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125442 -               0838....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125443 -               0838... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125444 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125445 -               0838... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125446 -               0838... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125447 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125448 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125449 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125450 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125451 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125452 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125453 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125454 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125455 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125456 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125457 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125458 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125459 -               0753... Hike ends mile 10... ref SDS 0 UWST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125460 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125461 -               0805....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125462 -               0810....BP HR..................................................... 108  69 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125463 -               0815....BP HR..................................................... 104  70 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125464 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125465 -               1700... 40 112640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
125466 -               1830............ 10 20130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125467 -               1830............ 10 20480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125468 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125469 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125470 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125471 -               2130... 40 88740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125472 -               2200... 1000 2191000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125473 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125474 -               2330... 80 408320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125475 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125476 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125477 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125480 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125481 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125482 - daily hike. ref SDS 10 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125483 - coming down .5 miles steep 6% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125484 - top of mountain, ref SDS 11 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125485 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125486 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125487 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125490 -  ..
125491 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125492 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125494 -  ..
125495 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125496 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125499 -  ..
125500 - Today, hiked 10 miles - in San Francisco Golden Gate Park, with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125501 - 57 and wind 10; begin from VA Medical Center on Clement at 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125502 - street, hike to Point Lobos, then West 1 mile to Cliff House.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125503 - South 1 mile on Great Highway.  Turn East onto JFK through Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125504 - Park past Buffalow compound, and Sprekles Lake.   At De Young museum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125505 - mile 5, turn around and hike back to hospital.  Left knee okay without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125506 - pain meds, and left hamstring PL 2 - still stiff from inactivity past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125507 - month.  Took no pain meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125512 -         ..
125513 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125514 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125515 -        Stomach pain ischemic colitis bloating.......   2         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis 20% of hike, took no Simethicone about mile __ - felt bloated coming cown Great Highway from Cliffhouse, but could not take Simethicone because forgot to bring pills                                                                                                                                                                                                                                                                          
125516 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125517 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125518 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11 helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125519 -        Breathing ARDS...............................   2         20  hiking up Great Highway to Cliff House and on Point Lobos back to hospital - just out of shape                                                                                                                                                                                                                                                                                                                                                                                                                                               
125520 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125521 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125522 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 0 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125523 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                   
125524 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125525 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
125526 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125527 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125528 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
125529 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125530 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125531 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125532 -        Knee left meniscus...PRP 231121..............   3         30  knee not hurting beginning of hike, increased later took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 00  knee PL 3 after hike                                                                                                                                                                                                                                                                                                                                                                                                      
125533 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125534 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125535 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125536 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125537 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
125538 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125539 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125540 -        Hamstring left leg...........................   2         30  less than on Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125541 -        Hamstring right leg..........................   0        100  occurred initial 3 miles, then ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125542 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125543 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125544 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 0 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
125545 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125546 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125547 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17 ...very atypical no pain medications today                                                                                                                                                                                                                                                                                                                                     
125548 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 240613 and provided new orthotic inserts on 230831 - these helped - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17 ...very atypical no pain medications today                                                                                                                                                                                                                                                                                                                                     
125549 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125550 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125551 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125552 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
125553 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
125554 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
125555 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125556 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
125557 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
125558 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                   
125559 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125560 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
125561 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
125562 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
125563 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125564 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
125565 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
125566 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
125567 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
125568 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125569 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
125570 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 0 Tramadol and 0 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
125571 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125572 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125573 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125574 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
125575 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125576 -        Burning sensation both feet..................   2         20  subsided some after taking 0 Tramadol and 0 Gababenin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125577 -        Stinging sensation both feet.................   0        100  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                   
125578 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125579 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125580 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125581 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125582 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125583 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125584 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125585 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125586 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125587 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125591 -  ..
125592 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125593 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125594 - Using new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125595 - feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125597 -  ..
125598 - Orthotic inserts - Doctor Tang made new inserts Powerstep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125599 - Classic Plus Have different padding that seems better if it will hold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125600 - up over many hikes, reported on 240419 0900. ref SDS 35 EQ8N  See also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125601 - case study on 200101 0701. ref SDS 16 PR6F  Inserts feel great until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125602 - about mile 8, then it seems tight fit may cause blisters.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125603 - switched back to Stable Elite orthotic inserts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125605 -  ..
125606 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125607 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125609 -  ..
125610 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125611 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125612 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125613 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125614 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125615 - right foot.  Today, did not combine with neoprene sleeve to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125616 - top of #4 on right foot.  The left foot had PL 0 most of the time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125617 - Right foot #4 bottom PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125619 -  ..
125620 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125621 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125622 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125623 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125624 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125627 -  ..
125628 - San Francisco 10 mile route, reported on 170519, ref SDS 6 WTRS  At VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125629 - time 0345, before starting hike at the VA, took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125630 - Chondroitin for OA.  Drink was frozen from being in freezer overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125631 - and did not melt by time reached hospital.  Swallowed 1 Magnesium pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125632 - with small amount softdrink, for energy and inflammation management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125633 - and swallow few bites of peanut butter with margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125634 - for energy (magnesium oxide), and avocado for HDL, and took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125635 - CoQ10 for energy and HDL, per above. ref SDS 0 QS6H  Weather clear,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125636 - temperature 57, wind 10 mph, no mist.  Started hike leaving parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125637 - lot at VAMCSF at 0505.  Hiked slowly downhill on 42nd Street to warm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125638 - up.  Turned corner heading downhill West on Point Lobos to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125639 - at mile 1.  Getting light now.  Did not wear headlight.  Road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125640 - and changes to "Great Highway" going South along ocean beach.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125641 - 2 turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125642 - Feeling left knee PL 2, and left hamstring PL 2.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125643 - going slightly uphill into the park for .5 miles.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125644 - continued East on JFK.  Light and with few widely spaced street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125645 - lights, can see the road.  Passed Buffalo compound, then Spreckles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125646 - Lake.  Hiking past Lindley Meadow, did not see early morning jogger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125647 - going West - probably missed him by an hour.  Continued past Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125648 - Hollow.  Both feet pain level 1.  Hiked under bridge at Crossover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125649 - Drive (part of highway 1 that goes to Golden Gate Bridge). - JFK is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125650 - blocked to vehicle traffic the rest of the way through the park to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125651 - Stanyon, limiting attendance to keep people separated that minimizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125652 - spreading coronavirus.  Now that the epidemic has been delcared over,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125653 - the park continues to deny access to drivers on JFK.  At mile 5, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125654 - past De Young Museum.  Encountering hikers and bikers heading in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125655 - directions.  Continued East toward Stanyon.  Due to late start, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125656 - meeting with the VA Podiatry Clinic at 0930, at De Young meseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125657 - stopped mile 5, time 0626, temp 57, wind 10; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125658 - artifact.  Kardia reported HR 119 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125659 - UWRS Polar reported HR dropped about 80 at stop for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125660 - nutrition - see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125661 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 1, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125662 - sensation PL 2, right foot Tailor's bunions PL 0, left foot #5 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125663 - blister/callus PL 0, right foot #4 top blister/callus PL 1, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125664 - pediplasti spacer, left knee PL 1, and left hamstring PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125665 - Softddrink carried from home 2 16oz bottles left overnight in freezer,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125666 - at this time mostly frozen.  Managed to get few drops to help swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125667 - Magnesium pill for energy and to dissipate inflammation.  Forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125668 - bring containers peanut butter, avocado, margarine - left in car at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125669 - hospital.  Took CoQ10 for energy and HDL.  Heading West through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125670 - park toward the ocean.  Stayed on South side against traffic (no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125671 - actual vehicle traffic in park) going Eest.  Increased pace with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125672 - endorphins rising.  Waterfall not running at 0720 this morning, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125673 - hiking under Crossover Road bridge and past Hellman Hollow.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125674 - past Lindley Meadow, where 9 years ago, a truck backed up because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125675 - missed a turn, and struck Kathy's car; this got her a new car,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125676 - reported on 150729 0942. ref SDS 4 0001  Continued hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125677 - Spreckles Lake, then saw 4 or 5 Buffalo grazing in the compound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125678 - Crossed to North side of JFK going with traffic.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125679 - headed toward the ocean.  Turned North onto Great Highway.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125680 - parallel to ocean toward the Cliff House and the hospital.  Halfway to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125681 - Cliff House drank rest of liquid CoQ10 for energy.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125682 - hiking up steep hill - 5% - 6% grade.  Breathing through nose for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125683 - miles uphill all the way to the hospital.  This was still a struggle -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125684 - but less than on Wednesday - after not hiking to recover from cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125685 - ablation on 240611 - see Plolar GPS/HR report on daily hiking in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125686 - record today, below. ref SDS 0 UVYY  At the Cliff House, turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125687 - Point Lobos Avenue going East; hiked uphill for 1 mile.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125688 - 42nd street and maintained pace going up final hill to the VA campus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125689 - then walked through hospital to cafeteria and then Podiatry Clinic on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125690 - ground floor - end hike 10 miles - time 0701 temp 57 wind 10, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125691 - 2, left foot #4 top blister PL 0, left hamstring PL 2, left knee PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125692 - neck and right shoulder PL 0 (only when turning head or lifting right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125693 - arm), left shoulder PL 2 - getting better.  EKG looks variable with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125694 - p-wave and severe artifact, reported HR 131 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125695 - ref SDS 0 UWST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125705 -  ..
125706 - Kardia recorded HR 084 at 0335 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125707 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125708 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125709 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125710 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125711 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125714 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125715 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240726-ecg-033544_mile_00_084_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125719 -  ..
125720 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125721 - used*** hike 10 miles (including post hike walking through VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125722 - hospital, and later hiking from parking lot to Costco, through isles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125723 - and back to car - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125724 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125726 -  ..
125727 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125729 -                                                 x                                       x      y                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125730 -       Date        240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509 240508 240507 240506 240505 240504 240503   
125731 -       Miles          10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     12      0     18      0      0     22     
125732 -       HR AVG        123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no    114     no    114     no     no    117     
125733 -         MAX         152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report  128   report  132   report report  134     
125734 -         Min          57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  78            56                   48     
125735 -       El Climb Ft   305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715           305    715    715    305    715    305         715    715    615                  715                 495           495                  495
125736 -       Temp Max       57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  80            68                   78     
125737 -       Wind Max       10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  15            15                   15     
125738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125740 -              https://flow.polar.com/training/analysis/7927768031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125743 -               ..
125745 -   
125746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125750 -  ..
125751 - EKG at mile 05 time 0626 HR 119 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125752 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125753 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125756 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125757 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240726-ecg-062650_mile_05_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125761 -  ..
125762 - End hike EKG at mile 10, time 0753 HR 131 temp 57 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125763 - Tachycardia... looks generally uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125764 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125767 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125768 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240726-ecg-075333_mile_10_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125772 -  ..
125773 - Post hike HR profile beginning 2009, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125774 - hiking 10 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125775 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125776 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125777 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125780 -        ..
125781 -       Date      240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517  240515    
125782 -       Time       2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020    2110     
125783 -       Hours        10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12      11     
125784 -       HR AVG       59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55      68     
125785 -       HR MAX      103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     118     
125786 -       HR Min       42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40      37     
125787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125789 -              https://flow.polar.com/training/analysis/7928335157                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125792 -               ..
125794 -   
125795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125798 -  ..
125799 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125800 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125801 - Dinner - broccoli onion potato cheese hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125803 -  ..
125804 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125829 -         ..
125830 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125831 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125832 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125833 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125834 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125835 -  209.  240727 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125836 -               0705....BP HR..................................................... 151  82  53  Kardia ECG reports HR status, see below. ref SDS 0 8XCN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125837 -               0710....BP HR..................................................... 140  81  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125838 -               0715....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125839 -               0715....80 408400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125840 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125841 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
125842 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125843 -               0750... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125844 -               0750....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125845 -               0750....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125846 -               0750....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125847 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125848 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125849 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125850 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125851 -               1700... 40 112680 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
125852 -             1 0000............ 10 20130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125853 -             1 0000............ 10 20480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125854 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125855 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125856 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125857 -               2130... 40 88780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125858 -               2200... 1000 2192000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125859 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125860 -               2330... 80 408480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125861 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125862 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125863 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125866 -  ..
125867 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125868 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125870 -  ..
125871 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125872 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125876 -  ..
125877 - Kardia recorded HR 051 at 0805 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125878 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125879 - hiking 10 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125880 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125881 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125882 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125885 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240727-ecg-080511_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125889 -  ..
125890 - Post hike HR profile beginning 1938, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125891 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125892 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125893 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125894 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125897 -        ..
125898 -       Date      240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518  240517    
125899 -       Time       1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304    2020     
125900 -       Hours        12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8      12     
125901 -       HR AVG       66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63      55     
125902 -       HR MAX      116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     102     
125903 -       HR Min       40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34      40     
125904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125906 -              https://flow.polar.com/training/analysis/7929052660                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125909 -               ..
125911 -   
125912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125915 -  ..
125916 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125917 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125918 - Dinner - eggs hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125920 -  ..
125921 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125949 -         ..
125950 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125951 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125952 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125953 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125954 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125955 -  210.  240728 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125956 -               0745....BP HR..................................................... 143  85  51  Kardia ECG reports HR status, see below. ref SDS 0 V48Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125957 -               0750....BP HR..................................................... 162 107  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125958 -               0755....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125959 -               0755....80 408560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125960 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125961 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
125962 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125963 -               0755... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125964 -               0755....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125965 -               0755....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125966 -               0755....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125967 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
125968 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125969 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125970 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125971 -               1700... 40 112720 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
125972 -               1830............ 10 20140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125973 -               1830............ 10 20490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125974 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125975 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125976 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125977 -               2130... 40 88820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125978 -               2200... 1000 2193000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125979 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125980 -               2330... 80 408640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125981 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125982 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125983 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125986 -  ..
125987 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125988 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125990 -  ..
125991 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125992 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125996 -  ..
125997 - Kardia recorded HR 051 at 0735 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125998 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125999 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126000 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126001 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126002 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126005 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126006 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240728-ecg-073056_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126009 -  ..
126010 - Post hike HR profile beginning 1951, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126011 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126012 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126013 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126014 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126017 -        ..
126018 -       Date      240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519  240518    
126019 -       Time       1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227    2304     
126020 -       Hours        10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10       8     
126021 -       HR AVG       65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62      63     
126022 -       HR MAX      129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     133     
126023 -       HR Min       40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34      34     
126024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126026 -              https://flow.polar.com/training/analysis/7929599444                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126029 -               ..
126031 -   
126032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126035 -  ..
126036 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126037 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126038 - Dinner - eggs hamburger broccoli onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126040 -  ..
126041 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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126053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126070 -         ..
126071 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126072 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126073 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126074 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126075 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126076 -  211.  240729 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126077 -               0745....BP HR..................................................... 153  96  49  Kardia ECG reports HR status, see below. ref SDS 0 1ST6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126078 -               0650....BP HR..................................................... 139  96  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126079 -               0655....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126080 -               0655....80 408720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126081 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126082 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
126083 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126084 -               0655... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126085 -               0655....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126086 -               0655....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126087 -               0655....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126088 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126089 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126090 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126091 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126092 -               1700... 40 112760 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
126093 -             1 0000............ 10 20140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126094 -             1 0000............ 10 20490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126095 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126096 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126097 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126098 -               2130... 40 88860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126099 -               2200... 1000 2194000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126100 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126101 -               2330... 80 408800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126102 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126103 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126104 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126107 -  ..
126108 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126109 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126111 -  ..
126112 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126113 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126117 -  ..
126118 - Kardia recorded HR 051 at 0655 Unclassified, variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126119 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126120 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126121 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126122 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126123 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126126 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126127 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240729-ecg-065514_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126131 -  ..
126132 - Post hike HR profile beginning 1909, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126133 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126134 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126135 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126136 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126139 -        ..
126140 -       Date      240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520  240519    
126141 -       Time       1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237    2227     
126142 -       Hours        12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8      10     
126143 -       HR AVG       62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64      62     
126144 -       HR MAX      122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     118     
126145 -       HR Min       40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34      34     
126146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126148 -              https://flow.polar.com/training/analysis/7930377117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126151 -               ..
126153 -   
126154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126157 -  ..
126158 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126159 - Lunch - sandwich bolagna onion cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126160 - Dinner - eggs hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126162 -  ..
126163 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126192 -         ..
126193 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126194 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126195 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126196 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126197 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126198 -  212.  240730 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126199 -               0745....BP HR..................................................... 147  94  55  Kardia ECG reports HR status, see below. ref SDS 0 5TVS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126200 -               0650....BP HR..................................................... 137  88  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126201 -               0655....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126202 -               0655....80 408880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126203 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47 WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126204 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
126205 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126206 -               0655... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126207 -               0655....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126208 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126209 -               0655....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126210 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126211 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126212 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126213 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126214 -               1700... 40 112800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
126215 -               1830............ 10 20150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126216 -               1830............ 10 20500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126217 -               0000... Apixiban recover 6th cardiac ablation on 240611 - end per meeting with Doctor Pellegrini on 240611 0930. ref SDS 47~WA8G                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126218 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126219 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126220 -               2130... 40 88900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126221 -               2200... 1000 2195000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126222 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126223 -               2330... 80 408960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126224 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126225 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126226 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126229 -  ..
126230 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126231 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126233 -  ..
126234 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126235 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126239 -  ..
126240 - Kardia recorded HR 049 at 0641 Bradycardia, uniform heart beat lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126241 - with p-waves and no artifact; likely no AFL after hiking 00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126242 - yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126243 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126244 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126245 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126248 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126249 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240730-ecg-064107_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126252 -  ..
126253 - Post hike HR profile beginning 1912, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126254 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126255 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126256 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126257 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126260 -        ..
126261 -       Date      240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521  240520    
126262 -       Time       1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029    2237     
126263 -       Hours        11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12       8     
126264 -       HR AVG       61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65      64     
126265 -       HR MAX      115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     110     
126266 -       HR Min       37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37      34     
126267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126269 -              https://flow.polar.com/training/analysis/7931000564                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126272 -               ..
126274 -   
126275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126278 -  ..
126279 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126280 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126281 - Dinner - eggs hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126283 -  ..
126284 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126313 -         ..
126314 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126315 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126316 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126317 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126318 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126319 -  213.  240731 0610............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126320 -               0610....BP HR..................................................... 153  90  52  Kardia ECG reports HR status, see below. ref SDS 0 V1FD                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126321 -               0615....BP HR..................................................... 152  87  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126322 -               0620....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126323 -               0620....80 409040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126324 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
126325 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126326 -               0625... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126327 -               0625....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126328 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126329 -               0625....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126330 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126331 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126332 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126333 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126334 -               1700... 40 112840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
126335 -             1 0000............ 10 20150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126336 -             1 0000............ 10 20500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126337 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126338 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126339 -               2130... 40 88940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126340 -               2200... 1000 2196000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126341 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126342 -               2330... 80 409120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126343 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126344 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126345 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126348 -  ..
126349 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126350 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126352 -  ..
126353 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126354 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126357 -  ..
126358 - Kardia recorded HR 051 at 0607 Normal Sinus Rhythm, mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126359 - heart beat lengths with p-waves and minor artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126360 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126361 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126362 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126363 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126366 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126367 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240731-ecg-060715_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126370 -  ..
126371 - Post hike HR profile beginning 1947, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126372 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126373 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126374 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126375 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126378 -        ..
126379 -       Date      240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522  240521    
126380 -       Time       1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029    2029     
126381 -       Hours        11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12      12     
126382 -       HR AVG       69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65      65     
126383 -       HR MAX      117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     113     
126384 -       HR Min       43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37      37     
126385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126387 -              https://flow.polar.com/training/analysis/7931709690                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126390 -               ..
126392 -   
126393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126396 -  ..
126397 - Breakfast - cheerios milk, cinnamon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126398 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126399 - Dinner - eggs hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126401 -  ..
126402 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126431 -         ..
126432 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126433 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126434 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126435 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126436 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126437 -  214.  240801 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126438 -               0620....BP HR..................................................... 142  75  78  Kardia ECG reports HR status, see below. ref SDS 0 83E6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126439 -               0625....BP HR..................................................... 148  87  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126440 -               0630....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126441 -               0630....80 409200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126442 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
126443 -               0635....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126444 -               0635... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126445 -               0635....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126446 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126447 -               0635....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126448 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126449 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126450 -               0000....Tramadol 50 mg took 1 pill -
126451 -  ..
126452 -               1040....miles...........  14.0  14.0  230   230 minutes  temp  92 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126453 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126454 -               0730... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
126455 -               1342....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126456 -               1342....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126457 -               1342... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126458 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126459 -               1342... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126460 -               1342... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126461 -               1342....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126462 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126463 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126464 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126465 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126466 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126467 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126468 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126469 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126470 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126471 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126472 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126473 -               0506... Hike ends mile 14... ref SDS 0 PY3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126474 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126475 -               1520....weight.................................... 171  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126476 -               1525....BP HR.....................................................  92  62 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126477 -               1530....BP HR.....................................................  95  63 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126478 -               1610....BP HR..................................................... 103  68  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126479 -               1732....BP HR..................................................... 125  78  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126480 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126481 -               1700... 40 112880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
126482 -               1830............ 10 20160  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126483 -               1830............ 10 20510  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126484 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126485 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126486 -               2130... 40 88980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126487 -               2200... 1000 2197000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126488 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126489 -               2330... 80 409280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126490 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126491 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126492 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126494 -  ..
126495 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126496 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126498 -  ..
126499 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126500 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126503 -  ..
126504 - Today, hiked 14 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126505 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126506 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126507 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126508 - Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 1.00 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126509 - Turned around and hiked back 1.00 miles.  Turned left heading West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126510 - mile on Campus Drive to college.  Hiked 2 miles through faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126511 - student parking lots.  Stopped mile 10, for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126512 - nutrition.  Took another magnesium pill to prevent inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126513 - increase energy.  Took CoQ10 for energy and HDL.  At mile 10. hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126514 - another mile through parking lots.  Left college hiking 1 mile West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126515 - Ygnacio Valley Road.  Continued past Crystal Ranch Road heading uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126516 - on Ygnacio Valley Road.  Turned right on Cowell, hiking 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126517 - home.  Hike more difficult because temp > 90; more feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126518 - metatarsalgia.  Took Tramadol amd Gabapentin at mile 10 - no AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126522 -         ..
126523 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126524 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126525 -        Stomach pain ischemic colitis bloating.......   2         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis 20% of hike, took no Simethicone about mile __ - felt bloated coming cown Great Highway from Cliffhouse, but could not take Simethicone because forgot to bring pills                                                                                                                                                                                                                                                                          
126526 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126527 -        Hands cramping hurting - post hike...........   3        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126528 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10 helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126529 -        Breathing ARDS...............................   2         20  hiking up Great Highway to Cliff House and on Point Lobos back to hospital - just out of shape                                                                                                                                                                                                                                                                                                                                                                                                                                               
126530 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126531 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126532 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126533 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                   
126534 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126535 -        Elbow left arm PRP on 231121.................   2         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
126536 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126537 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126538 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
126539 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126540 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126541 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126542 -        Knee left meniscus...PRP 231121..............   3         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 00  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                      
126543 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126544 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126545 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126546 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126547 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
126548 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126549 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126550 -        Hamstring left leg...........................   3         30  got worse as hike progressed, then declined last 2 miles after taking 1 Tramadol and 1 Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                 
126551 -        Hamstring right leg..........................   0        100  occurred initial 3 miles, then ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126552 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126553 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126554 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
126555 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126556 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126557 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                                                                                  
126558 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                                                                                  
126559 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126560 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126561 -        Ankle left twisted in fall on 200319.........   3          5  after turning onto Campus Drive about mile 7, left ankle PL 3 for about .5 mile then resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                
126562 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
126563 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
126564 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
126565 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126566 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
126567 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
126568 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                   
126569 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126570 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
126571 -        Blister bottom #5 left foot..................   3         40  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
126572 -        Blister bottom #4 right foot.................   1         20  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
126573 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126574 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
126575 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
126576 -        Callus ring toe #4 top right foot............   1        100  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 10 carried neoprene sleeve, but did not need to use when stopped for EGD at mile 10                                                                                                                                                                                                                                                                                                                                                                             
126577 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
126578 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126579 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
126580 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
126581 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126582 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126583 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126584 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
126585 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126586 -        Burning sensation both feet..................   2         20  subsided some after taking 1 Tramadol and 1 Gababenin mile 10 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126587 -        Stinging sensation both feet.................   0        100  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 10 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                   
126588 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126589 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126590 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126591 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126592 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126593 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126594 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126595 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126596 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126597 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126601 -  ..
126602 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126603 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126604 - Not Using new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126605 - feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126607 -  ..
126608 - Orthotic inserts - Doctor Tang made new inserts Powerstep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126609 - Classic Plus Have different padding that seems better if it will hold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126610 - up over many hikes, reported on 240419 0900. ref SDS 35 EQ8N  See also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126611 - case study on 200101 0701. ref SDS 16 PR6F  Inserts feel great until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126612 - about mile 8, then it seems tight fit may cause blisters.  On 240724,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126613 - switched back to Stable Elite orthotic inserts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126615 -  ..
126616 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126617 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126619 -  ..
126620 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126621 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126622 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126623 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126624 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126625 - right foot.  Today, tried not using Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126626 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126627 - PL 0 most of the time.  Right foot #4 bottom PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126629 -  ..
126630 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126631 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126632 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126633 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126634 - ref SDS 23 TWLC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126637 -  ..
126638 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126639 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126640 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126641 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126642 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126643 - can cause colitis, and taking Tramadol and Magnesium that reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126644 - inflammation - 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126645 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126646 - - designed to swallow, but pills are too big to slip through LESV;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126647 - swallowed anyway and allowed to breakdown on top of LESV...  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126648 - increases energy by disapating lactic acid that causes fatigue in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126649 - muscles, and also reduces inflammation, critical for raising HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126650 - general health in major organs.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126651 - margarine and chia seeds for electrolytes, including energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126652 - avocado for HDL, per above. ref SDS 0 L84K  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126653 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126654 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126655 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126656 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126657 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126658 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126659 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126660 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126661 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126662 - TL6I  Took backpack to carry stuff.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126663 - left, onto Treat about 1 mile.  Feet starting hike feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126664 - like pins and needles - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126665 - statins.  Breathed through nose entire hike with mild dyspnea, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126666 - very minimal hiking past 2 months.  Temp started at 78, and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126667 - 92.  West wind 14 mph and mostly 10 mph.  Hiked East on Treat .50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126668 - miles.  Turned right hiking South on Turtle Creek Road with wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126669 - asphalt shoulder 1.5 miles mostly flat grade, some places 2% - 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126670 - uphill, and very light traffic.  At mile 2, did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126671 - Newhall Community Park and back.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126672 - uphill 4% grade.  Turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126673 - narrower asphalt road shoulder with moderate traffic.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126674 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126675 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126676 - traffic light and continued on concrete sidewalk .5 miles.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126677 - #4 and/or #5 PL 0, right foot #4 - #5 PL 0.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126678 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126679 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126680 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126681 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126682 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126683 - store mile 5, time ____, Continued hike turning left hiked 0.10 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126684 - East on Pine Hollow.  At Camino Solano turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126685 - 0.10 mile to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126686 - uphill 3% - 4% grade against wind 15 mph.  At mile 08, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126687 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126688 - 2 miles through Faculty and Student parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126689 - stopped at Administration Building mile 10 time 1342 temp 86 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126690 - 12 mph; EKG looks varoab;e with much artifact.  Kardia reported HR 136                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126691 - (indicating no AFL, and aligns with temp 86 which looks like AFL, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126692 - e.g., on 240622, above. ref SDS 0 C7B2)  Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126693 - ref SDS 0 2WB8  HR did not drop severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126694 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126695 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126696 - need to apply Amonium Lactate 12% this evening.  Burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126697 - 2, right foot Tailor's bunions PL 0, left foot #5 edge blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126698 - PL 0, right foot #4 top blister/callus PL 0, #5 edge callus/blister PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126699 - 0.  Left knee meniscus PL 2, left hamstring PL 2, left shoulder PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126700 - left elbow PL 2 intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126701 - mg for pain (...test this combination with temperature > 90...).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126702 - 2nd Magnesium complex 300 mg pill for energy, and magnesium reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126703 - inflammation, essential to raise HDL.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126704 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126705 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126706 - and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126707 - to complete hike.  Since temperature elevated above 80, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126708 - increases sweating that ejects electrolytes, took Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126709 - pill, per above. ref SDS 0 VTSU  Hiked another loop through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126710 - and Student parking lots.  Exited college on Campus drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126711 - North.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126712 - grade .5 miles.  At mile 12, continued past Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126713 - heading West on Ygnacio Valley Road uphill 3% grade against wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126714 - mph.  Crossed Cowell at stop light.  At break in traffic, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126715 - North side Ygnacio Valley Road to avoid severe camber.  Noticed Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126716 - showing HR 147 steady, similar to AFL, e.g., on 240601, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126717 - ref SDS 0 T8SP, concerning for AFL recurrence.  Continued onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126718 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126719 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126720 - traffic.  Noticed Polar reporting HR 128, down from 147, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126721 - AFL - nice to know.  Turned left onto Treat hiking West .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126722 - to Cuneo and home.  Ended hike mile 14 time 1506 temp 91, wind 15,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126723 - feet PL 3, burning sensation PL 3, left foot #5 PL 0, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126724 - top blister/callus PL 0, right foot Tailor's bunions PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126725 - splints PL 0, left knee PL 1 (not swollen), left hamstring PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126726 - knee PL 0, left shoulder PL 1, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126727 - intermittantly, lower back left side PL 0, left elbow PL 2, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126728 - lifting.  EKG looks uniform with no artifact, Kardia reported HR 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126729 - Unclassified - commonly is AFL - see below. ref SDS 0 PY3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126740 -  ..
126741 - Kardia recorded HR 053 at 0640 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126742 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126743 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126744 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126745 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126746 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126749 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126750 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240801-ecg-064055_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126754 -  ..
126755 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126756 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126757 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126759 -  ..
126760 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126762 -                                                 x           x                           x      y                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126763 -       Date        240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601 240531 240530 240529 240528 240527 240526 240525 240524 240523 240522 240521 240520 240519 240518 240517 240516 240515 240514 240513 240512 240511 240510 240509   
126764 -       Miles          14     0      13     0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15     0      0      0      0      0      26     0      15     25     26     14     23     14     26     12     23     20     22     0      0      21     0      0     
126765 -       HR AVG        130    no     120    no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    no     no     no     no     no     110    no     105    110    115    110    117    108    110    101    113    113    123    no     no     128    no     no     
126766 -         MAX         158  report   152  report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report  eport report report report report report report report report   153    155  report report report report report   139  report   132    134    141    126    142    130    139    148    137    140    146  report report   155  report report   
126767 -         Min          73            61                          57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                                                                                       86     64                                        71            66     62     51     83     67     57     71     77     78     74     55                   52                  
126768 -       El Climb Ft   305           305  <-- can't hike recove  305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305    305           305    305    305 <----------- can't hike due to AFL pending 6th ablation ---------------------------------------->    305    415                                       715                715    305    715    305    715    415    715    715    615                  715
126769 -       Temp Max       92            54                          57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                                       82     77                                        72            57     82     82     86     80     78     72     52     71     80     80                   88                  
126770 -       Wind Max       14            10                          10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                                       18     21                                        21            24     15     15     12     21     12     21     15     16     15     16                   15                  
126771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126773 -              https://flow.polar.com/training/analysis/7931997386                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126776 -               ..
126778 -   
126779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126783 -  ..
126784 - EKG at mile 10 time 1342 HR 136 temp 86, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126785 - Tachycardia... looks variable with much artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126786 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126789 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126790 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240801-ecg-134216_mile_10_136_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126794 -  ..
126795 - End hike EKG at mile 14, time 1506 HR 148 temp 91 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126796 - Unclassified... looks uniform with no artifact - a lot like AFL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126797 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126800 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126801 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240801-ecg-150603_mile_14_148_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126805 -  ..
126806 - Post hike HR profile beginning 1916, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126807 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126808 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126809 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126810 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126813 -        ..
126814 -       Date      240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523  240522    
126815 -       Time       1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009    2029     
126816 -       Hours        12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9      12     
126817 -       HR AVG       69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66      65     
126818 -       HR MAX      133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     113     
126819 -       HR Min       42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40      37     
126820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126822 -              https://flow.polar.com/training/analysis/7932400026                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126825 -               ..
126827 -   
126828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126831 -  ..
126832 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126833 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126834 - Dinner - tuna broccoli avocado onion potato - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126836 -  ..
126837 - Vomitting:  10% - asperation in lungs from reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126868 -         ..
126869 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126870 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126871 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126872 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126873 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126874 -  215.  240802 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126875 -               0650....BP HR..................................................... 125  67  54  Kardia ECG reports HR status, see below. ref SDS 0 8VIA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126876 -               0655....BP HR..................................................... 144  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126877 -               0700....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126878 -               0700....80 409360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126879 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
126880 -               0700... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126881 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126882 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126883 -               0700....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126884 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126885 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126886 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126887 -               1700... 40 112920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
126888 -             1 0000............ 10 20160  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126889 -             1 0000............ 10 20510  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126890 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126891 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126892 -               2130... 40 89020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126893 -               2200... 1000 2198000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126894 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126895 -               2330... 80 409440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126896 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126897 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126898 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126901 -  ..
126902 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126903 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126905 -  ..
126906 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126907 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126912 -  ..
126913 - Kardia recorded HR 054 at 0732 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126914 - lengths with p-waves and some artifact; likely no AFL after hiking 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126915 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126916 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126917 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126918 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126921 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126922 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240802-ecg-073252_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126926 -  ..
126927 - Post hike HR profile beginning 2059, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126928 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126929 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126930 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126931 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126934 -        ..
126935 -       Date      240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524  240523    
126936 -       Time       2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930    2009     
126937 -       Hours        10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11       9     
126938 -       HR AVG       61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66      66     
126939 -       HR MAX       98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     116     
126940 -       HR Min       40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42      40     
126941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126943 -              https://flow.polar.com/training/analysis/7932973290                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126946 -               ..
126948 -   
126949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126952 -  ..
126953 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126954 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126955 - Dinner - eggs tuna broccoli avocado onion potato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126957 -  ..
126958 - Vomitting:  0%   reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126988 -         ..
126989 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126990 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126991 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126992 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126993 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126994 -  216.  240803 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126995 -               0650....BP HR..................................................... 142  88  52  Kardia ECG reports HR status, see below. ref SDS 0 WS7T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126996 -               0655....BP HR..................................................... 144  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126997 -               0700....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126998 -               0700....80 409520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126999 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127000 -               0700... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127001 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127002 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127003 -               0700....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127004 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127005 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127006 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127007 -               1700... 40 112960 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127008 -               1830............ 10 20170  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127009 -               1830............ 10 20520  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127010 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127011 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127012 -               2130... 40 89060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127013 -               2200... 1000 2199000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127014 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127015 -               2330... 80 409600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127016 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127017 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127018 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127021 -  ..
127022 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127023 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127025 -  ..
127026 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127027 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127031 -  ..
127032 - Kardia recorded HR 058 at 0637 Unclassified, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127033 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127034 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127035 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127036 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127037 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127040 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127041 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240803-ecg-063721_mile_00_058_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127044 -  ..
127045 - Post hike HR profile beginning 1904, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127046 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127047 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127048 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127049 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127052 -        ..
127053 -       Date      240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525  240524    
127054 -       Time       21904   2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930    1930     
127055 -       Hours        12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11      11     
127056 -       HR AVG       59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66      66     
127057 -       HR MAX      143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     119     
127058 -       HR Min       39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42      42     
127059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127061 -              https://flow.polar.com/training/analysis/7933629759                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127064 -               ..
127066 -   
127067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127070 -  ..
127071 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127072 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127073 - Dinner - eggs hamburger broccoli cauliflower onion potato toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127075 -  ..
127076 - Vomitting:  0%   reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127106 -         ..
127107 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127108 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127109 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127110 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127111 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127112 -  217.  240804 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127113 -               0720....BP HR..................................................... 141  88  52  Kardia ECG reports HR status, see below. ref SDS 0 3TFW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127114 -               0725....BP HR..................................................... 132  72  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127115 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127116 -               0720....80 409680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127117 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127118 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127119 -               0720....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127120 -               0720....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127121 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127122 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127123 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127124 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127125 -               1700... 40 113000 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127126 -             1 0000............ 10 20170  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127127 -             1 0000............ 10 20520  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127128 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127129 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127130 -               2130... 40 89100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127131 -               2200... 1000 2200000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127132 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127133 -               2330... 80 409760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127134 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127135 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127136 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127139 -  ..
127140 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127141 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127143 -  ..
127144 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127145 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127149 -  ..
127150 - Kardia recorded HR 051 at 0745 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127151 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127152 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127153 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127154 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127155 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127158 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127159 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240804-ecg-074543_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127163 -  ..
127164 - Post hike HR profile beginning 2102, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127165 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127166 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127167 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127168 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127171 -        ..
127172 -       Date      240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526  240525    
127173 -       Time       2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0      1930     
127174 -       Hours        12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no        11     
127175 -       HR AVG       64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report      66     
127176 -       HR MAX      128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     119     
127177 -       HR Min       41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                      42     
127178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127180 -              https://flow.polar.com/training/analysis/7934277569                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127183 -               ..
127185 -   
127186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127189 -  ..
127190 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127191 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127192 - Dinner - tuna broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127194 -  ..
127195 - Vomitting:  0%   slept in bed all night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127224 -         ..
127225 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127226 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127227 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127228 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127229 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127230 -  218.  240805 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127231 -               0720....BP HR..................................................... 156  90  51  Kardia ECG reports HR status, see below. ref SDS 0 3TFW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127232 -               0725....BP HR..................................................... 154  89  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127233 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127234 -               0720....80 409840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127235 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127236 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127237 -               0720....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127238 -               0720....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127239 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127240 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127241 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127242 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127243 -               1700... 40 113040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127244 -               1830............ 10 20180  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127245 -               1830............ 10 20530  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127246 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127247 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127248 -               2005....Tramadol 50 mg took 1 pill - resolve peripheral neuropathy in feet while working in recliner chair work station #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127249 -               2130... 40 89140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127250 -               2200... 1000 2201000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127251 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127252 -               2330... 80 409920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127253 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127254 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127255 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127258 -  ..
127259 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127260 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127262 -  ..
127263 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127264 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127266 -  ..
127267 - Peripheral neuropathy stronger this evening - took Tramadol; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127268 - related to no continuous hiking last 2 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127271 -  ..
127272 - Kardia recorded HR 052 at 0701 Normal Sinus Rhythm, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127273 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127274 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127275 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127276 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127277 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127280 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127281 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240805-ecg-070148_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127285 -  ..
127286 - Post hike HR profile beginning 2009, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127287 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127288 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127289 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127290 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127293 -        ..
127294 -       Date      240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527  240526    
127295 -       Time       2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      0       
127296 -       Hours        10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no     no       
127297 -       HR AVG       66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report report     
127298 -       HR MAX      129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153                     
127299 -       HR Min       41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36                     
127300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127302 -              https://flow.polar.com/training/analysis/7935022273                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127305 -               ..
127307 -   
127308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127311 -  ..
127312 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127313 - Lunch - half sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127314 - Dinner - hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127316 -  ..
127317 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127345 -         ..
127346 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127347 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127348 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127349 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127350 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127351 -  219.  240806 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127352 -               0715....BP HR..................................................... 165 104  50  Kardia ECG reports HR status, see below. ref SDS 0 W8E1                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127353 -               0720....BP HR..................................................... 148  83  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127354 -               0725....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127355 -               0725....80 410000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127356 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127357 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127358 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127359 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127360 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127361 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127362 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127363 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127364 -               1700... 40 113080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127365 -             1 0000............ 10 20180  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127366 -             1 0000............ 10 20530  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127367 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127368 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127369 -               2130... 40 89180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127370 -               2200... 1000 2202000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127371 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127372 -               2330... 80 410080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127373 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127374 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127375 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127378 -  ..
127379 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127380 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127382 -  ..
127383 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127384 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127388 -  ..
127389 - Kardia recorded HR 050 at 0717 Unclassified, uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127390 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127391 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127392 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127393 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127394 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127397 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127398 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240806-ecg-071721_mile_00_051_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127401 -  ..
127402 - Post hike HR profile beginning 1954, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127403 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127404 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127405 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127406 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127409 -        ..
127410 -       Date      240806  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527    
127411 -       Time       1954    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      
127412 -       Hours        13      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no      
127413 -       HR AVG       63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report r  
127414 -       HR MAX      110     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153             
127415 -       HR Min       39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36             
127416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127418 -              https://flow.polar.com/training/analysis/7935810554                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127421 -               ..
127423 -   
127424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127427 -  ..
127428 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127429 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127430 - Dinner - hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127432 -  ..
127433 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127464 -         ..
127465 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127466 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127467 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127468 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127469 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127470 -  220.  240807 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127471 -               0715....BP HR..................................................... 146  89  53  Kardia ECG reports HR status, see below. ref SDS 0 UM3J                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127472 -               0720....BP HR..................................................... 153  85  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127473 -               0725....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127474 -               0725....80 410160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127475 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127476 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127477 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127478 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127479 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127480 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127481 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127482 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127483 -               1520....weight.................................... 171  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127484 -               1525....BP HR.....................................................  92  62 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127485 -               1530....BP HR.....................................................  95  63 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127486 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127487 -               1700... 40 113120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127488 -               1830............ 10 20190  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127489 -               1830............ 10 20540  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127490 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127491 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127492 -               2130... 40 89180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127493 -               2200... 1000 2203000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127494 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127495 -               2330... 80 410240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127496 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127497 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127498 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127500 -  ..
127501 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127502 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127504 -  ..
127505 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127506 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127511 -  ..
127512 - Kardia recorded HR 076 at 0913 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127513 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127514 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127515 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127516 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127517 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127520 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127521 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240807-ecg-091353_mile_00_076_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127525 -  ..
127526 - Post hike HR profile beginning 2032, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127527 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127528 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127529 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127530 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127533 -        ..
127534 -       Date      240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b 240527    
127535 -       Time       2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311      0      
127536 -       Hours        11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     no      
127537 -       HR AVG       63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121   report r  
127538 -       HR MAX      119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153             
127539 -       HR Min       39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36             
127540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127542 -              https://flow.polar.com/training/analysis/7936460134                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127545 -               ..
127547 -   
127548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127551 -  ..
127552 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127553 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127554 - Dinner - rice hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127556 -  ..
127557 - Vomitting:  0%  slept in bed all night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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127568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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127571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127587 -         ..
127588 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127589 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127590 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127591 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127592 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127593 -  221.  240808 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127594 -               0715....BP HR..................................................... 151  77  72  Kardia ECG reports HR status, see below. ref SDS 0 W4AP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127595 -               0720....BP HR..................................................... 152  82  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127596 -               0725....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127597 -               0725....80 410320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127598 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127599 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127600 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127601 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127602 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127603 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127604 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127605 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127606 -               1700... 40 113160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127607 -             1 0000............ 10 20190  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127608 -             1 0000............ 10 20540  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127609 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127610 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127611 -               2130... 40 89360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127612 -               2200... 1000 2204000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127613 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127614 -               2330... 80 410400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127615 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127616 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127617 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127619 -  ..
127620 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127621 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127623 -  ..
127624 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127625 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127629 -  ..
127630 - Kardia recorded HR 074 at 0837 Possible Atrial Fibrillation, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127631 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127632 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127633 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127634 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127635 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127638 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127639 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240808-ecg-083706_mile_00_074_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127643 -  ..
127644 - Post hike HR profile beginning 1949, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127645 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127646 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127647 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127648 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127651 -        ..
127652 -       Date      240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529  240528b   
127653 -       Time       1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044    2311     
127654 -       Hours        11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11       9     
127655 -       HR AVG       61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     121     
127656 -       HR MAX      120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     153     
127657 -       HR Min       38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38      36     
127658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127660 -              https://flow.polar.com/training/analysis/7937156085                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127663 -               ..
127665 -   
127666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127669 -  ..
127670 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127671 - Lunch - half sandwich avocado cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127672 - Dinner - rice hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127674 -  ..
127675 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127702 -         ..
127703 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127704 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127705 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127706 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127707 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127708 -  222.  240809 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127709 -               0725....BP HR..................................................... 151  94  85  Kardia ECG reports HR status, see below. ref SDS 0 W4AP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127710 -               0730....BP HR..................................................... 164  91  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127711 -               0735....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127712 -               0735....80 410480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127713 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127714 -               0735... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127715 -               0735....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127716 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127717 -               0735....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127718 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127719 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127720 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127721 -               1700... 40 113200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127722 -               1830............ 10 20200  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127723 -               1830............ 10 20560  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127724 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127725 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127726 -               2130... 40 89400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127727 -               2200... 1000 2205000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127728 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127729 -               2330... 80 410560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127730 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127731 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127732 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127735 -  ..
127736 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127737 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127739 -  ..
127740 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127741 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127746 -  ..
127747 - Kardia recorded HR 052 at 0651 Unclassified, mostly uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127748 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127749 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127750 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127751 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127752 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127755 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240809-ecg-065121_mile_00_052_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127760 -  ..
127761 - Post hike HR profile beginning 1901, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127762 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127763 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127764 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127765 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127768 -        ..
127769 -       Date      240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530  240529    
127770 -       Time       1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101    2044     
127771 -       Hours        12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10      11     
127772 -       HR AVG       64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     120     
127773 -       HR MAX      126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     157     
127774 -       HR Min       40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35      38     
127775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127777 -              https://flow.polar.com/training/analysis/7937763205                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127780 -               ..
127782 -   
127783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127786 -  ..
127787 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127788 - Lunch - half sandwich avocado cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127789 - Dinner - rice hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127791 -  ..
127792 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127818 -         ..
127819 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127820 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127821 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127822 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127823 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127824 -  223.  240810 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127825 -               0655....BP HR..................................................... 151  94  85  Kardia ECG reports HR status, see below. ref SDS 0 XR2L                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127826 -               0700....BP HR..................................................... 151  76  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127827 -               0705....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127828 -               0705....80 410640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127829 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127830 -               0705... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127831 -               0705....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127832 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127833 -               0705....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127834 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127835 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127836 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127837 -               1700... 40 113260 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127838 -             1 0000............ 10 20200  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127839 -             1 0000............ 10 20560  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127840 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127841 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127842 -               2130... 40 89460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127843 -               2200... 1000 2206000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127844 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127845 -               2330... 80 410720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127846 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127847 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127848 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127850 -  ..
127851 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127852 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127854 -  ..
127855 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127856 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127860 -  ..
127861 - Kardia recorded HR 052 at 0714 Normal Sinus Rhythm, looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127862 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127863 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127864 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127865 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127866 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127869 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127870 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240810-ecg-071408_mile_00_052_nsr_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127874 -  ..
127875 - Post hike HR profile beginning 1956, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127876 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127877 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127878 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127879 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127882 -        ..
127883 -       Date      240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531  240530    
127884 -       Time       1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911    2101     
127885 -       Hours        11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12      10     
127886 -       HR AVG       66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     115     
127887 -       HR MAX      131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     157     
127888 -       HR Min       42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37      35     
127889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127891 -              https://flow.polar.com/training/analysis/7938465152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127894 -               ..
127896 -   
127897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127900 -  ..
127901 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127902 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127903 - Dinner - eggs rice hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127905 -  ..
127906 - Vomitting:  0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127932 -         ..
127933 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127934 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127935 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127936 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127937 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127938 -  224.  240811 0635............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127939 -               0635....BP HR..................................................... 154  88  54  Kardia ECG reports HR status, see below. ref SDS 0 X1GB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127940 -               0640....BP HR..................................................... 144  80  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127941 -               0645....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127942 -               0645....80 410800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127943 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
127944 -               0605... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127945 -               0645....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127946 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127947 -               0645....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127948 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127949 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127950 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127951 -               1700... 40 113300 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
127952 -               1830............ 10 20210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127953 -               1830............ 10 20570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127954 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127955 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127956 -               2130... 40 89500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127957 -               2200... 1000 2207000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127958 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127959 -               2330... 80 410880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127960 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127961 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127962 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127965 -  ..
127966 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127967 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127969 -  ..
127970 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127971 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127976 -  ..
127977 - Kardia recorded HR 052 at 0630 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127978 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127979 - AFL after hiking 00 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127980 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127981 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127982 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127985 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127986 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240811-ecg-063054_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127989 -  ..
127990 - Post hike HR profile beginning 2106, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127991 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127992 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127993 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127994 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127997 -        ..
127998 -       Date      240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601  240531    
127999 -       Time       2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046    1911     
128000 -       Hours         9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11      12     
128001 -       HR AVG       58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62      89     
128002 -       HR MAX      101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     186     
128003 -       HR Min       41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38      37     
128004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128006 -              https://flow.polar.com/training/analysis/7939036135                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128009 -               ..
128011 -   
128012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128015 -  ..
128016 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128017 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128018 - Dinner - eggs rice hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128020 -  ..
128021 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128048 -         ..
128049 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128050 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128051 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128052 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128053 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128054 -  225.  240812 0630............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128055 -               0630....BP HR..................................................... 157  92  78  Kardia ECG reports HR status, see below. ref SDS 0 7VRL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128056 -               0640....BP HR..................................................... 139  81  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128057 -               0645....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128058 -               0645....80 410960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128059 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128060 -               0605... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128061 -               0645....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128062 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128063 -               0645....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128064 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128065 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128066 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128067 -               1700... 40 113340 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128068 -             1 0000............ 10 20210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128069 -             1 0000............ 10 20570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128070 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128071 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128072 -               2130... 40 89540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128073 -               2200... 1000 2208000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128074 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128075 -               2330... 80 411040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128076 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128077 -               0000... 06   80 Melatonin sleep aid - 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128078 -               0000... 03   75 Trazodone sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128081 -  ..
128082 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128083 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128085 -  ..
128086 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128087 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128089 -  ..
128090 - Sleep more consistent last night taking Gabapentin, recommended by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128091 - Lauren during meeting with Primary Care on 240806 1104. ref SDS 52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128092 - M46J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128096 -  ..
128097 - Kardia recorded HR 047 at 0556 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128098 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128099 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128100 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128101 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128102 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128105 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128106 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240812-ecg-055636_mile_00_047_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128109 -  ..
128110 - Post hike HR profile beginning 1904, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128111 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128112 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128113 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128114 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128117 -        ..
128118 -       Date      240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602  240601    
128119 -       Time       1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932    2046     
128120 -       Hours        12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13      11     
128121 -       HR AVG       61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83      62     
128122 -       HR MAX      124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     149     
128123 -       HR Min       39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36      38     
128124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128126 -              https://flow.polar.com/training/analysis/7939773720                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128129 -               ..
128131 -   
128132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128135 -  ..
128136 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128137 - Lunch - hamburger cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128138 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128140 -  ..
128141 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128168 -         ..
128169 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128170 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128171 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128172 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128173 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128174 -  226.  240813 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128175 -               0650....BP HR..................................................... 136  94  53  Kardia ECG reports HR status, see below. ref SDS 0 X69A                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128176 -               0655....BP HR..................................................... 139  81  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128177 -               0700....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128178 -               0700....80 410960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128179 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128180 -               0700... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128181 -               0700....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128182 -               0700....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128183 -               0700....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128184 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128185 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128186 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128187 -               1700... 40 113340 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128188 -               1830............ 10 20210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128189 -               1830............ 10 20570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128190 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128191 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128192 -               2130... 40 89540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128193 -               2140... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128194 -               2200... 1000 2208000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128195 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128196 -               2330... 80 411040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128197 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128200 -  ..
128201 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128202 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128204 -  ..
128205 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128206 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128208 -  ..
128209 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128210 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128213 -  ..
128214 - Kardia recorded HR 050 at 0727 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128215 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128216 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128217 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128218 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128219 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128222 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128223 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240813-ecg-072744_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128227 -  ..
128228 - Post hike HR profile beginning 2007, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128229 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128230 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128231 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128232 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128235 -        ..
128236 -       Date      240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a 240602    
128237 -       Time       2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126    1932     
128238 -       Hours         9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6      13     
128239 -       HR AVG       60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113      83     
128240 -       HR MAX       99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     160     
128241 -       HR Min       39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43      36     
128242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128244 -              https://flow.polar.com/training/analysis/7940454948                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128247 -               ..
128249 -   
128250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128252 -  ..
128253 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128254 - Lunch - half sandwich avocado onoin cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128255 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128257 -  ..
128258 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128285 -         ..
128286 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128287 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128288 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128289 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128290 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128291 -  227.  240814 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128292 -               0710....BP HR..................................................... 146  83  50  Kardia ECG reports HR status, see below. ref SDS 0 YR7V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128293 -               0715....BP HR..................................................... 152  88  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128294 -               0720....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128295 -               0720....80 411120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128296 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128297 -               0720... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128298 -               0720....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128299 -               0720....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128300 -               0720....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128301 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128302 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128303 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128304 -               1700... 40 113380 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128305 -             1 0000............ 10 20210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128306 -             1 0000............ 10 20570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128307 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128308 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128309 -               2130... 40 89580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128310 -               2140... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128311 -               2200... 1000 2209000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128312 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128313 -               2330... 80 411200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128314 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128316 -  ..
128317 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128318 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128320 -  ..
128321 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128322 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128324 -  ..
128325 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128326 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128330 -  ..
128331 - Kardia recorded HR 047 at 0636 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128332 - mostly uniform heart beat lengths with p-waves and no artifact; likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128333 - no AFL after hiking 00 miles yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128334 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128335 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128336 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128339 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128340 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240814-ecg-063601_mile_00_047_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128343 -  ..
128344 - Post hike HR profile beginning 2156, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128345 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128346 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128347 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128348 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128351 -        ..
128352 -       Date      240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b 240603a   
128353 -       Time       2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057    1126     
128354 -       Hours         9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11       6     
128355 -       HR AVG       61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     113     
128356 -       HR MAX      117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     147     
128357 -       HR Min       39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36      43     
128358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128360 -              https://flow.polar.com/training/analysis/7941224551                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128363 -               ..
128365 -   
128366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128369 -  ..
128370 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128371 - Lunch - half sandwich avocado onoin cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128372 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128374 -  ..
128375 - Vomitting:  0%  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128403 -         ..
128404 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128405 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128406 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128407 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128408 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128409 -  228.  240815 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128410 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128411 -               0700....BP HR..................................................... 149 101  50  Kardia ECG reports HR status, see below. ref SDS 0 YPUV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128412 -               0705....BP HR..................................................... 148  90  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128413 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128414 -               0710....80 411280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128415 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128416 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128417 -               0710....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128418 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128419 -               0710....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128420 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128421 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128422 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128423 -               1700... 40 113420 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128424 -               1830............ 10 20220  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128425 -               1830............ 10 20580  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128426 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128427 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128428 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128429 -               2130... 40 89620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128430 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128431 -               2200... 1000 2210000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128432 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128433 -               2330... 80 411360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128434 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128436 -  ..
128437 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128438 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128440 -  ..
128441 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128442 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128444 -  ..
128445 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128446 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128449 -  ..
128450 - Kardia recorded HR 049 at 0657 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128451 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128452 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128453 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128454 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128455 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128458 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128459 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240815-ecg-065704_mile_00_049_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128462 -  ..
128463 - Post hike HR profile beginning 1952, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128464 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128465 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128466 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128467 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128470 -        ..
128471 -       Date      240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605  240604b   
128472 -       Time       1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044    2057     
128473 -       Hours        11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19      11     
128474 -       HR AVG       61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     121     
128475 -       HR MAX      112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     147     
128476 -       HR Min       41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40      36     
128477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128479 -              https://flow.polar.com/training/analysis/7941891815                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128482 -               ..
128484 -   
128485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128488 -  ..
128489 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128490 - Lunch - half sandwich avocado onoin cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128491 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128493 -  ..
128494 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128524 -         ..
128525 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128526 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128527 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128528 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128529 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128530 -  229.  240816 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128531 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128532 -               0700....BP HR..................................................... 138  82  51  Kardia ECG reports HR status, see below. ref SDS 0 Y7QH                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128533 -               0705....BP HR..................................................... 146  84  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128534 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128535 -               0710....80 411280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128536 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128537 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128538 -               0710....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128539 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128540 -               0710....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128541 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128542 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128543 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128544 -               1700... 40 113420 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128545 -             1 0000............ 10 20220  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128546 -             1 0000............ 10 20580  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128547 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128548 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128549 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128550 -               2130... 40 89620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128551 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128552 -               2200... 1000 2210000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128553 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128554 -               2330... 80 411360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128555 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128558 -  ..
128559 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128560 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128562 -  ..
128563 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128564 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128566 -  ..
128567 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128568 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128573 -  ..
128574 - Kardia recorded HR 050 at 0642 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128575 - uniform heart beat lengths with p-waves and some artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128576 - AFL after hiking 00 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128577 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128578 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128579 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128582 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128583 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240816-ecg-064256_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128587 -  ..
128588 - Post hike HR profile beginning 2016, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128589 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128590 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128591 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128592 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128595 -        ..
128596 -       Date      240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606  240605    
128597 -       Time       2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248    1044     
128598 -       Hours         9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18      19     
128599 -       HR AVG       64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     137     
128600 -       HR MAX      112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     147     
128601 -       HR Min       41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34      40     
128602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128604 -              https://flow.polar.com/training/analysis/7942520395                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128607 -               ..
128609 -   
128610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128613 -  ..
128614 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128615 - Lunch - half sandwich avocado onoin cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128616 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128618 -  ..
128619 - Vomitting: 5%   aspiration - reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128647 -         ..
128648 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128649 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128650 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128651 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128652 -        Saturcay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128653 -  230.  240817 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128654 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128655 -               0620....BP HR..................................................... 147  82  49  Kardia ECG reports HR status, see below. ref SDS 0 3SPY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128656 -               0625....BP HR..................................................... 145  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128657 -               0630....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128658 -               0630....80 411440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128659 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128660 -               0630... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128661 -               0630....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128662 -               0630....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128663 -               0630....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128664 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128665 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128666 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128667 -               1700... 40 113460 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128668 -               1830............ 10 20230  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128669 -               1830............ 10 20590  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128670 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128671 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128672 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128673 -               2130... 40 89660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128674 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128675 -               2200... 1000 2211000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128676 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128677 -               2330... 80 411520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128678 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128680 -  ..
128681 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128682 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128684 -  ..
128685 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128686 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128688 -  ..
128689 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128690 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128694 -  ..
128695 - Kardia recorded HR 046 at 0538 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128696 - beat lengths with p-waves and some artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128697 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128698 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128699 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128700 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128703 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128704 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240817-ecg-053838_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128708 -  ..
128709 - Post hike HR profile beginning 1935, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128710 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128711 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128712 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128713 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128716 -        ..
128717 -       Date      240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607  240606    
128718 -       Time       1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741    1248     
128719 -       Hours        11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12      18     
128720 -       HR AVG       62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     127     
128721 -       HR MAX      102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     153     
128722 -       HR Min       41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72      34     
128723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128725 -              https://flow.polar.com/training/analysis/7943302361                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128728 -               ..
128730 -   
128731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128734 -  ..
128735 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128736 - Lunch - half sandwich avocado onoin cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128737 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128739 -  ..
128740 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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128748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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128753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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128755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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128759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128767 -         ..
128768 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128769 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128770 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128771 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128772 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128773 -  231.  240818 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128774 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128775 -               0620....BP HR..................................................... 143  92  63  Kardia ECG reports HR status, see below. ref SDS 0 SM25                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128776 -               0625....BP HR..................................................... 147  95  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128777 -               0630....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128778 -               0630....80 411600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128779 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128780 -               0630... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128781 -               0630....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128782 -               0630....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128783 -               0630....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128784 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128785 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128786 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128787 -               1700... 40 113500 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128788 -             1 0000............ 10 20230  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128789 -             1 0000............ 10 20590  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128790 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128791 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128792 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128793 -               2130... 40 89700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128794 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128795 -               2200... 1000 2212000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128796 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128797 -               2330... 80 411680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128798 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128801 -  ..
128802 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128803 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128805 -  ..
128806 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128807 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128809 -  ..
128810 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128811 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128814 -  ..
128815 - Kardia recorded HR 058 at 0614 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128816 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128817 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128818 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128819 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128820 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128823 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128824 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240818-ecg-061450_mile_00_058_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128827 -  ..
128828 - Post hike HR profile beginning 1944, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128829 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128830 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128831 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128832 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128835 -        ..
128836 -       Date      240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a 240607    
128837 -       Time       1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807    1741     
128838 -       Hours        11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8      12     
128839 -       HR AVG       58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     136     
128840 -       HR MAX      106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     151     
128841 -       HR Min       40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44      72     
128842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128844 -              https://flow.polar.com/training/analysis/7943870755                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128847 -               ..
128849 -   
128850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128853 -  ..
128854 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128855 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128856 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128858 -  ..
128859 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128887 -         ..
128888 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128889 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128890 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128891 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128892 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128893 -  232.  240819 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128894 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128895 -               0650....BP HR..................................................... 158  94  51  Kardia ECG reports HR status, see below. ref SDS 0 YX4P                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128896 -               0655....BP HR..................................................... 141  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128897 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128898 -               0710....80 411760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128899 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
128900 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128901 -               0710....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128902 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128903 -               0710....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128904 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128905 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128906 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128907 -               1700... 40 113540 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
128908 -               1830............ 10 20240  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128909 -               1830............ 10 20600  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128910 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128911 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128912 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128913 -               2130... 40 89740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128914 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128915 -               2200... 1000 2211000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128916 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128917 -               2330... 80 411840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128918 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128921 -  ..
128922 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128923 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128925 -  ..
128926 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128927 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128929 -  ..
128930 - Reflux last night none - slept in bed all night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128934 -  ..
128935 - Kardia recorded HR 053 at 0650 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128936 - heart beat lengths with p-waves and minor artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128937 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128938 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128939 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128940 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128943 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128944 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240819-ecg-065049_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128947 -  ..
128948 - Post hike HR profile beginning 2341, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128949 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128950 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128951 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128952 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128955 -        ..
128956 -       Date      240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a 240608a   
128957 -       Time       2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043    0807     
128958 -       Hours         7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4       8     
128959 -       HR AVG       60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     114     
128960 -       HR MAX      117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     144     
128961 -       HR Min       39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46      44     
128962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128964 -              https://flow.polar.com/training/analysis/7944524792                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128967 -               ..
128969 -   
128970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128973 -  ..
128974 - Breakfast - eggs onion cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128975 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128976 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128978 -  ..
128979 - Vomitting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129007 -         ..
129008 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129009 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129010 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129011 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129012 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129013 -  233.  240820 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129014 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129015 -               0650....BP HR..................................................... 155  90  48  Kardia ECG reports HR status, see below. ref SDS 0 A6FK                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129016 -               0655....BP HR..................................................... 147  85  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129017 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129018 -               0710....80 411920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129019 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129020 -               0710... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129021 -               0710....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129022 -               0710....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129023 -               0710....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129024 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129025 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129026 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129027 -               1700... 40 113580 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
129028 -             1 0000............ 10 20240  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129029 -             1 0000............ 10 20600  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129030 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129031 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129032 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129033 -               2130... 40 89780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129034 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129035 -               2200... 1000 2212000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129036 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129037 -               2330... 80 412000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129038 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129041 -  ..
129042 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129043 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129045 -  ..
129046 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129047 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129052 -  ..
129053 - Kardia recorded HR 048 at 0639 Bradycardia, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129054 - lengths with p-waves and minor artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129055 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129056 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129057 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129058 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129061 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129062 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240820-ecg-063944_mile_00_048_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129066 -  ..
129067 - Post hike HR profile beginning 1951, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129068 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129069 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129070 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129071 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129074 -        ..
129075 -       Date      240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a 240609a   
129076 -       Time       1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011    1043     
129077 -       Hours        10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6       4     
129078 -       HR AVG       58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     132     
129079 -       HR MAX      105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     143     
129080 -       HR Min       41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86      46     
129081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129083 -              https://flow.polar.com/training/analysis/7945277871                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129086 -               ..
129088 -   
129089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129092 -  ..
129093 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129094 - Lunch - half sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129095 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129097 -  ..
129098 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129126 -         ..
129127 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129128 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129129 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129130 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129131 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129132 -  234.  240821 0615............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129133 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129134 -               0620....BP HR..................................................... 143  86  53  Kardia ECG reports HR status, see below. ref SDS 0 E6LR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129135 -               0625....BP HR..................................................... 139  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129136 -               0630....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129137 -               0630....80 412080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129138 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129139 -               0630... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129140 -               0630....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129141 -               0630....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129142 -               0630....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129143 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129144 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129145 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129146 -               1700... 40 113620 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
129147 -               1830............ 10 20250  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129148 -               1830............ 10 20610  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129149 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129150 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129151 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129152 -               2130... 40 89820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129153 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129154 -               2200... 1000 2213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129155 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129156 -               2330... 80 412160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129157 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129160 -  ..
129161 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129162 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129164 -  ..
129165 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129166 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129168 -  ..
129169 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129170 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129174 -  ..
129175 - Kardia recorded HR 051 at 0612 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129176 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129177 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129178 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129179 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129180 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129183 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129184 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240821-ecg-061204_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129188 -  ..
129189 - Post hike HR profile beginning 1953, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129190 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129191 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129192 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129193 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129196 -        ..
129197 -       Date      240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b 240610a   
129198 -       Time       1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009    1011     
129199 -       Hours        10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8       6     
129200 -       HR AVG       65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     137     
129201 -       HR MAX      116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     154     
129202 -       HR Min       40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59      86     
129203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129205 -              https://flow.polar.com/training/analysis/7945938375                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129208 -               ..
129210 -   
129211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129214 -  ..
129215 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129216 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129217 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129219 -  ..
129220 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129250 -         ..
129251 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129252 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129253 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129254 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129255 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129256 -  235.  240822 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129257 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129258 -               0625....BP HR..................................................... 145  94  50  Kardia ECG reports HR status, see below. ref SDS 0 4CY6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129259 -               0630....BP HR..................................................... 135  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129260 -               0635....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129261 -               0635....80 412240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129262 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129263 -               0635... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129264 -               0635....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129265 -               0635....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129266 -               0635....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129267 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129268 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129269 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129270 -               1700... 40 113660 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
129271 -             1 0000............ 10 20250  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129272 -             1 0000............ 10 20610  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129273 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129274 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129275 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129276 -               2130... 40 89860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129277 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129278 -               2200... 1000 2214000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129279 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129280 -               2330... 80 412320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129281 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129284 -  ..
129285 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129286 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129288 -  ..
129289 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129290 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129292 -  ..
129293 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129294 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129297 -  ..
129298 - Kardia recorded HR 049 at 0614 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129299 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129300 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129301 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129302 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129303 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129306 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129307 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240822-ecg-061455_mile_00_049_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129311 -  ..
129312 - Post hike HR profile beginning 1931, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129313 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129314 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129315 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129316 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129319 -        ..
129320 -       Date      240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612  240611b   
129321 -       Time       1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010    2009     
129322 -       Hours        11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8       8     
129323 -       HR AVG       62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76      96     
129324 -       HR MAX      111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     115     
129325 -       HR Min       41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43      59     
129326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129328 -              https://flow.polar.com/training/analysis/7946632711                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129331 -               ..
129333 -   
129334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129337 -  ..
129338 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129339 - Lunch - half sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129340 - Dinner - macaroni cheese rice hamburger broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129342 -  ..
129343 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129372 -         ..
129373 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129374 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129375 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129376 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129377 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129378 -  236.  240823 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129379 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129380 -               0705....BP HR..................................................... 140  90  55  Kardia ECG reports HR status, see below. ref SDS 0 P37S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129381 -               0710....BP HR..................................................... 143  91  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129382 -               0715....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129383 -               0715....80 412400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129384 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129385 -               0715... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129386 -               0715....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129387 -               0715....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129388 -               0715....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129389 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129390 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129391 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129392 -               1700... 40 113700 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
129393 -               1830............ 10 20260  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129394 -               1830............ 10 20620  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129395 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129396 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129397 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129398 -               2130... 40 89900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129399 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129400 -               2200... 1000 2215000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129401 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129402 -               2330... 80 412580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129403 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129406 -  ..
129407 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129408 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129410 -  ..
129411 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129412 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129414 -  ..
129415 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129416 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129420 -  ..
129421 - Kardia recorded HR 056 at 0655 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129422 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129423 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129424 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129425 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129426 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129429 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129430 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240823-ecg-065553_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129433 -  ..
129434 - Post hike HR profile beginning 2101, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129435 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129436 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129437 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129438 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129441 -        ..
129442 -       Date      240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613  240612    
129443 -       Time       2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308    2010     
129444 -       Hours        10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7       8     
129445 -       HR AVG       69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63      76     
129446 -       HR MAX      108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     104     
129447 -       HR Min       40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43      43     
129448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129450 -              https://flow.polar.com/training/analysis/7947310347                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129453 -               ..
129455 -   
129456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129459 -  ..
129460 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129461 - Lunch - half sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129462 - Dinner - eggs macaroni cheese rice hamburger broccoli cauliflower onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129464 -  ..
129465 - Vomitting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129493 -         ..
129494 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129495 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129496 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129497 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129498 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129499 -  237.  240824 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129500 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129501 -               0645....BP HR..................................................... 129  82  52  Kardia ECG reports HR status, see below. ref SDS 0 PQTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129502 -               0650....BP HR..................................................... 126  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129503 -               0655....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129504 -               0655....80 412640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129505 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129506 -               0655... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129507 -               0655....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129508 -               0655....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129509 -               0655....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129510 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129511 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
129512 -  ..
129513 -               1122....miles...........  16.0  15.0  267   267 minutes  temp  77 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129514 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129515 -               1439....mile 12 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129516 -               1439....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129517 -               1439... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129518 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129519 -               1439... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129520 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129521 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129522 -               1520... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129523 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129524 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129525 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129526 -               1540....Tramadol 50 mg took 1 pill - feet hurting stopped at Crystal Ranch Road mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129527 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129528 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129529 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129530 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129531 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129532 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129533 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129534 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129535 -               1613... Hike ends mile 16... ref SDS 0 72PR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129536 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129537 -               1630....weight.................................... 175  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129538 -               1634....BP HR..................................................... 106  74 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129539 -               1640....BP HR..................................................... 102  78 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129540 -               1700....BP HR.....................................................  96  74 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129541 -               1710....BP HR..................................................... 103  70 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129542 -               1730....BP HR..................................................... 105  76 137   what is driving HR?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129543 -               1810....BP HR..................................................... 102  84 150   what is driving HR?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129544 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129545 -               1910... 40 113740 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
129546 -             1 0000............ 10 20260  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129547 -             1 0000............ 10 20620  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129548 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129549 -               2050... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129550 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129551 -               2130... 40 89940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129552 -               2150... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129553 -               2200... 1000 2216000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129554 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129555 -               2330... 80 412720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129556 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129559 -  ..
129560 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129561 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129563 -  ..
129564 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129565 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129567 -  ..
129568 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129569 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129571 -  ..
129572 - Vomiting about 30 minutes after ending hike - 1st time in 20 year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129573 - patient history.  Typically vomiting used to occur within 0 - 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129574 - minutes after meals.  Seems today the contents may be a Magnesium pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129575 - and 2nd Tramadol both got stuck sideways above LESV and everything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129576 - just built up in the esophagus.  Should have taken Magnesium pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129577 - before any food, because it got tangled up sideways and could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129578 - slip through narrowing LESV.  There was a lot of softerink in vomit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129579 - contents indicating Magnesium caused a seal that prevented liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129580 - from getting through to stomach.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129583 -  ..
129584 - Today, hiked 16 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129585 - swallowing whole, - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129586 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129587 - Continued on Ayers to Clayton Road, mile 3, then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129588 - Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 1.00 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129589 - Turned around and hiked back.  Turned left heading West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129590 - Campus Drive to college.  Hiked 4 miles through faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129591 - parking lots.  Stopped mile 12, for EKG, hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129592 - Took another magnesium pill to prevent inflammation, and increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129593 - energy.  This pill seems to have gotten stuck turned sideways caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129594 - bloating, and pain pills may not have worked.  Forgot to bring CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129595 - for energy and HDL.  Hiked another mile through parking lots.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129596 - college hiking down Campus Road then West on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129597 - Took another Tramadol because feet hurting.  Continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129598 - Ranch Road heading uphill on Ygnacio Valley Road.  Turned right on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129599 - Cowell, hiking 1 mile then home.  Hike more difficult because more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129600 - feet pain metatarsalgia - 2nd Tramadol at mile 13 did not seem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129601 - effective.  Felt bloated rest of hike; at home vomited everything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129602 - taken when stopped at college time 1439, expect large Magnesium got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129603 - stuck on LESV, so 2nd pain pill not effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129607 -         ..
129608 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129609 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129610 -        Stomach pain ischemic colitis bloating.......   2         30  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis 20% of hike, took Simethicone about mile 13 - felt bloated on Ignacio Valley Road                                                                                                                                                                                                                                                                                                                                                              
129611 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129612 -        Hands cramping hurting - post hike...........   3        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129613 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10 helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129614 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129615 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129616 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129617 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129618 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 2 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                   
129619 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129620 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
129621 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129622 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129623 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
129624 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129625 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129626 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129627 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 2 Tramadol and 1 Gabapentin mile 10 and again at mile 00  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                      
129628 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129629 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129630 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129631 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129632 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                        
129633 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129634 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129635 -        Hamstring left leg...........................   3         40  got worse as hike progressed, declined after taking 2 Tramadol and 1 Gabapentin at mile 10, increased after hike                                                                                                                                                                                                                                                                                                                                                                                                                             
129636 -        Hamstring right leg..........................   3         40  occurred initial 3 miles, worse after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129637 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129638 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129639 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 2 Tramadol and 1 Gabapentin mile 10 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
129640 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129641 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129642 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                                                                                  
129643 -        Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                                                                                  
129644 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129645 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129646 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129647 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
129648 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
129649 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
129650 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129651 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
129652 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
129653 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                   
129654 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129655 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
129656 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
129657 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
129658 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129659 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
129660 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
129661 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 1 Gabapentin mile 10 carried neoprene sleeve, but did not need to use when stopped for EGD at mile 10                                                                                                                                                                                                                                                                                                                                                                             
129662 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
129663 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129664 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
129665 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 2 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
129666 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129667 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129668 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129669 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 2 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
129670 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129671 -        Burning sensation both feet..................   3         30  subsided some after taking 2 Tramadol and 1 Gababenin mile 12 and again at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129672 -        Stinging sensation both feet.................   0        100  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 10 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                   
129673 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129674 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129675 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129676 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129677 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129678 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129679 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129680 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129681 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol and 1 Gabapentin mile 12 and again at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129682 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129686 -  ..
129687 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129688 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129689 - Not Using new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129690 - feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129692 -  ..
129693 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129694 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129695 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129696 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129697 - blisters on long hikes, reported in meeting with Doctor Tang on 240726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129698 - 0930. ref SDS 51 SY79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129700 -  ..
129701 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129702 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129704 -  ..
129705 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129706 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129707 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129708 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129709 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129710 - right foot.  Today, used Pediplast spacers, and did not use neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129711 - sleeve to protect top of #4 on right foot.  The left foot had PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129712 - entire hike.  Right foot #4 bottom PL 0.  No blisters today - felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129713 - top of right foot #4; may use neoprene sleeve on #4 next hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129715 -  ..
129716 - Today on 240824 treat metatarsalgia both feet, Tailor's Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129717 - calluses both feet, case study on shaving skin to reduce pressure,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129718 - shown on 200101, ref SDS 16 QVWS, and apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129719 - lotion, and with wearing Wrightsock dual-ply socks and apply ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129720 - lactate to bottom of feet, per above. ref SDS 0 YXTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129723 -  ..
129724 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129725 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129726 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129727 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129728 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129729 - can cause colitis, and taking Tramadol and Magnesium that reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129730 - inflammation - 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129731 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129732 - - designed to swallow, but pills are too big to slip through LESV;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129733 - swallowed anyway and allowed to breakdown on top of LESV...  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129734 - increases energy by disapating lactic acid that causes fatigue in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129735 - muscles, and also reduces inflammation, critical for raising HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129736 - general health in major organs.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129737 - margarine and chia seeds for electrolytes, including energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129738 - avocado for HDL, per above. ref SDS 0 2F5M  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129739 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129740 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129741 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129742 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129743 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129744 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129745 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129746 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129747 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129748 - TL6I  Took backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129749 - Half Dome.  Hiked Cuneo .25 miles and turned left, onto Treat about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129750 - mile.  Feet starting hike feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129751 - peripheral neuropathy caused by taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129752 - entire hike with no dyspnea, despite no hiking past 4 weeks.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129753 - started at 74, and reached 77.  West wind 10 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129754 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129755 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129756 - some places 2% - 3% uphill, and very light traffic.  At mile 2, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129757 - not hike across Newhall Community Park and back.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129758 - Creek Road uphill 4% grade.  Had to hike in the street, because there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129759 - was an event at the park.  Cars were parked along Turtle Creek.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129760 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129761 - with moderate traffic.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129762 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129763 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129764 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129765 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129766 - crossing Park Highlands Road at stop light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129767 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129768 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129769 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129770 - time ____, Turned left onto Pine, which curves heading East 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129771 - At Camino Solano turned around and hiked back 1.00 mile to YV.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129772 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129773 - wind 15 mph.  At mile 08, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129774 - University East Bay Concord Campus.  Hiked 4 miles through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129775 - Student parking.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129776 - Building mile 12 time 1439 temp 76 and wind 10 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129777 - with no artifact.  Kardia reported HR 143 (indicating possible AFL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129778 - and aligns with temp 76 which looks like AFL, see e.g., on 240622,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129779 - above. ref SDS 0 C7B2, but since HR changed later this indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129780 - AFL) Unlisted - which often means AFL) - see below. ref SDS 0 P8YQ  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129781 - did drop severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129782 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129783 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 4 - need to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129784 - apply Amonium Lactate 12% this evening.  Burning sensation PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129785 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129786 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129787 - Left knee meniscus PL 2, left hamstring PL 2, left shoulder PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129788 - elbow PL 2 intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129789 - for pain (...test this combination with temperature < 80...).  Took
129790 - 2nd Magnesium complex 300 mg pill for energy, and magnesium reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129791 - inflammation, essential to raise HDL - might be secret source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129792 - increased HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129793 - 240611 0700. ref SDS 46 XK7M, and without any hiking during that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129794 - period.  Seemed like Magnesium and possibly Gabapentin pills got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129795 - tangled up with food and became stuck sideways which then clogged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129796 - LESV.  This prevented pain pills from digesting, causing 2nd pill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129797 - be taken later and neither were effective.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129798 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129799 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129800 - energy, and avocado for HDL.  Forgot to bring Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129801 - for HDL and energy to complete hike.  Since temperature not elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129802 - above 80, which increases sweating that ejects electrolytes, and since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129803 - not extending hike over YV summit going for 20+ mile hike, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129804 - take Nuun electrolyte pill, per above. ref SDS 0 YXTV  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129805 - loop through Faculty and Student parking lots.  At time 1540 feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129806 - bloated so took another Simethicone, per above. ref SDS 0 YXTV  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129807 - hiking another mile through parking lots, back at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129808 - building exited college on Campus drive heading North.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129809 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129810 - 14 time 1540, feet still hurting despite taking Tramadol with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129811 - Gabapentin at time 1439 - stopped at Crystal Ranch Road and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129812 - another Tramadol, per above. ref SDS 0 YXTV  Continued heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129813 - Ygnacio Valley Road uphill 3% grade against wind 10 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129814 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129815 - Ygnacio Valley Road to avoid severe camber.  Noticed Polar showing HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129816 - 149 steady, similar to AFL, e.g., on 240601, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129817 - T8SP, concerning for AFL recurrence.  Since feet still hurting and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129818 - still feeling bloated despite taking Simethicone, decided not to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129819 - over summit and do 20+mile hike.  Continued onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129820 - .25 miles downhill 5% grade, then flat grade .25 miles, then .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129821 - with narrow shoulder against oncoming afternoon light (weekend)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129822 - traffic.  Noticed Polar reporting HR 137, down from 149, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129823 - AFL - nice to know.  Turned left onto Treat hiking West .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129824 - to Cuneo and home.  Ended hike mile 16 time 1613 temp 77, wind 8, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129825 - PL 3, burning sensation PL 3, left foot #5 PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129826 - blister/callus PL 0, right foot Tailor's bunions PL 0, shin splints PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129827 - 0, left knee PL 1 (not swollen), left hamstring PL 2, right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129828 - left shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129829 - back left side PL 0, left elbow PL 2, when lifting.  EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129830 - with no artifact, Kardia reported HR 143 Unclassified - commonly is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129831 - AFL - see below. ref SDS 0 72PR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129842 -  ..
129843 - Kardia recorded HR 053 at 0632 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129844 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129845 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129846 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129847 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129848 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129851 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129852 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240824-ecg-063207_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129857 -  ..
129858 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129859 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129860 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129862 -  ..
129863 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129865 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
129866 -       Date        240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604 240603 240602 240601   
129867 -       Miles          16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0      0      16     15    
129868 -       HR AVG        134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     no     147    146    
129869 -         MAX         158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report report report report report report report report   153    155    
129870 -         Min          56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th                                                             86     64    
129871 -       El Climb Ft   305   <--------------------- can't hike recover hike recove<-- can't hike recover ischemic colitis after 6th cardiac ablation ----------------------------- -->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305    305           305    305        3056th ablation ----->   Abltn   <-- can't hike due to AFL pending 6th ablation----->    305    415
129872 -       Temp Max       77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                                       82     77    
129873 -       Wind Max       10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                                       18     21    
129874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129876 -              https://flow.polar.com/training/analysis/7947547299                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129879 -               ..
129881 -   
129882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129886 -  ..
129887 - EKG at mile 12 time 1439 HR 143 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129888 - Unclassified... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129889 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129892 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129893 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240824-ecg-143938_mile_12_143_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129897 -  ..
129898 - End hike EKG at mile 16, time 1613 HR 143 temp 77 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129899 - Unclassified... looks uniform with no artifact - a lot like AFL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129900 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129903 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129904 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240824-ecg-161350_mile_16_143_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129908 -  ..
129909 - Post hike HR profile beginning 1813, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129910 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129911 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129912 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129913 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129916 -        ..
129917 -       Date      240823  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614  240613    
129918 -       Time       1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936    2308     
129919 -       Hours        13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11       7     
129920 -       HR AVG       75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67      63     
129921 -       HR MAX      147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102      99     
129922 -       HR Min       45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45      43     
129923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129925 -              https://flow.polar.com/training/analysis/7947955287                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129928 -               ..
129930 -   
129931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129934 -  ..
129935 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129936 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129937 - Dinner - tuna avocado eggs macaroni cheese rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129939 -  ..
129940 - Vomiting: 100% lunch after ending hike - first time since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129942 -  ..
129943 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129969 -         ..
129970 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129971 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129972 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129973 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129974 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129975 -  238.  240825 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129976 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129977 -               0645....BP HR..................................................... 121  80  49  Kardia ECG reports HR status, see below. ref SDS 0 PSTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129978 -               0650....BP HR..................................................... 123  74  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129979 -               0655....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129980 -               0655....80 412800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129981 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
129982 -               0655... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129983 -               0655....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129984 -               0655....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129985 -               0655....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129986 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129987 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
129988 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129989 -               1700... 40 113780 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
129990 -               1830............ 10 20270  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129991 -               1850............ 10 20630  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129992 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129993 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129994 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129995 -               2130... 40 89980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129996 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129997 -               2200... 1000 2217000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129998 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129999 -               2330... 80 412880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130000 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130003 -  ..
130004 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130005 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130007 -  ..
130008 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130009 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130011 -  ..
130012 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130013 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130017 -  ..
130018 - Kardia recorded HR 062 at 0644 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130019 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130020 - AFL after hiking 00 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130021 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130022 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130023 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130026 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130027 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240825-ecg-064436_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130031 -  ..
130032 - Post hike HR profile beginning 1942, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130033 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130034 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130035 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130036 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130039 -        ..
130040 -       Date      240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615  240614    
130041 -       Time       1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011    1936     
130042 -       Hours        11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12      11     
130043 -       HR AVG       70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59      67     
130044 -       HR MAX      121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     102     
130045 -       HR Min       40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40      45     
130046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130048 -              https://flow.polar.com/training/analysis/7948587707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130051 -               ..
130053 -   
130054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130057 -  ..
130058 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130059 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130060 - Dinner - tuna avocado eggs macaroni cheese rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130062 -  ..
130063 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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130074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130091 -         ..
130092 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130093 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130094 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130095 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130096 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130097 -  239.  240826 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130098 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130099 -               0655....BP HR..................................................... 142  81  52  Kardia ECG reports HR status, see below. ref SDS 0 PXQS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130100 -               0700....BP HR..................................................... 137  73  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130101 -               0705....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130102 -               0705....80 412960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130103 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
130104 -               0705... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130105 -               0705....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130106 -               0705....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130107 -               0705....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130108 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130109 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130110 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130111 -               1700... 40 113820 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
130112 -             1 0000............ 10 20270  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130113 -             1 0000............ 10 20630  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130114 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130115 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130116 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130117 -               2130... 40 90020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130118 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130119 -               2200... 1000 2218000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130120 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130121 -               2330... 80 413040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130122 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130125 -  ..
130126 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130127 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130129 -  ..
130130 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130131 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130133 -  ..
130134 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130135 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130140 -  ..
130141 - Kardia recorded HR 047 at 0644 Bradycardia, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130142 - lengths with p-waves and some artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130143 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130144 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130145 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130146 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130149 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130150 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240826-ecg-065718_mile_00_047_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130154 -  ..
130155 - Post hike HR profile beginning 1914, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130156 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130157 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130158 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130159 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130162 -        ..
130163 -       Date      240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616  240615    
130164 -       Time       1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046    2011     
130165 -       Hours         8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10      12     
130166 -       HR AVG       68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65      59     
130167 -       HR MAX       99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     156     
130168 -       HR Min       43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42      40     
130169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130171 -              https://flow.polar.com/training/analysis/7949158616                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130174 -               ..
130176 -   
130177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130180 -  ..
130181 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130182 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130183 - Dinner - rice hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130185 -  ..
130186 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
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130212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130214 -         ..
130215 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130216 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130217 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130218 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130219 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130220 -  240.  240827 0350............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130221 -               0350....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130222 -               0355....BP HR..................................................... 152  86  52  Kardia ECG reports HR status, see below. ref SDS 0 PY2U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130223 -               0400....BP HR..................................................... 150  90  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130224 -               0405....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130225 -               0495....80 413120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130226 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
130227 -               0405... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130228 -               0405....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130229 -               0405....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130230 -               0405....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130231 -               0405....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130232 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
130233 -  ..
130234 -               0458....miles...........  17.0  17.0  275   275 minutes  temp  74 wind  1  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130235 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130236 -               0805....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130237 -               0805....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130238 -               0805... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130239 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130240 -               0805... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130241 -               0805... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130242 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130243 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
130244 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130245 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130246 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130247 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at Crystal Ranch Road mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130248 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130249 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130250 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130251 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130252 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130253 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130254 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130255 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130256 -               1613... Hike ends mile 16... ref SDS 0 72PR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130257 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130258 -               1630....weight.................................... 181  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130259 -               1022....BP HR..................................................... 117  72 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130260 -               1031....BP HR..................................................... 125  74 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130261 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130262 -               1700... 40 113860 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
130263 -               1830............ 10 20280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130264 -               1830............ 10 20640  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130265 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130266 -               2055... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130267 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130268 -               2130... 40 90060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130269 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130270 -               2200... 1000 2214000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130271 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130272 -               2330... 80 413200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130273 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130276 -  ..
130277 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130278 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130280 -  ..
130281 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130282 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130284 -  ..
130285 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130286 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130289 -  ..
130290 - Today, hiked 17 miles - took Magnesium complex 300 mg pill, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130291 - opening the capsule and emptying powder onto avocado, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130292 - peanut butter, instead of swallowing capsule whole.  This attempts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130293 - avoid clogging LESV so that food, medicine pills and liquid will pass                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130294 - into the stomach and be digested.  Need more care to avoid the powder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130295 - splattering with loss of medication. - ate chia seeds with it. --                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130296 - started 5 mile semi-loop through South Concord streets - Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130297 - Creek Road.  Continued on Ayers to Clayton Road, mile 3, then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130298 - Ygnacio Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130299 - mile.  Turned around and hiked back.  Turned left heading West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130300 - on Campus Drive to college.  Hiked 3 miles through faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130301 - parking lots.  Stopped mile 11, for EKG, hydration and nutrition.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130302 - not try to swallow magnesium pill, which dlogged throat durinr last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130303 - hike on 240824, per above, ref SDS 0 745N, Opened the Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130304 - Complex capsule and spilled powder onto food container, then consumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130305 - the contents while eating the food.  This avoided pills, food and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130306 - softdrink backing up in the throat and being vomiting after the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130307 - Avoided bloating - did not need Simethicone.  Feet pain declined and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130308 - energy increased to finish hike.  Left college hiking down Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130309 - then West on Ygnacio Valley Road.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130310 - heading uphill on Ygnacio Valley Road.  Hiked to summit, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130311 - and back.  Turned left onto Cowell, hiking 1 mile then another 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130312 - through residential streets, and home.  Hike easier because less feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130313 - pain metatarsalgia, didn't need another Tramadol at mile 13, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130314 - Magnesium Complex was processed by the body.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130318 -         ..
130319 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130320 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130321 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis 20% of hike, did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                       
130322 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130323 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130324 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130325 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130326 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130327 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130328 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130329 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and not again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                               
130330 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130331 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and mpt again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                    
130332 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130333 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130334 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
130335 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130336 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130337 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130338 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 11 and not again at mile 00  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                  
130339 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130340 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130341 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130342 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130343 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                         
130344 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130345 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130346 -        Hamstring left leg...........................   2         30  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 much better after hike                                                                                                                                                                                                                                                                                                                                                                                                                      
130347 -        Hamstring right leg..........................   2         30  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 much better after hike                                                                                                                                                                                                                                                                                                                                                                                                                      
130348 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130349 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130350 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                          
130351 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130352 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130353 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                                                   
130354 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                                                   
130355 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130356 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130357 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130358 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
130359 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
130360 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
130361 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130362 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
130363 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
130364 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
130365 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130366 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
130367 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
130368 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
130369 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130370 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
130371 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
130372 -        Callus ring toe #4 top right foot............   2         40  used neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 seemed like it may have slipped off because pressure from top of shoe, but after hike took shoe and socks off neoprene sleve was still in position - could be just pressure issue pain decined after taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                      
130373 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
130374 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130375 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
130376 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
130377 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130378 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130379 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130380 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
130381 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130382 -        Burning sensation both feet..................   1         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and not again at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130383 -        Stinging sensation both feet.................   0        100  when stopped at mile 08 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 11and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                    
130384 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130385 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130386 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130387 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130388 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130389 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130390 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130391 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130392 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130393 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130397 -  ..
130398 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130399 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130400 - Used new Pediplasti Interdigital Spacer to protect #4-#5 on both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130401 - Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130403 -  ..
130404 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130405 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130406 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130407 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130408 - blisters on long hikes, reported in meeting with Doctor Tang on 240726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130409 - 0930. ref SDS 51 SY79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130411 -  ..
130412 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130413 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130415 -  ..
130416 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130417 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130418 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130419 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130420 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130421 - right foot.  Today, used Pediplast spacers, and did not use neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130422 - sleeve to protect top of #4 on right foot.  The left foot had PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130423 - entire hike.  Right foot #4 bottom PL 0.  No blisters today - felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130424 - top of right foot #4; may use neoprene sleeve on #4 next hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130426 -  ..
130427 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130428 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130429 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130430 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130431 - ref SDS 0 PVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130434 -  ..
130435 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130436 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130437 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130438 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130439 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130440 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130441 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130442 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130443 - ref SDS 42 VY92...) - designed to swallow, but pills are too big to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130444 - slip through LESV.  Finally today, tried opening the magnesium capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130445 - - the powder spills onto food in the hiking container, e.g., avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130446 - peanut butter and margarine.  This can cause splatter with loss of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130447 - magnesium.  Consumed Magnesium with a spoon combined with the food.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130448 - Disadvantage is the magnesium is processed immediately, instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130449 - gradually as the plastic capsule breaks down in the stomach which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130450 - releases energy in other body elements.  Fortunately, today there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130451 - steady increased energy for the last 6 miles, whereas there seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130452 - be uneven energy, at least indicated by the Polar HR monitor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130453 - Therefore consuming magnesium in the stomach out of capsule seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130454 - better than allowing the Magnesium pill to breakdown on top of LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130455 - Magnesium increases energy by disapating lactic acid that causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130456 - fatigue in muscles, and also reduces inflammation, critical for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130457 - raising HDL, and general health in major organs.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130458 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130459 - energy, and avocado for HDL, per above. ref SDS 0 MZ5J  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130460 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130461 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130462 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130463 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130464 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130465 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130466 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130467 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130468 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130469 - TL6I  Took backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130470 - Half Dome.  Hiked Cuneo .25 miles and turned left, onto Treat about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130471 - mile.  Feet starting hike feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130472 - peripheral neuropathy caused by taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130473 - entire hike with no dyspnea, despite no hiking past 4 weeks.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130474 - started at 63, and reached 98.  West wind 5 mph and mostly 1 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130475 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130476 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130477 - some places 2% - 3% uphill, and very light - moderate traffic. at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130478 - commute time.  At mile 2, did not hike across Newhall Community Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130479 - and back.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130480 - left onto Ayers hiking East .75 miles on asphalt road shoulder with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130481 - moderate traffic.  At mile 3, turned right onto Clayton Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130482 - South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130483 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130484 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130485 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Heavy commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130486 - traffic.  Continued hike crossing Park Highlands Road at stop light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130487 - and heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130488 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130489 - Stop Light at Michigan Boulevard.  Stopped at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130490 - Station store mile 5, to use restroom.  Turned left onto Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130491 - which curves heading East 1 mile.  At Camino Solano turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130492 - hiked back 1.00 mile to YV.  Lisa honked and waved; she sent text                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130493 - saying she was back at work walking customers dogs last week, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130494 - things went well - no reunjuries.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130495 - hiking West 1 mile uphill 3% - 4% grade against wind 15 mph.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130496 - 08, reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130497 - Concord Campus.  Hiked 4 miles through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130498 - Back at Visitor Parking stopped at Administration Building mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130499 - time 0805 temp 76 and wind 1 mph; EKG looks variable with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130500 - Kardia reported HR 116 (much better than 143 3 days ago and aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130501 - with temp 62, indicates no AFL) Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130502 - PYWX  HR did not drop severely today, during pause for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130503 - and nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130504 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3 - better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130505 - after applying Amonium Lactate 12% Saturday night, see, ref SDS 0 PPSW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130506 - Burning sensation PL 1, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130507 - edge blister/callus PL 0, right foot #4 top blister/callus PL 2, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130508 - edge callus/blister PL 0.  Left knee meniscus PL 2, left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130509 - 2, left shoulder PL 2, left elbow PL 2 intermitant.  Took Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130510 - mg and 1 Gabapentin 300 mg for pain (...test this combination with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130511 - temperature < 80...).  Took 2nd Magnesium complex 300 mg pill -
130512 - emptied magnesium power from capsul onto food to avoid clogging LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130513 - as occurred on 240824, above. ref SDS 0 PPTU; magnesium supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130514 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130515 - might as well be secret source that stimulates liver to increase HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130516 - 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130517 - ref SDS 46 XK7M  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130518 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130519 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130520 - Forgot to bring Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130521 - hike.  Since temperature not elevated above 80, which increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130522 - sweating that ejects electrolytes, and since not extending hike over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130523 - YV summit going for 20+ mile hike, did not take Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130524 - per above. ref SDS 0 PVPS  Exited college on Campus drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130525 - North.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130526 - grade .5 miles.  At mile 12 feet hurting less after taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130527 - with Gabapentin at time 0805 - Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130528 - heading West on Ygnacio Valley Road uphill 3% grade against wind 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130529 - mph.  Crossed Cowell at stop light.  At break in traffic, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130530 - North side Ygnacio Valley Road to avoid severe camber.  Since feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130531 - hurting less and still feeling good continued uphill .5 mile to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130532 - of Ygnacio Valley Road.  Turned around and hiked back.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130533 - onto Cowell heading North .25 miles downhill 5% grade, then flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130534 - .25 miles, then .5 miles with narrow shoulder against oncoming heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130535 - commute traffic.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130536 - Cuneo then to Kaski doing 3 miles through residential streets.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130537 - hike mile 17 time 1002 temp 72, wind 1, left hip PL 1 down from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130538 - halfway in the hike), feet PL 3, burning sensation PL 1, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130539 - PL 0, right foot #4 top blister/callus PL 1, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130540 - bunions PL 0, shin splints PL 0, left knee PL 1 (swollen), left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130541 - hamstring PL 1, right hamstring PL 1, right knee PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130542 - PL 1, neck and right shoulder PL 0 intermittantly, lower back left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130543 - side PL 0, left elbow PL 2, when lifting.  EKG looks uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130544 - artifact, Kardia reported HR 132 Tachycardis - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130545 - PYXY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130547 -  ..
130548 - Felt better at end of hike than for last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130559 -  ..
130560 - Kardia recorded HR 053 at 0335 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130561 - lengths with p-waves and some artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130562 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130563 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130564 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130565 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130568 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130569 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240827-ecg-033516_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130573 -  ..
130574 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130575 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130576 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130578 -  ..
130579 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130581 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
130582 -       Date        240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605 240604   
130583 -       Miles          17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0      0     
130584 -       HR AVG        121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     no     
130585 -         MAX         149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report report report report report report report   
130586 -         Min          89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th                                                     
130587 -       El Climb Ft   305                  305   <--------------------- can't hike recover hike recove<-- can't hike recover ischemic colitis after 6th cardiac ablation ----------------------------- -->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305    305             305 <------Recover 6th ablation ----->   Abltn   <-- can't hike due to AFL pending 6th ablation-
130588 -       Temp Max       74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                               
130589 -       Wind Max        1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                               
130590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130592 -              https://flow.polar.com/training/analysis/7949435018                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130595 -               ..
130597 -   
130598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130602 -  ..
130603 - EKG at mile 11 time 0805 HR 116 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130604 - Tachycardia... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130605 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130608 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130609 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240827-ecg-080533_mile_11_116_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130613 -  ..
130614 - End hike EKG at mile 17, time 1002 HR 132 temp 72 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130615 - Tachycardia... looks uniform with no artifact - a lot like AFL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130616 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130619 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130620 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240827-ecg-100235_mile_17_132_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130624 -  ..
130625 - Post hike HR profile beginning 1902, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130626 - hiking 17 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130627 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130628 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130629 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130632 -        ..
130633 -       Date      240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617  240616    
130634 -       Time       1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740    2046     
130635 -       Hours        11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13      10     
130636 -       HR AVG       59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63      65     
130637 -       HR MAX      128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132      98     
130638 -       HR Min       41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42      42     
130639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130641 -              https://flow.polar.com/training/analysis/7949994696                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130644 -               ..
130646 -   
130647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130650 -  ..
130651 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130652 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130653 - Dinner - eggs broccoli cauliflower onion potatos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130655 -  ..
130656 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130683 -         ..
130684 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130685 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130686 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130687 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130688 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130689 -  241.  240828 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130690 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130691 -               0655....BP HR..................................................... 142  84  53  Kardia ECG reports HR status, see below. ref SDS 0 QPVY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130692 -               0700....BP HR..................................................... 143  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130693 -               0705....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130694 -               0795....80 413280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130695 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
130696 -               0705... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130697 -               0705....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130698 -               0705....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130699 -               0705....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130700 -               0705....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130701 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
130702 -  ..
130703 -               0856....miles...........  14.0  31.0  224   499 minutes  temp  90 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130704 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130705 -               1121....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130706 -               1121....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130707 -               1121... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130708 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130709 -               1121... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130710 -               1121... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130711 -               1121....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130712 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
130713 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130714 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130715 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130716 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at Crystal Ranch Road mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130717 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130718 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130719 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130720 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130721 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130722 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
130723 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130724 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130725 -               1613... Hike ends mile 16... ref SDS 0 72PR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130726 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130727 -               1630....weight.................................... 176  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130728 -               1332....BP HR.....................................................  93  54  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130729 -               1344....BP HR..................................................... 101  66 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130730 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130731 -               1700... 40 113900 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
130732 -             1 0000............ 10 20280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130733 -             1 0000............ 10 20640  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130734 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130735 -               2040... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130736 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130737 -               2130... 40 90100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130738 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130739 -               2200... 1000 2215000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130740 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130741 -               2330... 80 413360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130742 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130745 -  ..
130746 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130747 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130749 -  ..
130750 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130751 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130753 -  ..
130754 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130755 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130758 -  ..
130759 - Today, hiked 14 miles - took Magnesium complex 300 mg pill, opened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130760 - capsule and emptied powder onto avocado, margarine and peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130761 - instead of swallowing capsule whole.  This avoids large pills clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130762 - LESV that prevents food, medicine and liquid passing into the stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130763 - for digestion.  Used scissors to cut pills that avoids splatter with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130764 - loss of medication. - ate chia seeds with it. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130765 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130766 - Left hamstring PL 3; gradually reduced to 0 about mile 10.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130767 - on Ayers to Clayton Road, mile 3, then West on Ygnacio Valley Road 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130768 - mile.  At mile 5, hiked East on Pine Hollow  .75 mile.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130769 - and hiked back.  Turned left heading West 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130770 - college.  Hiked 2 miles through faculty and student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130771 - Stopped mile 10, for EKG, hydration and nutrition.  Did not try to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130772 - swallow magnesium pill, which dlogged throat durinr hike on 240824,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130773 - per above, ref SDS 0 745N, Feet pain declined and energy increased to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130774 - finish hike.  Left college hiking down Campus Road then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130775 - Ygnacio Valley Road.  Continued past Crystal Ranch Road heading uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130776 - on Ygnacio Valley Road.  Hiked to summit, turned around and back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130777 - Turned left onto Cowell, hiking 2 miles to home.  Hike very difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130778 - because of temperature and body has less condition after long pause.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130779 - Didn't need another Tramadol at mile 13, because Magnesium Complex was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130780 - processed by the body, i.e., did not get clooed above LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130784 -         ..
130785 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130786 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130787 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis 20% of hike, did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                       
130788 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130789 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130790 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 09helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130791 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130792 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130793 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130794 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 09and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130795 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 09 and not again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                               
130796 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130797 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 09 and mpt again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                    
130798 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130799 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130800 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
130801 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130802 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130803 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130804 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 09 and not again at mile 00  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                  
130805 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130806 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130807 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130808 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130809 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                         
130810 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130811 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130812 -        Hamstring left leg...........................   2         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 09 much better after hike                                                                                                                                                                                                                                                                                                                                                                                                                      
130813 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130814 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130815 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130816 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
130817 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130818 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130819 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 09 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                                                   
130820 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 09 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                                                   
130821 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130822 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130823 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130824 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
130825 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
130826 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
130827 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130828 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
130829 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
130830 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
130831 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130832 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
130833 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 09                                                                                                                                                                                                                                                                                                                                           
130834 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 09                                                                                                                                                                                                                                                                                                                                           
130835 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130836 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
130837 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
130838 -        Callus ring toe #4 top right foot............   2         40  used neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 09 seemed like it may have slipped off because pressure from top of shoe, but after hike took shoe and socks off neoprene sleve was still in position - could be just pressure issue pain decined after taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                      
130839 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
130840 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130841 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
130842 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
130843 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130844 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130845 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130846 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
130847 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130848 -        Burning sensation both feet..................   1         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 09 and not again at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130849 -        Stinging sensation both feet.................   0        100  when stopped at mile 09 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                    
130850 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130851 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130852 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130853 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130854 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130855 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130856 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130857 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130858 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130859 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130863 -  ..
130864 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130865 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130866 - Used new Pediplasti Interdigital Spacer to protect #4-#5 on both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130867 - Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130869 -  ..
130870 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130871 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130872 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130873 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130874 - blisters on long hikes, reported in meeting with Doctor Tang on 240726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130875 - 0930. ref SDS 51 SY79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130877 -  ..
130878 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130879 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130881 -  ..
130882 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130883 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130884 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130885 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130886 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130887 - right foot.  Today, used Pediplast spacers, and did not use neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130888 - sleeve to protect top of #4 on right foot.  The left foot had PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130889 - entire hike.  Right foot #4 bottom PL 0.  No blisters today - felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130890 - top of right foot #4; may use neoprene sleeve on #4 next hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130892 -  ..
130893 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130894 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130895 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130896 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130897 - ref SDS 0 PWSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130900 -  ..
130901 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130902 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130903 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130904 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130905 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130906 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130907 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130908 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130909 - ref SDS 42 VY92...) - designed to swallow, but pills are too big to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130910 - slip through LESV, at least until after EGD dilation of LESV scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130911 - on 240910.  Today, tried cutting capsule open with scissors - the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130912 - powder spills without splatter onto food bunched on a cutting board,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130913 - and in the hiking container, e.g., avocado, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130914 - margarine.  Consumed Magnesium with a spoon combined with the food.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130915 - Disadvantage is the magnesium processed immediately, instead gradually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130916 - as the plastic capsule is designed to breakdown in the stomach which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130917 - releases energy in other body elements.  Fortunately, today there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130918 - steady increased energy for the last 6 miles, whereas there seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130919 - be uneven energy, at least indicated by the Polar HR monitor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130920 - Therefore consuming magnesium in the stomach out of capsule seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130921 - better than allowing the Magnesium pill to breakdown on top of LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130922 - Magnesium increases energy by disapating lactic acid that causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130923 - fatigue in muscles, and also reduces inflammation, critical for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130924 - raising HDL, and general health in major organs.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130925 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130926 - energy, and avocado for HDL, per above. ref SDS 0 A64J  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130927 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130928 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130929 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130930 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130931 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130932 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130933 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130934 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130935 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130936 - TL6I  Took backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130937 - Half Dome.  Hiked Cuneo .25 miles and turned left, onto Treat about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130938 - mile.  Feet starting hike feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130939 - peripheral neuropathy caused by taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130940 - entire hike with no dyspnea, despite no hiking past 4 weeks.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130941 - started at 63, and reached 98.  West wind 5 mph and mostly 1 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130942 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130943 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130944 - some places 2% - 3% uphill, and very light - moderate traffic. at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130945 - commute time.  At mile 2, hiked across Newhall Community Park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130946 - back.  Continued on Turtle Creek Road uphill 4% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130947 - onto Ayers hiking East .75 miles on asphalt road shoulder with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130948 - moderate traffic.  At mile 3, turned right onto Clayton Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130949 - South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130950 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130951 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130952 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Heavy commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130953 - traffic.  Continued hike crossing Park Highlands Road at stop light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130954 - and heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130955 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130956 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130957 - Station store mile 5 time _____.  Turned left onto Pine Hollow, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130958 - curves heading East .75 mile.  Nearing Rolling Woods Way, hiked back o                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130959 - Ygnacio Valley Road.  Lisa honked and waved again heading East; one of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130960 - the dogs was barking with head partially out the mostly closed window.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130961 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130962 - against wind 12 mph.  Encountered Kathy near Boatwright park.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130963 - asked about long abscense from hiking - explained being sick.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130964 - encountered Carolyn - she waved, but we didn't visit, because she had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130965 - a telephone call.  At mile 08, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130966 - State University East Bay Concord Campus.  Hiked 1 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130967 - Faculty and Student parking.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130968 - Administration Building mile 09 time 1121 temp 82 and wind 7 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130969 - looks uniform with no artifact.  Kardia reported HR 128 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130970 - see below. ref SDS 0 Q518  HR did drop severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130971 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130972 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130973 - feet PL 2 - better after applying Amonium Lactate 12% last night, see,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130974 - ref SDS 0 PVPS, Burning sensation PL 2, right foot Tailor's bunions PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130975 - 0, left foot #5 edge blister/callus PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130976 - blister/callus PL 2, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130977 - PL 2, left hamstring PL 3, left shoulder PL 2, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130978 - intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130979 - (...test this combination with temperature > 80...).  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130980 - Magnesium complex 300 mg pill - before hike started emptied magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130981 - powder from capsul onto food to avoid clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130982 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130983 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130984 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130985 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130986 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130987 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130988 - Cola/orange juice) for energy, and avocado for HDL.  Forgot to bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130989 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130990 - temperature elevated above 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130991 - electrolytes, and even though not extending hike over YV summit going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130992 - for 20+ mile hike, took Nuun electrolyte pill, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130993 - PWSS  Hiked another loop through Faculty and Student parking lots -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130994 - almost immediately, i.e., within 5 minutes HR shot up from 48 to 188 =                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130995 - 148 BPM while hiking on flat grade over a distance of .17 mile.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130996 - stayed elevated for about 1.5 miles then dropped into normal rhythm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130997 - rest of hike.  Exited college on Campus drive heading North.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130998 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130999 - mile 12 feet hurting less after taking Tramadol with Gabapentin at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131000 - time 0805 - Continued past Crystal Ranch Road heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131001 - Valley Road uphill 3% grade against wind 1 mph.  Crossed Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131002 - stop light.  At break in traffic, crossed to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131003 - Road to avoid severe camber.  Since feet hurting less and despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131004 - feeling signicantly fatigued, and in order to increase weight loss and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131005 - increase HDL gain, and to stretch blood vessels from temperature 90,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131006 - continued uphill .5 mile to summit of Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131007 - around and hiked back.  Turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131008 - miles downhill 5% grade, then flat grade .25 miles, then .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131009 - narrow shoulder against oncoming heavy commute traffic.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131010 - onto Treat hiking West .25 miles back to Cuneo.  Feeling fatigued,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131011 - dizzy, wobbly ended hike mile 14 time 1310 temp 90, wind 10, left hip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131012 - PL 0, feet PL 2, burning sensation PL 3, left foot #5 PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131013 - #4 top blister/callus PL 1, right foot Tailor's bunions PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131014 - splints PL 0, left knee PL 1 (swollen), left hamstring PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131015 - hamstring PL 0, right knee PL 0, left shoulder PL 1, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131016 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131017 - 2, when lifting.  EKG looks uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131018 - HR 146 Tachycardis - see below. ref SDS 0 QQRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131020 -  ..
131021 - Felt wasted at end of hike - close to worst ever, legs very weak going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131022 - upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131033 -  ..
131034 - Kardia recorded HR 053 at 0652 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131035 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131036 - AFL after hiking 17 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131037 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131038 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131039 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131042 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131043 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240828-ecg-065243_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131047 -  ..
131048 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131049 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131050 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131052 -  ..
131053 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131055 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
131056 -       Date        240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606 240605   
131057 -       Miles          14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0      0     
131058 -       HR AVG        134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     no     
131059 -         MAX         188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report report report report report report   
131060 -         Min          48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th                                              
131061 -       El Climb Ft   305    305                  305   <--------------------- can't hike recover hike recove<-- can't hike recover ischemic colitis after 6th cardiac ablation ----------------------------- -->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405    305        305  305    305 <------Recover 6th ablation ----->   Abltn   <-- can't hike due to AFL pending 6th ab
131062 -       Temp Max       90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                        
131063 -       Wind Max       12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                        
131064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131066 -              https://flow.polar.com/training/analysis/7950357691                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131069 -               ..
131071 -   
131072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131076 -  ..
131077 - EKG at mile 09 time 1121 HR 128 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131078 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131079 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131081 -  ..
131082 - Looks like AFL, but is not...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131084 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131085 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240828-ecg-112138_mile_09_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131089 -  ..
131090 - End hike EKG at mile 14, time 1310 HR 146 temp 90 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131091 - Unclassified... looks perfectly uniform with no artifact - a lot like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131092 - AFL - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131094 -  ..
131095 - Looks like AFL but HR varied after ending hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131097 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131098 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240828-ecg-131027_mile_14_146_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131102 -  ..
131103 - Post hike HR profile beginning 1759, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131104 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131105 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131106 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131107 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131110 -        ..
131111 -       Date      240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618  240617    
131112 -       Time       1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821    1740     
131113 -       Hours         8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12      13     
131114 -       HR AVG       72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59      63     
131115 -       HR MAX      101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     132     
131116 -       HR Min       43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38      42     
131117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131119 -              https://flow.polar.com/training/analysis/7950544863                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131122 -               ..
131124 -   
131125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131128 -  ..
131129 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131130 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131131 - Dinner - tuna eggs broccoli cauliflower onion potatos avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131133 -  ..
131134 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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131160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131162 -         ..
131163 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131164 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131165 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131166 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131167 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131168 -  242.  240829 0200............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131169 -               0200....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131170 -               0205....BP HR..................................................... 134  90  63  Kardia ECG reports HR status, see below. ref SDS 0 QPVY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131171 -               0210....BP HR..................................................... 134  76  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131172 -               0215....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131173 -               0215....80 413440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131174 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
131175 -               0355... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131176 -               0355....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131177 -               0355....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131178 -               0355....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131179 -               0215....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131180 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
131181 -  ..
131182 -               0856....miles...........  16.0  47.0  279   778 minutes  temp  56 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131183 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131184 -               1121....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131185 -               1121....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131186 -               1121... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131187 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131188 -               1121... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131189 -               1121... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131190 -               1121....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131191 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
131192 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131193 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131194 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131195 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at Crystal Ranch Road mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131196 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131197 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131198 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131199 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131200 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131201 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131202 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131203 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131204 -               0756... Hike ends mile 16... ref SDS 0 GF6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131205 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131206 -               0830....weight.................................... 176  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131207 -               0830....BP HR..................................................... 103  61 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131208 -               0835....BP HR.....................................................  97  62  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131209 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131210 -               1700... 40 113940 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
131211 -               1830............ 10 20290  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131212 -               1830............ 10 20650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131213 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131214 -               2040... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131215 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131216 -               2130... 40 90140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131217 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131218 -               2200... 1000 2216000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131219 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131220 -               2330... 80 413520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131221 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131224 -  ..
131225 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131226 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131228 -  ..
131229 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131230 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131232 -  ..
131233 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131234 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131237 -  ..
131238 - Today, hiked 16 miles - in San Francisco Golden Gate Park, and later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131239 - through Costco, with temp 57 and wind 12; begin from VA Medical Center                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131240 - on Clement at 42nd street, hike to Point Lobos, then West 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131241 - Cliff House.  Hike South 1 mile on Great Highway.  Turn East onto JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131242 - through Golden Gate Park past Buffalo compound, and Sprekles Lake.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131243 - De Young museum mile 5, continue past Conservatory to Stanyon then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131244 - North to Portrait Way.  Turn around and hike back to hospital.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131245 - knee okay with pain meds, and left hamstring PL 1 - could not hike up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131246 - hill from Ocean Beach to the hospital breathing only through nose due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131247 - to loss of conditioning from inactivity past month.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131250 -         ..
131251 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131252 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131253 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - no colitis 20% of hike, did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                       
131254 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131255 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131256 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 09helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131257 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131258 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131259 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131260 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 00and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131261 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                    
131262 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131263 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 00 and mpt again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                    
131264 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131265 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131266 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
131267 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131268 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131269 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131270 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 07  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                      
131271 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131272 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131273 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131274 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131275 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                         
131276 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131277 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131278 -        Hamstring left leg...........................   1         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 00 and again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                        
131279 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131280 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131281 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131282 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
131283 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131284 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131285 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 07 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
131286 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 07 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
131287 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131288 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131289 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131290 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
131291 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
131292 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
131293 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131294 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
131295 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
131296 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 00and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
131297 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131298 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
131299 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 00                                                                                                                                                                                                                                                                                                                                           
131300 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 00                                                                                                                                                                                                                                                                                                                                           
131301 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131302 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
131303 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
131304 -        Callus ring toe #4 top right foot............   2         40  used neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 07 seemed like it may have slipped off because pressure from top of shoe, but after hike took shoe and socks off neoprene sleve was still in position - could be just pressure issue pain decined after taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                 
131305 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
131306 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131307 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
131308 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 00 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
131309 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131310 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131311 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131312 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
131313 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131314 -        Burning sensation both feet..................   1         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 00 and again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131315 -        Stinging sensation both feet.................   0        100  when stopped at mile 09 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                    
131316 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131317 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131318 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131319 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131320 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131321 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131322 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131323 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131324 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131325 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131329 -  ..
131330 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131331 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131332 - Used new Pediplasti Interdigital Spacer to protect #4-#5 on both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131333 - Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131335 -  ..
131336 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131337 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131338 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131339 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131340 - blisters on long hikes, reported in meeting with Doctor Tang on 240726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131341 - 0930. ref SDS 51 SY79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131343 -  ..
131344 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131345 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131347 -  ..
131348 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131349 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131350 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131351 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131352 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131353 - right foot.  Today, used Pediplast spacers, and did not use neoprene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131354 - sleeve to protect top of #4 on right foot.  The left foot had PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131355 - entire hike.  Right foot #4 bottom PL 0.  No blisters today - felt top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131356 - of right foot #4; may use neoprene sleeve on #4 next hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131358 -  ..
131359 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131360 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131361 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131362 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131363 - ref SDS 0 QRRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131366 -  ..
131367 - San Francisco 10 mile route, reported on 170519, ref SDS 6 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131368 - Before leaving house in Concord, took Glucosamine Chondroitin for OA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131369 - At VA time 0345, before starting hike at the VA, Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131370 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131371 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131372 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131373 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131374 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131375 - ref SDS 42 VY92...) - designed to swallow, but pills are too big to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131376 - slip through LESV, at least until after EGD dilation of LESV scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131377 - on 240910.  Before leaving house cut 2 magnesium capsules open and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131378 - poured powder onto food in plastic container - avocado, peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131379 - and margarine.  At the hospital before starting hike used a spoon to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131380 - consume the Magnesium combined with the food, and washed down with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131381 - sips of softdrink.  This avoided magnesium getting stuck on top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131382 - LESV and clogging the esophagus.  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131383 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131384 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131385 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131386 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131387 - above. ref SDS 0 GB3I  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131388 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131389 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131390 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131391 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131392 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131393 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131394 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131395 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131396 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131397 - good to build conditioning for Half Dome.  Weather overcast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131398 - temperature 57, wind 12 mph, no mist.  Started hike leaving parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131399 - lot at VAMCSF at 0359.  Hiked slowly downhill on 42nd Street to warm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131400 - up.  Turned corner heading downhill West on Point Lobos to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131401 - at mile 1.  Getting light now.  Did not need headlight.  Road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131402 - and changes to "Great Highway" going South along ocean beach.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131403 - 2 turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131404 - Feeling left hamstring PL 1.  Maintained pace going slightly uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131405 - into the park for .5 miles.  Turned corner and continued East on JFK.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131406 - Dark and with few widely spaced street lights, cannot see the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131407 - Passed Buffalo compound, then Spreckles Lake.  Hiking past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131408 - Meadow said hello to early morning jogger going West.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131409 - Helman Hollow.  Both feet pain level 1.  Hiked under bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131410 - Crossover Drive (part of highway 1 that goes to Golden Gate Bridge). -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131411 - JFK is blocked to vehicle traffic the rest of the way through the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131412 - to Stanyon, limiting attendance to keep people separated that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131413 - minimizes spreading coronavirus.  Now that the epidemic has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131414 - delcared over, the park continues to deny access to drivers on JFK.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131415 - At mile 5, hiked past De Young Museum.  Encountering hikers and bikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131416 - heading in both directions.  Continued East and turned left on Stanyon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131417 - hikig uphill North.  Stopped mile 7, time 0551, temp 57, wind 07; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131418 - variable with artifact.  Kardia reported HR 108 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131419 - below. ref SDS 0 QVPV  Both feet PL 1, burning sensation PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131420 - foot Tailor's bunions PL 0, left foot #5 top blister/callus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131421 - right foot #4 top blister/callus PL 1, with pediplasti spacer, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131422 - knee PL 1, and left hamstring PL 1.  Softddrink carried from home to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131423 - help swallow Magnesium to dissipate inflammation, and swallow peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131424 - butter, avocado, margarine.  Took CoQ10 for energy and HDL.  Stayed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131425 - South side against traffic (no actual vehicle traffic in park) going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131426 - Eest.  Increased pace with endorphins rising.  Waterfall not running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131427 - at 0720 this morning, before hiking under Crossover Road bridge and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131428 - past Hellman Hollow.  Hiked past Lindley Meadow, where 9 years ago, a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131429 - truck backed up because missed a turn, and struck Kathy's car; this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131430 - got her a new car, reported on 150729 0942. ref SDS 4 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131431 - hiking past Spreckles Lake, then saw 4 or 5 Buffalo grazing in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131432 - compound.  Crossed to North side of JFK going with traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131433 - corner and headed toward the ocean.  Turned North onto Great Highway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131434 - Hiked parallel to ocean toward the Cliff House and the hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131435 - Halfway to Cliff House drank rest of liquid CoQ10 for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131436 - Maintained pace hiking up steep hill - 5% - 6% grade.  Crashed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131437 - burned (dyspnea occurred) could not maintain breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131438 - for 1.5 miles uphill all the way to the hospital. after not hiking to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131439 - recover from cardiac ablation on 240611 - see Polar GPS/HR report on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131440 - daily hiking in the record today, below. ref SDS 0 UVYY  At the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131441 - House, turned onto Point Lobos Avenue going East; hiked uphill for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131442 - mile.  Turned onto 42nd street and maintained pace going up final hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131443 - to the VA campus, then walked through hospital to cafeteria and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131444 - Podiatry Clinic on ground floor - end hike 13 miles - time 0755 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131445 - 54 wind 10, feet PL 2, left hamstring PL 2, left knee PL 2, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131446 - right shoulder PL 0 (only when turning head or lifting right arm),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131447 - left shoulder PL 2 - getting better.  EKG looks variable with p-wave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131448 - and artifact, reported HR 112 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131449 - below. ref SDS 0 QVQY  Hiked another 3 miles at hospital and at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131450 - Costco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131461 -  ..
131462 - Kardia recorded HR 053 at 0652 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131463 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131464 - AFL after hiking 17 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131465 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131466 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131467 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131470 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131471 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240828-ecg-065243_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131475 -  ..
131476 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131477 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131478 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131480 -  ..
131481 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131483 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
131484 -       Date        240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608 240607 240606   
131485 -       Miles          16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0      0      0     
131486 -       HR AVG        119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     no     no     
131487 -         MAX         150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report report report report report   
131488 -         Min          89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th                                       
131489 -       El Climb Ft   340    305    305                  305   <--------------------- can't hike recover hike recove<-- can't hike recover ischemic colitis after 6th cardiac ablation ----------------------------- -->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                  405        305  305    305    305 <------Recover 6th ablation ----->   Abltn   <-- can't hike due to AFL pending
131490 -       Temp Max       56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                                 
131491 -       Wind Max       12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                                 
131492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131494 -              https://flow.polar.com/training/analysis/7951005620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131497 -               ..
131499 -   
131500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131502 -  ..
131503 - Polar hiking GPS graphic report shows unusally erratic HR despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131504 - steady pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131509 -  ..
131510 - EKG at mile 07 time 0551 HR 108 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131511 - Unclassified... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131512 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131516 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131517 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240829-ecg-055133_mile_07_108_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131522 -  ..
131523 - End hike EKG at mile 13, time 0755 HR 112 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131524 - Possible Atrial Fibrillation... looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131525 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131528 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131529 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240829-ecg-075511_mile_13_112_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131533 -  ..
131534 - Post hike HR profile beginning 2053, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131535 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131536 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131537 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131538 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131541 -        ..
131542 -       Date      240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619  240618    
131543 -       Time       2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845    1821     
131544 -       Hours         7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14      12     
131545 -       HR AVG       68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58      59     
131546 -       HR MAX      124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     129     
131547 -       HR Min       41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41      38     
131548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131550 -              https://flow.polar.com/training/analysis/7951305241                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131553 -               ..
131555 -   
131556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131559 -  ..
131560 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131561 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131562 - Dinner - tuna eggs broccoli cauliflower onion potatos avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131564 -  ..
131565 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131592 -         ..
131593 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131594 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131595 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131596 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131597 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131598 -  243.  240830 0420............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131599 -               0420....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131600 -               0425....BP HR..................................................... 151  88  69  Kardia ECG reports HR status, see below. ref SDS 0 6YEQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131601 -               0430....BP HR..................................................... 145  86  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131602 -               0435....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131603 -               0435....80 413600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131604 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
131605 -               0435... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131606 -               0435....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131607 -               0435....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131608 -               0435....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131609 -               0435....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131610 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131611 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131612 -               1700... 40 113980 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
131613 -             1 0000............ 10 20290  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131614 -             1 0000............ 10 20650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131615 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131616 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131617 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131618 -               2130... 40 90180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131619 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131620 -               2200... 1000 2217000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131621 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131622 -               2330... 80 413680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131623 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131626 -  ..
131627 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131628 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131630 -  ..
131631 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131632 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131634 -  ..
131635 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131636 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131640 -  ..
131641 - Kardia recorded HR 053 at 0444 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131642 - lengths with p-waves and no artifact; likely no AFL after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131643 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131644 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131645 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131646 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131649 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131650 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240830-ecg-044430_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131654 -  ..
131655 - Post hike HR profile beginning 2120, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131656 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131657 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131658 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131659 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131662 -        ..
131663 -       Date      240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620  240619    
131664 -       Time       2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841    1845     
131665 -       Hours         8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11      14     
131666 -       HR AVG       60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55      58     
131667 -       HR MAX       87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     124     
131668 -       HR Min       42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36      41     
131669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131671 -              https://flow.polar.com/training/analysis/7951991575                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131674 -               ..
131676 -   
131677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131680 -  ..
131681 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131682 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131683 - Dinner - tuna eggs broccoli cauliflower onion potatos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131685 -  ..
131686 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
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131710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131712 -         ..
131713 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131714 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131715 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131716 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131717 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131718 -  244.  240831 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131719 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131720 -               0645....BP HR..................................................... 136  88  53  Kardia ECG reports HR status, see below. ref SDS 0 RSXY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131721 -               0650....BP HR..................................................... 139  92  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131722 -               0655....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131723 -               0655....80 413760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131724 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
131725 -               0655... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131726 -               0655....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131727 -               0655....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131728 -               0655....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131729 -               0655....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131730 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
131731 -  ..
131732 -               0917....miles...........  16.0  63.0  264  1042 minutes  temp  84 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131733 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131734 -               0950... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
131735 -               1044....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131736 -               1044....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131737 -               1044... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131738 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131739 -               1044... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131740 -               1044... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131741 -               1044....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131742 -               1220... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
131743 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131744 -               0000....mile 14 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131745 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131746 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at Crystal Ranch Road mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131747 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131748 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131749 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131750 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131751 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131752 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131753 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131754 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131755 -               1355... Hike ends mile 16... ref SDS 0 72PR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131756 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131757 -               1405....weight.................................... 175  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131758 -               1412....BP HR..................................................... 109  89 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131759 -               1421....BP HR..................................................... 113  80 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131760 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131761 -               1700... 40 114020 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
131762 -               1830............ 10 20300  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131763 -               1830............ 10 20660  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131764 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131765 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131766 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131767 -               2130... 40 90220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131768 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131769 -               2200... 1000 2218000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131770 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131771 -               2330... 80 413840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131772 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131776 -  ..
131777 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131778 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131780 -  ..
131781 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131782 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131784 -  ..
131785 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131786 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131789 -  ..
131790 - Today, hiked 16 miles - took Magnesium complex 300 mg pill, opened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131791 - capsule and emptied powder onto avocado, margarine and peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131792 - instead of swallowing capsule whole.  This avoids large pills clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131793 - LESV that prevents food, medicine and liquid passing into the stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131794 - for digestion. -- started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131795 - streets - Treat, Turtle Creek Road.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131796 - Road, mile 3; did not feel well - bloated, took Simethicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131797 - Continued West on Ygnacio Valley Road 1 mile.  At mile 5, hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131798 - on Pine Hollow 1.50 miles.  Turned around and hiked back.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131799 - heading West 1 mile on Campus Drive to college.  Hiked 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131800 - faculty and student parking lots.  Stopped mile 09, for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131801 - and nutrition.  Did not feel well - bloated.  Took another magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131802 - pill to prevent inflammation, and increase energy.  Took CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131803 - energy and HDL.  Hiked another 3 miles through parking lots.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131804 - felt better.  Left college hiking down Campus Road then West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131805 - Ygnacio Valley Road.  Did not take another Tramadol even feet hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131806 - Took another Simethicone for bloating.  Continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131807 - Road heading uphill on Ygnacio Valley Road.  Continued past Cowell .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131808 - mile.  Turned around at summit mile 14.  Starting to feel better, more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131809 - normal, just gliding.  Hiked back and turned left onto Cowell.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131810 - 1 mile to Treat then Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131813 -         ..
131814 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131815 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131816 -        Stomach pain ischemic colitis bloating.......   3         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis 60% of hike, took Simethicone mile 3 and 13 finally felt okay last 3 miles                                                                                                                                                                                                                                                                                                                                                                     
131817 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131818 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131819 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 09helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131820 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131821 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131822 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131823 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 09and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131824 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                    
131825 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131826 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 09 and mpt again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                    
131827 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131828 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131829 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
131830 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131831 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131832 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131833 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 07  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                      
131834 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131835 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131836 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131837 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131838 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                         
131839 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131840 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131841 -        Hamstring left leg...........................   1         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 09 and again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                        
131842 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131843 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131844 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131845 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
131846 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131847 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131848 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 00 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
131849 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 00 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
131850 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131851 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131852 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131853 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
131854 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
131855 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
131856 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131857 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
131858 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
131859 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
131860 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131861 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
131862 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 09                                                                                                                                                                                                                                                                                                                                           
131863 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 09                                                                                                                                                                                                                                                                                                                                           
131864 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131865 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
131866 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
131867 -        Callus ring toe #4 top right foot............   0         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 07 seemed like it may have slipped off because pressure from top of shoe, but after hike took shoe and socks off neoprene sleve was still in position - could be just pressure issue pain decined after taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                          
131868 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
131869 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131870 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
131871 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
131872 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131873 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131874 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131875 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
131876 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131877 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 09 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131878 -        Stinging sensation both feet.................   0        100  when stopped at mile 09 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
131879 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131880 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131881 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131882 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131883 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131884 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131885 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131886 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131887 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131888 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131892 -  ..
131893 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131894 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131895 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131896 - both feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131898 -  ..
131899 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131900 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131901 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131902 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131903 - blisters on long hikes, reported in meeting with Doctor Tang on 240726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131904 - 0930. ref SDS 51 SY79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131906 -  ..
131907 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131908 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131910 -  ..
131911 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131912 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131913 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131914 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131915 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131916 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131917 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131918 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131919 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131920 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131922 -  ..
131923 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131924 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131925 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131926 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131927 - ref SDS 0 RPYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131930 -  ..
131931 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131932 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131933 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131934 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131935 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131936 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131937 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131938 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131939 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131940 - plastic capsule breakdown and releases content over time.  Since pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131941 - are too big to slip through LESV, at least until after EGD dilation of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131942 - LESV scheduled on 240910.  Therefore cutting capsule open with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131943 - scissors - the powder spills without splatter onto food bunched on a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131944 - cutting board, and in the small plastic hiking container, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131945 - avocado, peanut butter and margarine.  Consumed Magnesium with a spoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131946 - combined with the food.  Disadvantage is the magnesium may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131947 - processed faster.  Research with Microsoft AI indicates magnesium can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131948 - be effective combined with avocado, peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131949 - reported on 240519 1653. ref SDS 42 JH8L  Fortunately, today there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131950 - steady increased energy for the last 6 miles, whereas there seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131951 - be uneven energy, at least indicated by the Polar HR monitor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131952 - Therefore consuming magnesium in the stomach out of capsule seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131953 - better than allowing the Magnesium pill to breakdown on top of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131954 - as occurred on 240824. ref SDS 0 PPTU  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131955 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131956 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131957 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131958 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131959 - above. ref SDS 0 VX5F  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131960 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131961 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131962 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131963 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131964 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131965 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131966 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131967 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131968 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131969 - good to build conditioning for Half Dome.  Hiked Cuneo .25 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131970 - turned left, onto Treat about 1 mile.  Feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131971 - swelled and like pins and needles - peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131972 - taking statins.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131973 - now after 4 hikes since not hiking past 4 weeks.  Temp started at 68,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131974 - and reached 84.  West wind 12 mph and mostly 10 mph.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131975 - Treat .50 miles.  Turned right hiking South on Turtle Creek Road with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131976 - wide asphalt shoulder 1.5 miles mostly flat grade, some places 2% - 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131977 - uphill, and very light - moderate traffic. at commute time.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131978 - 2, did not hike across Newhall Community Park and back.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131979 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131980 - .75 miles on asphalt road shoulder with moderate traffic.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131981 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131982 - pavement in parking lots of shopping complex.  Feeling bloated - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131983 - Simethicone.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131984 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131985 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Light weekend                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131986 - traffic.  Continued hike crossing Park Highlands Road at stop light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131987 - and heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131988 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131989 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131990 - Station store mile 5 time _____.  Turned left onto Pine Hollow, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131991 - curves heading East 1.5 miles.  At Pine Hollow Middle School turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131992 - around.  Hiked back to Ygnacio Valley Road.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131993 - Drive hiking West 1 mile uphill 3% - 4% grade against wind 12 mph.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131994 - mile 08, reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131995 - Bay Concord Campus.  Hiked 1 mile through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131996 - Back at Visitor Parking stopped at Administration Building mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131997 - time 1148 temp 76 and wind 6 mph; EKG looks mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131998 - artifact.  Kardia reported HR 124 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131999 - RTSV  HR did not drop severely today, during pause for EKG, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132000 - and nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132001 - research on 240416 0942. ref SDS 34 RU6M  Still feeling bloated after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132002 - taking Simethicone at mile 3.  Both feet PL 2 - did not apply Amonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132003 - Lactate 12% last night, see ref SDS 0 Z57H  Burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132004 - shin plints PL 2, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132005 - blister/callus PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132006 - callus/blister PL 0.  Left knee meniscus PL 1, left hamstring PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132007 - left shoulder PL 0, left elbow PL 1 intermitant.  Took Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132008 - and 1 Gabapentin 300 mg for pain (...test this combination with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132009 - temperature < 80...).  Took 2nd Magnesium complex 300 mg pill - before
132010 - hike started emptied magnesium powder from capsul onto food to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132011 - clogging LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132012 - provides energy for hiking, and reduces inflammation, essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132013 - raise HDL - might be "secret" source that stimulates liver to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132014 - HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132015 - ref SDS 46 XK7M  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132016 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132017 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132018 - Forgot to bring Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132019 - hike.  Since temperature elevated above 80, which increases sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132020 - that ejects electrolytes, and even though not extending hike over YV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132021 - summit going for 20+ mile hike, took Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132022 - ref SDS 0 RPYY  Hiked another loop around main buildings.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132023 - college on Campus drive heading North.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132024 - Valley Road.  Hiked West on flat grade .5 miles.  Still feel bloated -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132025 - took another Simethicone mile 13.  Feet hurting less after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132026 - Tramadol with Gabapentin at time 1148.  Continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132027 - Road heading West on Ygnacio Valley Road uphill 3% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132028 - 1 mph.  Crossed Cowell at stop light.  At break in traffic, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132029 - North side Ygnacio Valley Road to avoid severe camber.  Since feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132030 - hurting less and legs feeling strong, then in order to increase weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132031 - loss and increase HDL gain, and to stretch blood vessels from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132032 - temperature > 80 that have stiffened without hiking past 2 months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132033 - then, despite heat difficult to bear, continued uphill .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132034 - summit of Ygnacio Valley Road.  Turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132035 - left onto Cowell heading North .25 miles downhill 5% grade, then flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132036 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132037 - heavy commute traffic.  Turned left onto Treat hiking West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132038 - back to Cuneo.  Feeling fatigued, dizzy, wobbly ended hike mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132039 - time 1355 temp 84, wind 11, left hip PL 0, feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132040 - sensation PL 3, left foot #5 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132041 - 1, right foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132042 - (swollen), left hamstring PL 0, right hamstring PL 0, right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132043 - left shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132044 - back left side PL 0, left elbow PL 2, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132045 - variable with no artifact, Kardia reported HR 138 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132046 - Fibrallation - see below. ref SDS 0 RTTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132058 -  ..
132059 - Kardia recorded HR 053 at 0641 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132060 - lengths with p-waves and no artifact; likely no AFL after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132061 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132062 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132063 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132064 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132067 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132068 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240831-ecg-064113_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132072 -  ..
132073 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132074 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132075 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132077 -  ..
132078 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132080 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
132081 -       Date        240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609 240608   
132082 -       Miles          16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0      0     
132083 -       HR AVG        130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     no     
132084 -         MAX         154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report report report   
132085 -         Min         101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th                         
132086 -       El Climb Ft   340           340    305    305                  305   <--------------------- can't hike recover hike recove<-- can't hike recover ischemic colitis after 6th cardiac ablation ----------------------------- -->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305                    305           305    305    305 <------Recover 6th ablation ----->   Abltn   <-- can't hike due
132087 -       Temp Max       84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                                   
132088 -       Wind Max       12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                                   
132089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132091 -              https://flow.polar.com/training/analysis/7952273086                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132094 -               ..
132096 -   
132097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132101 -  ..
132102 - EKG at mile 09 time 1148 HR 124 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132103 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132104 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132108 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132109 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240831-ecg-114821_mile_09_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132114 -  ..
132115 - End hike EKG at mile 16, time 1355 HR 138 temp 84 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132116 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132117 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132120 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132121 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240831-ecg-135542_mile_16_138_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132125 -  ..
132126 - Post hike HR profile beginning 1901, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132127 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132128 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132129 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132130 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132133 -        ..
132134 -       Date      240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621  240620    
132135 -       Time       1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007    1841     
132136 -       Hours        11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9      11     
132137 -       HR AVG       67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63      55     
132138 -       HR MAX      133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     100     
132139 -       HR Min       41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43      36     
132140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132142 -              https://flow.polar.com/training/analysis/7952658789                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132145 -               ..
132147 -   
132148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132151 -  ..
132152 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132153 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132154 - Dinner - eggs broccoli cauliflower onion potatos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132156 -  ..
132157 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132184 -         ..
132185 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132186 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132187 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132188 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132189 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132190 -  245.  240901 0616............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132191 -               0616....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132192 -               0620....BP HR..................................................... 144  82  49  Kardia ECG reports HR status, see below. ref SDS 0 R2UV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132193 -               0625....BP HR..................................................... 150  86  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132194 -               0630....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132195 -               0635....80 413920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132196 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
132197 -               0635... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132198 -               0635....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132199 -               0635....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132200 -               0635....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132201 -               0635....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132202 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
132203 -  ..
132204 -               0841....miles...........  19.0  82.0  293  1435 minutes  temp  83 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132205 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132206 -               1030... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
132207 -               1044....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132208 -               1044....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132209 -               1044... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132210 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132211 -               1044... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
132212 -               1044... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
132213 -               1044....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132214 -               1220... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
132215 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132216 -               1246....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132217 -               1246....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132218 -               1246... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132219 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132220 -               1246... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
132221 -               1246... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
132222 -               1246....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132223 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132224 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132225 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
132226 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132227 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132228 -               1418... Hike ends mile 19... ref SDS 0 RVQR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132229 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132230 -               1430....weight.................................... 174  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132231 -               1440....BP HR.....................................................  96  71 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132232 -               1445....BP HR..................................................... 101  70 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132233 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132234 -               1700... 40 114060 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
132235 -             1 0000............ 10 20300  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132236 -             1 0000............ 10 20660  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132237 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132238 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132239 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132240 -               0000... Gabapentin 300MG  1 pill sleep aid ane peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132241 -               2200... 1000 2219000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132242 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132243 -               2340... 40 90260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132244 -               2330... 80 414000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132245 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132248 -  ..
132249 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132250 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132252 -  ..
132253 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132254 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132256 -  ..
132257 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132258 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132261 -  ..
132262 - Today, hiked 19 miles - took Magnesium complex 300 mg pill, opened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132263 - capsule and emptied powder onto avocado, margarine and peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132264 - instead of swallowing capsule whole.  This avoids large pills clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132265 - LESV that prevents food, medicine and liquid passing into the stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132266 - for digestion. -- started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132267 - streets - Treat, Turtle Creek Road.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132268 - Road, mile 3; did not feel well - bloated, took Simethicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132269 - Continued West on Ygnacio Valley Road 1 mile.  At mile 5, hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132270 - on Pine Hollow 2.50 miles.  Took Tramadol and Gabapentin, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132271 - Magnesium Complex powder mixed with nutrition; swallowed with sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132272 - softdrink.  Turned around and hiked back.  Turned left heading West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132273 - mile on Campus Drive to college.  Hiked 3 miles through faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132274 - student parking lots.  Stopped mile 14, for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132275 - nutrition.  Felt better than yesteday, but bloated.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132276 - magnesium pill to prevent inflammation, and increase energy.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132277 - CoQ10 for energy and HDL.  Took 2nd Tramadol and Gabapentin.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132278 - another 3 miles through parking lots.  Feet felt better.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132279 - hiking down Campus Road then West on Ygnacio Valley Road.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132280 - another Simethicone for bloating.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132281 - heading uphill on Ygnacio Valley Road.  Body was speeding up despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132282 - effort to maintain slower pace, and wobbly from combinting COQ10 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132283 - 2nd Tramadol.  At Cowell did not feel well.  Hiked home - very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132284 - difficult to control body on narrow shjoulder and oncoming traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132287 -         ..
132288 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132289 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132290 -        Stomach pain ischemic colitis bloating.......   4         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - colitis 60% of hike, took Simethicone mile 3 and 17 body speeding up difficult to control - never experienced this effect                                                                                                                                                                                                                                                                                                                              
132291 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132292 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132293 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 09helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132294 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132295 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132296 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132297 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 09and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132298 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                    
132299 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132300 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 09 and mpt again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                    
132301 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132302 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132303 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
132304 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132305 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132306 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132307 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 07  knee PL 2 after hike                                                                                                                                                                                                                                                                                                                                                                                                      
132308 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132309 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132310 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132311 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132312 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                         
132313 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132314 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132315 -        Hamstring left leg...........................   1         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 09 and again at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                        
132316 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132317 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132318 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132319 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240304 - took 1 Tramadol and 1 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
132320 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132321 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132322 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 00 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
132323 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 240726 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 00 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
132324 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132325 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132326 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132327 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
132328 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
132329 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
132330 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132331 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
132332 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
132333 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240118 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 09and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
132334 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132335 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
132336 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 09                                                                                                                                                                                                                                                                                                                                           
132337 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 09                                                                                                                                                                                                                                                                                                                                           
132338 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132339 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
132340 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
132341 -        Callus ring toe #4 top right foot............   0         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 07 seemed like it may have slipped off because pressure from top of shoe, but after hike took shoe and socks off neoprene sleve was still in position - could be just pressure issue pain decined after taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                          
132342 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
132343 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132344 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
132345 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 09 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
132346 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132347 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132348 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132349 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240304 - took 1 Tramadol and 1 Gabapentin mile 09 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
132350 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132351 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132352 -        Stinging sensation both feet.................   0        100  when stopped at mile 09 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
132353 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132354 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132355 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132356 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132357 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132358 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132359 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132360 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132361 -        Wobbly disoriented staggering dizzy..........   5        100  took 2 Tramadol and 2 Gabapentin mile 08 and again at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132362 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132366 -  ..
132367 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132368 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132369 - Did not Use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132370 - both feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132372 -  ..
132373 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132374 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132375 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132376 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132377 - blisters on long hikes, reported in meeting with Doctor Tang on 240726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132378 - 0930. ref SDS 51 SY79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132380 -  ..
132381 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132382 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132384 -  ..
132385 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132386 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132387 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132388 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132389 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132390 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132391 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132392 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132393 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132394 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132396 -  ..
132397 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132398 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132399 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132400 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132401 - ref SDS 0 RRRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132404 -  ..
132405 - Concord 19 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132406 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132407 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132408 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132409 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132410 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132411 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132412 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132413 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132414 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132415 - Since pills are too big to slip through LESV, i.e., swallow, at least                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132416 - until after EGD dilation of LESV scheduled on 240910.  Therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132417 - cutting capsule open with scissors - the powder spills without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132418 - splatter onto food bunched on a cutting board, and in the small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132419 - plastic hiking container, e.g., avocado, peanut butter and margarine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132420 - Consumed Magnesium with a spoon combined with the food.  Disadvantage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132421 - is the magnesium may be processed faster, so hiking energy disipates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132422 - quickly.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132423 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132424 - on 240519 1653. ref SDS 42 JH8L  Fortunately, today there was steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132425 - increased energy for the last 6 miles, whereas there seemed to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132426 - uneven energy, at least indicated by the Polar HR monitor.  Therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132427 - consuming magnesium in the stomach out of capsule seemed better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132428 - allowing the Magnesium pill to breakdown on top of LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132429 - on 240824. ref SDS 0 PPTU  Magnesium increases energy by disapating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132430 - lactic acid that causes fatigue in muscles, and also reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132431 - inflammation, critical for raising HDL, and general health in major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132432 - organs.  Had small amount peanut butter and margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132433 - for electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132434 - ref SDS 0 Q83S  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132435 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132436 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132437 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132438 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132439 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132440 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132441 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132442 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132443 - 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132444 - build conditioning for Half Dome.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132445 - left, onto Treat about 1 mile.  Feet starting hike feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132446 - like pins and needles - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132447 - statins.  Breathed through nose entire hike with no dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132448 - started at 62, and reached 83.  West wind 14 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132449 - Hiked East on Treat .50 miles.  Turned right hiking South on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132450 - Creek Road with wide asphalt shoulder 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132451 - some places 2% - 3% uphill, and very light - moderate traffic. at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132452 - commute time.  At mile 2, did not hike across Newhall Community Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132453 - and back.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132454 - left onto Ayers hiking East .75 miles on asphalt road shoulder with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132455 - moderate traffic.  At mile 3, turned right onto Clayton Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132456 - South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132457 - complex.  Did not feel well and bloated - took Simethicone.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132458 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132459 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132460 - using concrete sidewalk .5 miles.  Light weekend traffic.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132461 - hike crossing Park Highlands Road at stop light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132462 - miles on asphalt shoulder.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132463 - hiking on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132464 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132465 - time _____.  Turned left onto Pine Hollow, which curves heading East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132466 - 2.5 miles.  Stopped at end of Pine Hollow mile 08 time 1044 temp 70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132467 - wind 11, EKG looks uniform with no artifact.  Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132468 - Tachycardia - see below. ref SDS 0 RUYY  HR dropped severely today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132469 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132470 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132471 - RU6M  Still feeling bloated after taking Simethicone at mile 3.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132472 - feet PL 2 - applied Amonium Lactate 12% last night, see, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132473 - RPYY, Burning sensation PL 2, shin splints PL 2, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132474 - bunions PL 0, left foot #5 edge blister/callus PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132475 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132476 - PL 1, left hamstring PL 1, left shoulder PL 0, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132477 - intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132478 - (...test this combination with temperature < 80...).  Took 2nd
132479 - Magnesium complex 300 mg pill - before hike started emptied magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132480 - powder from capsul onto food to avoid clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132481 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132482 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132483 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132484 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132485 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132486 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132487 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132488 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132489 - elevated near 80, which increases sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132490 - and because extending hike for 20+/- mile, took Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132491 - per above. ref SDS 0 RPYY  Hiked 2.5 miles back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132492 - Road.  Stopped at Union 76 Texaco Gas Station store mile 5 time 1210.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132493 - bought small coke $1.25, to replenish the green 20ox bottle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132494 - Contniued hike on Pine Hollow East .5 miles.  At Discovery Way, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132495 - around,  Hiked back .5 mile.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132496 - West 1 mile uphill 3% - 4% grade against wind 12 mph.  At mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132497 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132498 - Concord Campus.  Hiked 2 miles through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132499 - Back at Visitor Parking stopped at Administration Building mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132500 - time 1246 temp 79 and wind 12 mph; EKG looks mostly variable with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132501 - artifact.  Kardia reported HR 130 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132502 - below. ref SDS 0 H66K  HR dropped severely today, during pause for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132503 - EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132504 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132505 - feeling bloated after taking Simethicone at mile 3.  Both feet PL 2 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132506 - did not apply Amonium Lactate 12% last night, see ref SDS 0 Z57H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132507 - Burning sensation PL 3, shin plints PL 0, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132508 - PL 0, left foot #5 edge blister/callus PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132509 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132510 - PL 1, left hamstring PL 1, left shoulder PL 0, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132511 - intermitant.  Took 2nd dose Tramadol 50 mg and 1 Gabapentin 300 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132512 - pain (...test this combination with temperature < 80...).  Took 2nd
132513 - Magnesium complex 300 mg pill - before hike started emptied magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132514 - powder from capsul onto food to avoid clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132515 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132516 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132517 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132518 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132519 - softdrink carried from home and replenished at Union 76 Texaco store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132520 - mile 12, and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132521 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132522 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132523 - energy to complete hike.  Since temperature elevated above 80, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132524 - increases sweating that ejects electrolytes, and even though not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132525 - extending hike over YV summit going for 20+ mile hike, took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132526 - electrolyte pill, per above. ref SDS 0 RRRQ  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132527 - main buildings, then another loop through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132528 - lots.  During this loop through parking lots, about 30 minutes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132529 - taking 2nd combination of Tramadol and Gabapentin was mildy wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132530 - hiking speed increased.  On noticing speed increased, slowed pace.  In                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132531 - only a few steps - 10 to 20 - speed increased despite will to slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132532 - down - lost control of speed, like a siezure.  This increased risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132533 - falling, so tried to slow down again. [...notice this occurred again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132534 - today on Cowell shown below; and, also, on 240924 crossing Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132535 - Valley Road at Cowell, and then fell, see below. ref SDS 0 PYSX ...].                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132536 - For about 2 miles to home, this sequence was repeated to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132537 - falling.  Expect taking 2nd Tramadol within an hour of taking the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132538 - first may have triggered higher HR, shown in Polar GPS report.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132539 - Possibly the 2nd dose of COQ10 created a chemical reaction that could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132540 - not be controlled at will, hike stopped and sitting down to write up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132541 - the record.  Since this combination is taken every day hiking, seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132542 - the 2nd dose taken only an hour apart caused the high risk reaction.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132543 - After the 2nd loop through parking lots, exited college on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132544 - drive heading North.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132545 - West on flat grade .5 miles.  Still feel bloated - took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132546 - Simethicone mile 17.  Feet not hurting after taking Tramadol with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132547 - Gabapentin at time 1246.  Continued past Crystal Ranch Road heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132548 - West on Ygnacio Valley Road uphill 3% grade against wind 1 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132549 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132550 - side Ygnacio Valley Road to avoid severe camber.  Since having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132551 - difficulty controlling speed, did not continue uphill .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132552 - summit of Ygnacio Valley Road.  Turned right onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132553 - .25 miles downhill 5% grade, then flat grade .25 miles, then .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132554 - with narrow shoulder against oncoming weekend, moderate traffic.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132555 - 1 mile effort was difficult to stay in the narrow shoulder.  Got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132556 - increasing wobbly and difficulty controlling speed - possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132557 - continuing siezure event - increased risk of falling and being struck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132558 - by a vehicle.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132559 - Cuneo.  Feeling fatigued, dizzy, wobbly and out of control ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132560 - mile 19 time 1418 temp 84, wind 14, left hip PL 0, feet PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132561 - sensation PL 1, left foot #5 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132562 - 0, right foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132563 - (swollen), left hamstring PL 1, right hamstring PL 0, right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132564 - left shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132565 - back left side PL 0, left elbow PL 2, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132566 - variable with some artifact, Kardia reported HR 131 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132567 - Fibrallation - see below. ref SDS 0 RVQR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132579 -  ..
132580 - Kardia recorded HR 060 at 0618 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132581 - lengths with p-waves and no artifact; likely no AFL after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132582 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132583 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132584 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132585 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132588 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132589 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240901-ecg-061823_mile_00_060_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132593 -  ..
132594 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132595 - hike 19 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132596 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132598 -  ..
132599 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132601 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
132602 -       Date        240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240726 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610 240609   
132603 -       Miles          19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0      0     
132604 -       HR AVG        127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     no     
132605 -         MAX         150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report report   
132606 -         Min          82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th                  
132607 -       El Climb Ft   519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305             305    305           305    305    305 <------Recover 6th ablation ----->   Abltn   <-- can't hi
132608 -       Temp Max       83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                            
132609 -       Wind Max       14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                            
132610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132612 -              https://flow.polar.com/training/analysis/7952987258                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132615 -               ..
132617 -   
132618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132622 -  ..
132623 - EKG at mile 08 time 1044 HR 122 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132624 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132625 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132629 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132630 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240901-ecg-104433_mile_08_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132635 -  ..
132636 - EKG at mile 14 time 1246 HR 130 temp 79, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132637 - Atrial Fibrillation... looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132638 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132642 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132643 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240901-ekg-124650_mile_14_130_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132648 -  ..
132649 - End hike EKG at mile 19, time 1418 HR 131 temp 84 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132650 - Possible Atrial Fibrillation... looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132651 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132654 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132655 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240901-ecg-141818_mile_19_131_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132659 -  ..
132660 - Post hike HR profile beginning 1839, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132661 - hiking 19 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132662 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132663 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132664 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132667 -        ..
132668 -       Date      240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240726  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622  240621    
132669 -       Time       1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903    2007     
132670 -       Hours        10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13       9     
132671 -       HR AVG       66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64      63     
132672 -       HR MAX      114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     120     
132673 -       HR Min       41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39      43     
132674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132676 -              https://flow.polar.com/training/analysis/7953256608                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132679 -               ..
132681 -   
132682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132685 -  ..
132686 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132687 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132688 - Dinner - eggs broccoli cauliflower onion potatos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132690 -  ..
132691 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132718 -         ..
132719 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132720 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132721 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132722 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132723 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132724 -  246.  240902 0540............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132725 -               0540....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132726 -               0540....BP HR..................................................... 136  77  47  Kardia ECG reports HR status, see below. ref SDS 0 SQRY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132727 -               0545....BP HR..................................................... 135  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132728 -               0550....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132729 -               0555....80 414080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132730 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
132731 -               0735... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132732 -               0735....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132733 -               0735....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132734 -               0735....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132735 -               0735....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132736 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
132737 -  ..
132738 -               0854....miles...........  17.0  17.0  262   262 minutes  temp  81 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132739 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132740 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
132741 -               1155....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132742 -               1155....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132743 -               1155... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132744 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132745 -               1155... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
132746 -               1155... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
132747 -               1155....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132748 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
132749 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132750 -               0000....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132751 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132752 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132753 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
132754 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
132755 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132756 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132757 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132758 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
132759 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132760 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132761 -               1336... Hike ends mile 17... ref SDS 0 SQYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132762 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132763 -               1357....weight.................................... 175  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132764 -               1415....BP HR.....................................................  83  59 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132765 -               1420....BP HR.....................................................  94  66 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132766 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132767 -               1700... 40 114100 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
132768 -               1830............ 10 20310  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132769 -               1830............ 10 20670  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132770 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132771 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132772 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132773 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132774 -               2200... 1000 2220000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132775 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132776 -               2340... 40 90300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132777 -               2330... 80 414160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132778 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132781 -  ..
132782 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132783 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132785 -  ..
132786 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132787 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132789 -  ..
132790 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132791 - then could sleep in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132794 -  ..
132795 - Today, hiked 17 miles - took Magnesium complex 300 mg pill, opened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132796 - capsule and emptied powder onto avocado, margarine and peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132797 - instead of swallowing capsule whole.  This avoids large pills clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132798 - LESV that prevents food, medicine and liquid passing into the stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132799 - for digestion. -- started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132800 - streets - Treat, Turtle Creek Road.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132801 - Road, mile 3; did not feel bloated - no Simethicone.  Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132802 - on Ygnacio Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132803 - 1.00 miles.  Turned around and hiked back.  Turned left heading West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132804 - mile on Campus Drive to college.  Hiked 3 miles through faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132805 - student parking lots.  Stopped mile 12, for EKG, pain meds, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132806 - and nutrition.  Felt better than yesteday, not bloated.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132807 - magnesium pill to prevent inflammation, and increase energy.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132808 - CoQ10 for energy and HDL.  Hiked another loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132809 - Feet feel odd on Stable Elite orthotic inserts.  Left college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132810 - down Campus Road then West on Ygnacio Valley Road.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132811 - Crystal Ranch Road heading uphill on Ygnacio Valley Road.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132812 - turned around continued back.  Turned left onto Cowell.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132813 - North.  Turned left on Treat for .25 mile.  Hiked on Cuneo short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132814 - distance home.  Had slight experience yesterday of body speeding up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132815 - but much easier to control today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132818 -         ..
132819 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132820 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132821 -        Stomach pain ischemic colitis bloating.......   1         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mild colitis 60% of hike, did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                     
132822 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132823 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132824 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132825 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132826 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132827 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132828 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132829 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                    
132830 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132831 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and not again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                    
132832 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132833 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132834 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
132835 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132836 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132837 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132838 -        Knee left meniscus...PRP 231121..............   3         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
132839 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132840 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132841 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132842 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132843 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                         
132844 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132845 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132846 -        Hamstring left leg...........................   1         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                        
132847 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132848 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132849 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132850 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
132851 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132852 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132853 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
132854 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00 got gradually worse then better after Tramadol                                                                                                                                                                                                                                                                                                                              
132855 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132856 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132857 -        Ankle left twisted in fall on 200319.........   3         10  making left U turns hiking college parking lot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132858 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
132859 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
132860 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
132861 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132862 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
132863 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240613 - less blistering today, after scraping callus Tuesday 240723 and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                                     
132864 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
132865 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132866 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
132867 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
132868 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
132869 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132870 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
132871 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
132872 -        Callus ring toe #4 top right foot............   0         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00 seemed like it may have slipped off because pressure from top of shoe, but after hike took shoe and socks off neoprene sleve was still in position - could be just pressure issue pain decined after taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                          
132873 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
132874 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132875 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
132876 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                         
132877 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132878 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132879 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132880 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
132881 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132882 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132883 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
132884 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132885 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132886 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132887 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132888 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132889 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132890 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132891 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132892 -        Wobbly disoriented staggering dizzy..........   2        100  took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132893 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132897 -  ..
132898 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132899 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132900 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132901 - both feet.  Worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132903 -  ..
132904 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132905 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132906 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132907 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132908 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132909 - 0930. ref SDS 51 SY79  Bottom feet feeling pain during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132910 - Inspection found padding Stable Elite inserts breaking down after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132911 - hiking several thousand miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132913 -  ..
132914 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132915 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132917 -  ..
132918 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132919 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132920 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132921 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132922 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132923 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132924 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132925 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132926 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132927 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132929 -  ..
132930 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132931 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132932 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132933 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132934 - ref SDS 0 RWUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132937 -  ..
132938 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132939 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132940 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132941 - restore CoQ10 depleted by statins, which increases energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132942 - Did not take Naproxen for pain and inflammation management to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132943 - hike, because can cause colitis, and taking Tramadol and Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132944 - Complex that reduces inflammation - 300 mg 1 Pill Bioemblem Triple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132945 - Complex Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132946 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132947 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132948 - Since pills are too big to slip through LESV, i.e., swallow, at least                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132949 - until after EGD dilation of LESV scheduled on 240910.  Therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132950 - punching a hole in end of the capsule and squeezing causes the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132951 - magnesium powder to flow onto food in the small plastic hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132952 - container, e.g., avocado, peanut butter and margarine.  Consumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132953 - Magnesium with a spoon combined with the food.  Disadvantage is the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132954 - magnesium may be processed faster, so hiking energy disipates quickly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132955 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132956 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132957 - 1653. ref SDS 42 JH8L  Today there was no steady increased energy for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132958 - the last 4 miles, Therefore consuming magnesium in the stomach out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132959 - capsule seemed better than allowing the Magnesium pill to breakdown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132960 - top of LESV, as occurred on 240824. ref SDS 0 PPTU  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132961 - increases energy by disapating lactic acid that causes fatigue in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132962 - muscles, and also reduces inflammation, critical for raising HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132963 - general health in major organs.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132964 - margarine and chia seeds for electrolytes, including energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132965 - avocado for HDL, per above. ref SDS 0 T6KG  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132966 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132967 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132968 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132969 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132970 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132971 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132972 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132973 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132974 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132975 - TL6I  Took backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132976 - Half Dome.  Hiked Cuneo .25 miles and turned left, onto Treat about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132977 - mile.  Feet starting hike feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132978 - peripheral neuropathy caused by taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132979 - entire hike with no dyspnea.  Temp started at 60, and reached 81.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132980 - West wind 15 mph and mostly 12 mph.  Hiked East on Treat .50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132981 - Turned right hiking South on Turtle Creek Road with wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132982 - shoulder 1.5 miles mostly flat grade, some places 2% - 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132983 - very light - moderate traffic. at commute time.  At mile 2, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132984 - hike across Newhall Community Park and back.  Continued racing young                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132985 - girl on Turtle Creek Road uphill 4% grade.  Turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132986 - hiking East .75 miles on asphalt road shoulder with moderate traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132987 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132988 - asphalt pavement in parking lots of shopping complex.  Did feel well -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132989 - not bloated - did not take Simethicone.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132990 - traffic light and continued on concrete sidewalk .5 miles - raced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132991 - another young girl.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132992 - Valley Road using concrete sidewalk .5 miles.  Light weekend traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132993 - Continued hike crossing Park Highlands Road at stop light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132994 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132995 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132996 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132997 - store mile 5 time _____.  Turned left onto Pine Hollow, which curves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132998 - heading East 1.0 miles.  Past Camino Solano turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132999 - 1.0 mile back to Ygnacio Valley Road.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133000 - hiking West 1 mile uphill 3% - 4% grade against wind 12 mph.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133001 - 08, reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133002 - Concord Campus.  Hiked 3 miles through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133003 - Back at Visitor Parking stopped at Administration Building mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133004 - time 1155 temp 75 and wind 11 mph; EKG looks mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133005 - artifact.  Kardia reported HR 124 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133006 - SQWR  HR dropped severely today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133007 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133008 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3 - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133009 - applying Amonium Lactate 12% last night, see, ref SDS 0 RRRQ  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133010 - sensation PL 3, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133011 - left foot #5 edge blister/callus PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133012 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133013 - PL 3, left hamstring PL 0, left shoulder PL 0, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133014 - intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133015 - (...test this combination with temperature < 80...).  Took 2nd
133016 - Magnesium complex 300 mg pill - punched hole through end of capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133017 - and pressed capsule; magnesium powder flowed onto food in plastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133018 - carrying case - avocado, peanut butter, margarine - ate with spoon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133019 - Consuming magnesium powder combined with food avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133020 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133021 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133022 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133023 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133024 - XK7M Sips softdrink carried from home and replenished at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133025 - Texaco store mile 12, and for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133026 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133027 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133028 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133029 - elevated above 80, which increases sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133030 - and even though not extending hike over YV summit going for 20+ mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133031 - hike, took Nuun electrolyte pill, per above. ref SDS 0 RWUP  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133032 - another loop through parking lots.  Exited college on Campus drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133033 - heading North.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133034 - flat grade .5 miles.  Feet hurting less after taking Tramadol with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133035 - Gabapentin at time 1155.  Bottom of feet PL 2, possibly orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133036 - inserts wearing out.  Noticing speed increased, slowed the pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133037 - Continued past Crystal Ranch Road heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133038 - uphill 3% grade against wind 15 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133039 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133040 - avoid severe camber.  Since having less difficulty maintaining a safe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133041 - hiking speed, and chance to increase weight loss and increase HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133042 - to stretch blood vessels from temperature > 80 that have stiffened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133043 - without hiking past 2 months, continued uphill .5 mile to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133044 - Ygnacio Valley Road.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133045 - Cowell heading North .25 miles downhill 5% grade, then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133046 - miles, then .5 miles with narrow shoulder against oncoming weekend,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133047 - moderate traffic.  Turned left onto Treat hiking West .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133048 - to Cuneo.  Feeling fatiguedended hike mile 17 time 1336 temp 80, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133049 - 12, left hip PL 0, feet PL 3, burning sensation PL 3 - seems Stable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133050 - Elite orthotic inserts may be wearing out, per above, ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133051 - - left foot #5 PL 5, right foot #4 top blister/callus PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133052 - Tailor's bunions PL 0, shin splints PL 0, left knee PL 2 (swollen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133053 - left hamstring PL 0, right hamstring PL 0, right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133054 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133055 - left side PL 0, left elbow PL 2, when lifting.  EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133056 - with minor artifact, Kardia reported HR 122 Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133057 - ref SDS 0 SQYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133069 -  ..
133070 - Kardia recorded HR 057 at 0540 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133071 - lengths with p-waves and no artifact; likely no AFL after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133072 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133073 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133074 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133075 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133078 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133079 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240902-ecg-054011_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133083 -  ..
133084 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133085 - hike 19 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133086 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133088 -  ..
133089 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133091 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
133092 -       Date        240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611 240610   
133093 -       Miles          17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0      0     
133094 -       HR AVG        123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     no     
133095 -         MAX         140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report report   
133096 -         Min          70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th           
133097 -       El Climb Ft   482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->       305  405    305    305           305    305    305 <------Recover 6th ablation ----->   Abltn   <-- c
133098 -       Temp Max       82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                                     
133099 -       Wind Max       15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                                     
133100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133102 -              https://flow.polar.com/training/analysis/7953651112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133105 -               ..
133107 -   
133108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133112 -  ..
133113 - EKG at mile 11 time 1155 HR 124 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133114 - Tachycardia... looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133115 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133119 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133120 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240902-ecg-115536_mile_11_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133124 -  ..
133125 - End hike EKG at mile 17, time 1336 HR 122 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133126 - Possible Atrial Fibrillation... looks variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133127 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133130 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133131 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240902-ecg-133640_mile_17_122_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133135 -  ..
133136 - Post hike HR profile beginning 1857, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133137 - hiking 17 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133138 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133139 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133140 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133143 -        ..
133144 -       Date      240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623  240622    
133145 -       Time       1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928    1903     
133146 -       Hours         9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10      13     
133147 -       HR AVG       68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57      64     
133148 -       HR MAX      137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     161     
133149 -       HR Min       44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38      39     
133150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133152 -              https://flow.polar.com/training/analysis/7953931699                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133155 -               ..
133157 -   
133158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133161 -  ..
133162 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133163 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133164 - Dinner - eggs broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133166 -  ..
133167 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133194 -         ..
133195 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133196 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133197 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133198 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133199 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133200 -  247.  240903 0440............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133201 -               0440....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133202 -               0440....BP HR..................................................... 141  84  63  Kardia ECG reports HR status, see below. ref SDS 0 S9VA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133203 -               0445....BP HR..................................................... 127  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133204 -               0450....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133205 -               0455....80 414240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133206 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133207 -               0535... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133208 -               0535....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133209 -               0535....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133210 -               0535....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133211 -               0535....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133212 -               0535... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133213 -               0535....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133214 -               0535... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
133215 -  ..
133216 -               0557....miles...........  20.0  37.0  322   584 minutes  temp  84 wind 04  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133217 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133218 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133219 -               0854....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133220 -               0854....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133221 -               0854... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133222 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133223 -               0854... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
133224 -               0854... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133225 -               0854....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133226 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133227 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133228 -               0000....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133229 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133230 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133231 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
133232 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133233 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133234 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133235 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133236 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133237 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133238 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133239 -               1336... Hike ends mile 17... ref SDS 0 SQYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133240 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133241 -               1357....weight.................................... 176  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133242 -               1415....BP HR..................................................... 101  69 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133243 -               1420....BP HR..................................................... 117  73 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133244 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133245 -               1700... 40 114140 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
133246 -             1 0000............ 10 20310  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133247 -             1 0000............ 10 20670  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133248 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133249 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133250 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133251 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133252 -               2200... 1000 2221000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133253 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133254 -               2340... 40 90340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133255 -               2330... 80 414320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133256 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133259 -  ..
133260 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133261 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133263 -  ..
133264 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133265 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133267 -  ..
133268 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133269 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133270 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133273 -  ..
133274 - Today, hiked 20 miles - took Tramdol and Gabapentin because feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133275 - hurting; took Magnesium complex 300 mg pill, opened capsule and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133276 - emptied powder onto avocado, margarine and peanut butter, instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133277 - swallowing capsule whole.  This avoids large pills clogging LESV that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133278 - prevents food, medicine and liquid passing into the stomach for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133279 - digestion - today only consumed half of magnesium content to emulate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133280 - pill breaking down slowly in stomach -- started 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133281 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133282 - on Ayers to Clayton Road, mile 3; did not feel bloated - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133283 - Simethicone.  Continued West on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133284 - 5, had rest of magnesium.  Hiked East on Pine Hollow 0.50 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133285 - Turned around and hiked back.  Turned left heading West 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133286 - mile on Campus Drive to college.  Hiked 2 miles through faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133287 - student parking lots.  Stopped mile 10, for EKG, pain meds, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133288 - and nutrition.  Felt better than yesteday, less bloated.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133289 - magnesium pill to prevent inflammation, and increase energy.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133290 - CoQ10 for energy and HDL.  Hiked another loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133291 - Feet feel odd on Stable Elite orthotic inserts.  Left college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133292 - down Campus Road then West on Ygnacio Valley Road.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133293 - Crystal Ranch Road heading uphill on Ygnacio Valley Road.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133294 - continued West downhill 2 miles.  Crossed Oak Grove and hiked a 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133295 - loop around Safeway shopping complex.  Back at Oak Grove and Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133296 - Valley Road, hiked .25 mile inside the complex and stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133297 - Pizza mile 16 for hydration and nutrition.  Then hiked another the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133298 - complex and turned left onto Oak Grove.  Hiked a mile North then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133299 - turned West and hiked 2 miles on Treat to Cuneo and home.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133300 - have experience of body speeding up.  Left knee hurt less today, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133301 - feet metatarsalgia pain more severe and despite taking 3 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133304 -         ..
133305 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133306 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133307 -        Stomach pain ischemic colitis bloating.......   2         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mild colitis 60% of hike, took Simethicone going over summit about mile 12                                                                                                                                                                                                                                                                                                                                                                             
133308 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133309 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133310 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133311 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133312 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133313 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133314 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133315 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
133316 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133317 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
133318 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133319 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133320 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
133321 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133322 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133323 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133324 -        Knee left meniscus...PRP 231121..............   3         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
133325 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133326 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133327 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133328 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133329 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
133330 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133331 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133332 -        Hamstring left leg...........................   1         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
133333 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133334 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133335 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133336 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
133337 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133338 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133339 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin before starting hike then another at mile 10 and again at mile mile 16 got gradually worse then better after last Tramadol - actually #5 on left foot hurt the most                                                                                                                                                                                                                                      
133340 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin before starting hike then another at mile 10 and again at mile mile 16 got gradually worse then better after last Tramadol - actually #5 on left foot hurt the most                                                                                                                                                                                                                                      
133341 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133342 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133343 -        Ankle left twisted in fall on 200319.........   1         10  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
133344 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
133345 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
133346 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
133347 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133348 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
133349 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 240829 - unsure why so painful - will try shaving this evening 240903                                                                                                                                                                                                                                                                                                                                                                                                                                            
133350 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 10and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
133351 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133352 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
133353 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
133354 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
133355 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133356 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
133357 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
133358 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
133359 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
133360 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133361 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
133362 -  new   Callus little toe #5 left foot...PRP 210705..   5         80  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile before starting hike then another at mile 10 and again at mile 16 got gradually worse then better after Tramadol - better way to protect toe from lateral shoe pressure                                                                                                                                                                                                                                                                           
133363 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133364 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133365 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133366 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
133367 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133368 -        Burning sensation both feet..................   2         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133369 -        Stinging sensation both feet.................   0        100  when stopped at mile 10 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
133370 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133371 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133372 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133373 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133374 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133375 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133376 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133377 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133378 -        Wobbly disoriented staggering dizzy..........   1        100  took 1 Tramadol and 1 Gabapentin mile 00 again at mile 10 again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133379 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133383 -  ..
133384 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133385 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133386 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133387 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133389 -  ..
133390 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133391 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133392 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133393 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133394 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133395 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133396 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133397 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133399 -  ..
133400 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133401 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133403 -  ..
133404 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133405 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133406 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133407 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133408 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133409 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133410 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133411 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133412 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133413 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133415 -  ..
133416 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133417 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133418 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133419 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133420 - ref SDS 0 SRRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133423 -  ..
133424 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133425 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133426 - injection on 231121 0700. ref SDS 27 I48N  Took Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133427 - Gabapentin before starting hike, because left foot #5 had PL 3 even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133428 - with protection bandaging.  Took Ubiquinol CoQ10 to restore CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133429 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133430 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133431 - it can cause colitis, and taking Magnesium Complex that reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133432 - inflammation - 300 mg 1 Pill Bioemblem Triple Complex Glycinate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133433 - Malate, & Citrate (...see research on 240519 1653. ref SDS 42 VY92...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133434 - - designed to swallow for gradual release as plastic capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133435 - breakdown and release magnesium complex gradually over time.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133436 - pills are too big to slip through LESV, i.e., swallow, at least until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133437 - after EGD dilation of LESV scheduled on 240910.  Therefore using a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133438 - metal pin to punchure a small hole in end of the capsule and squeezing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133439 - causes the magnesium powder to flow onto food in the small plastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133440 - hiking container, e.g., avocado, peanut butter and margarine.  Before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133441 - starting hike consumed Magnesium with a spoon combined with the food.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133442 - Disadvantage is digesting all of the magnesium at once disipates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133443 - hiking energy benefit quickly, compared to gradual release.  Research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133444 - with Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133445 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133446 - ref SDS 42 JH8L  Today there was no steady increased energy for the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133447 - last 4 miles, Therefore consuming magnesium in the stomach in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133448 - capsule seems better than allowing the Magnesium pill to breakdown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133449 - top of LESV, as occurred on 240824. ref SDS 0 PPTU  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133450 - increases energy by disapating lactic acid that causes fatigue in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133451 - muscles, and also reduces inflammation, critical for raising HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133452 - general health in major organs.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133453 - margarine and chia seeds for electrolytes, including energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133454 - avocado for HDL, per above. ref SDS 0 T6KG  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133455 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133456 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133457 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133458 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133459 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133460 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133461 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133462 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133463 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133464 - TL6I  Took backpack to carry stuff - good to build conditioning for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133465 - Half Dome.  Hiked Cuneo .25 miles and turned left, hiking on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133466 - about 1 mile.  Feet starting hike feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133467 - needles - peripheral neuropathy caused by taking statins.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133468 - through nose entire hike with no dyspnea.  Temp started at 54, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133469 - reached 99.  West wind 7 mph and mostly 3 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133470 - .50 miles.  Turned right hiking South on Turtle Creek Road with wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133471 - asphalt shoulder 1.5 miles mostly flat grade, some places 2% - 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133472 - uphill, and light - moderate traffic. at commute time.  At mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133473 - hiked across Newhall Community Park and back.  Continued racing young                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133474 - girl on Turtle Creek Road uphill 4% grade.  Turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133475 - hiking East .75 miles on asphalt road shoulder with moderate traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133476 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133477 - asphalt pavement in parking lots of shopping complex.  Felt well - not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133478 - bloated - did not take Simethicone.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133479 - light and continued on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133480 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133481 - miles.  Normal heavy workday commute traffic.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133482 - Park Highlands Road at stop light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133483 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133484 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133485 - Did not stop at Union 76 Texaco Gas Station store mile 5 time _____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133486 - Turned left onto Pine Hollow, which curves heading East 0.5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133487 - Past Discovery Way turned around and hiked 0.5 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133488 - Valley Road.  Turned left onto Campus Drive hiking West 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133489 - 3% - 4% grade against wind 2 mph.  At mile 07, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133490 - at California State University East Bay Concord Campus.  Hiked 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133491 - through Faculty and Student parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133492 - at Administration Building mile 10 time 0854 temp 61 and wind 03 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133493 - EKG looks mostly uniform with no artifact.  Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133494 - Tachycardia - see below. ref SDS 0 SVPY  HR dropped severely today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133495 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133496 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133497 - RU6M  Both feet PL 2 - after applying Amonium Lactate 12% last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133498 - see, ref SDS 0 RWUP, Burning sensation PL 2, shin plints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133499 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133500 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133501 - Left knee meniscus PL 3, left hamstring PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133502 - elbow PL 1 intermitant.  Took 2nd dose Tramadol 50 mg and 1 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133503 - 300 mg for pain (...test this combination with temperature > 80...).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133504 - Took 2nd Magnesium complex 300 mg pill - punched hole through end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133505 - capsule and pressed capsule; magnesium powder flowed onto food in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133506 - plastic carrying case - avocado, peanut butter, margarine - ate with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133507 - spoon.  Consuming magnesium powder combined with food avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133508 - clogging LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133509 - provides energy for hiking, and reduces inflammation, essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133510 - raise HDL - might be "secret" source that stimulates liver to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133511 - HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133512 - ref SDS 46 XK7M  Sips softdrink carried from home and replenished at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133513 - Union 76 Texaco store mile 12, and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133514 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133515 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133516 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133517 - temperature elevated above 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133518 - electrolytes, and even though not extending hike over YV summit going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133519 - for 20+ mile hike, took Nuun electrolyte pill, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133520 - SRRW  Hiked another around main buildings.  Exited college onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133521 - drive heading North.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133522 - West on flat grade .5 miles.  At mile 12, continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133523 - Road, heading West on Ygnacio Valley Road uphill 3% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133524 - 12 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133525 - to North side Ygnacio Valley Road to avoid severe camber.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133526 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133527 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133528 - grade to summit.  At end of concrete barriar and break in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133529 - commute traffic about mile 13, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133530 - Valley Road to use wider shoulder.  Continued 2 miles downhill 3-4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133531 - grade.  Crossed Oak Grove at traffic light.  At mile 15, hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133532 - loop around block at Safeway shopping complex.  Today, stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133533 - Pizza mile 16, time 1047, temp 78 and wind 02 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133534 - with no artifact.  Kardia reported HR 118 (indicating no AFL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133535 - elevated HR aligns with rising temperature, and hiking 16 miles after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133536 - no hiking past 3 weeks), Tachycardia - see below. ref SDS 0 6W4S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133537 - Polar reported HR dropped severely today - 66 - during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133538 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133539 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133540 - burning sensation PL 2, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133541 - edge callus/blister PL 4, right foot #4 bottom blister/callus PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133542 - edge callus/blister PL 0, left knee meniscus PL 2, left shoulder PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133543 - left elbow PL 1 intermitant.  Took another set of Tramadol 50 mg and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133544 - Gabapentin 300 mg for pain (...further test this combination with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133545 - temperature < 90...).  Took 3rd Magnesium complex 300 mg pill for
133546 - energy, and magnesium reduces inflammation, evident today with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133547 - increased feet pain, and magnesium is essential to raise HDL.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133548 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133549 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133550 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133551 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133552 - is still below 80, sweating moderate that ejects electrolytes, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133553 - take`Nuun electrolyte pill (...save money... could have been a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133554 - mistake, as forecast temperatue to reach 100 in next hour or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133555 - Softdrink has gotten warm in summer heat past 4 hours.  Since forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133556 - to bring wallet, attendant provided a cup and ice free of charge using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133557 - vending dispenser.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133558 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133559 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133560 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133561 - Because temp was not yet elevated > 80, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133562 - pill, per above. ref SDS 0 SPXS  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133563 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133564 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133565 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder in sun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133566 - with temperature rising near 100.  Crossed Treat on green traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133567 - light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133568 - Miguel hiked .75 miles on Treat uphill 5% grade with wind 16 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133569 - 76.  Handled this well.  At summit, mile 20, hiked another mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133570 - Cuneo.  Continued .25 mile to Cowell.  Turned around hiking back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133571 - Turned right onto Cuneo .25 mile North to Kaski. turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133572 - hiked home.  Ended hike mile 20 time 1208 temp 81, wind 04, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133573 - left foot #5 edge PL 6, right foot blister #4 bottom PL 0, #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133574 - burning sensation PL 2, shin splints PL 2, left knee PL 2 (swollen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133575 - slightly), right knee PL 0, left shoulder PL 2, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133576 - shoulder PL 5 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133577 - 2, when lifting.  EKG uniform, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133578 - 121 Tachycardia - see below. ref SDS 0 SVRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133590 -  ..
133591 - Kardia recorded HR 065 at 0459 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133592 - lengths with p-waves and no artifact; likely no AFL after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133593 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133594 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133595 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133596 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133599 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133600 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240903-ecg-045958_mile_00_065_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133604 -  ..
133605 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133606 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133607 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133609 -  ..
133610 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133612 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
133613 -       Date        240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613 240612 240611   
133614 -       Miles          20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0      0      0     
133615 -       HR AVG        113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     no     no     
133616 -         MAX         170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report report Report   
133617 -         Min          56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                       6th    
133618 -       El Climb Ft   450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation---------------^   !gt;        405    305    305           305    305    305 <------Recover 6th ablation ----->   Abltn
133619 -       Temp Max       84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                              
133620 -       Wind Max        4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                              
133621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133623 -              https://flow.polar.com/training/analysis/7954313065                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133626 -               ..
133628 -   
133629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133633 -  ..
133634 - EKG at mile 10 time 0854 HR 113 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133635 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133636 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133640 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133641 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240903-ecg-085440_mile_10_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133646 -  ..
133647 - EKG at mile 16 time 1047 HR 118 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133648 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133649 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133653 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133654 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240903-ecg-104712_mile_16_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133659 -  ..
133660 - End hike EKG at mile 20, time 1208 HR 121 temp 81 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133661 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133662 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133665 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133666 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240903-ecg-120845_mile_20_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133670 -  ..
133671 - Post hike HR profile beginning 1938, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133672 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133673 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133674 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133675 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133678 -        ..
133679 -       Date      240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624  240623    
133680 -       Time       1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847    1928     
133681 -       Hours         8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12      10     
133682 -       HR AVG       65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58      57     
133683 -       HR MAX      111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     109     
133684 -       HR Min       41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37      38     
133685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133687 -              https://flow.polar.com/training/analysis/7954657499                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133690 -               ..
133692 -   
133693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133696 -  ..
133697 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133698 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133699 - Dinner - eggs broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133701 -  ..
133702 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133729 -         ..
133730 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133731 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133732 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133733 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133734 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133735 -  248.  240904 0420............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133736 -               0425....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133737 -               0430....BP HR..................................................... 130  73  48  Kardia ECG reports HR status, see below. ref SDS 0 TQUR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133738 -               0435....BP HR..................................................... 131  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133739 -               0430....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133740 -               0435....80 414400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133741 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133742 -               0535... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133743 -               0535....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133744 -               0535....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133745 -               0535....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133746 -               0535....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133747 -               0535... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133748 -               0535....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133749 -               0535... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133750 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133751 -               1700... 40 114180 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
133752 -               1830............ 10 20320  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133753 -               1830............ 10 20680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133754 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133755 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133756 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133757 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133758 -               2200... 1000 2222000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133759 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133760 -               2340... 40 90380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133761 -               2330... 80 414480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133762 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133765 -  ..
133766 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133767 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133769 -  ..
133770 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133771 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133773 -  ..
133774 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133775 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133776 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133780 -  ..
133781 - Kardia recorded HR 047 at 0446 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133782 - lengths with p-waves and no artifact; likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133783 - miles yesterday, and stopping Apixaban on 240710 after 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133784 - 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133785 - 0700, ref SDS 19 LY3G, and medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133786 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133789 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133790 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240904-ecg-044647_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133794 -  ..
133795 - Post hike HR profile beginning 1931, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133796 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133797 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133798 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133799 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133802 -        ..
133803 -       Date      240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625  240624    
133804 -       Time       1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960    1847     
133805 -       Hours         6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11      12     
133806 -       HR AVG       61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56      58     
133807 -       HR MAX       91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     111     
133808 -       HR Min       41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38      37     
133809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133811 -              https://flow.polar.com/training/analysis/7955263040                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133814 -               ..
133816 -   
133817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133820 -  ..
133821 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133822 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133823 - Dinner - eggs broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133825 -  ..
133826 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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133834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133852 -         ..
133853 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133854 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133855 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133856 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133857 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133858 -  249.  240905 0110............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133859 -               0115....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133860 -               0120....BP HR..................................................... 155  81  53  Kardia ECG reports HR status, see below. ref SDS 0 T27V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133861 -               0125....BP HR..................................................... 138  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133862 -               0130....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133863 -               0130....80 414560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133864 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133865 -               0345... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133866 -               0345....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133867 -               0345....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133868 -               0345....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133869 -               0345....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133870 -               0345... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133871 -               0345....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133872 -               0345... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
133873 -  ..
133874 -               0403....miles...........  13.0  50.0  229   813 minutes  temp  53 wind 03  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133875 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133876 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133877 -               0854....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133878 -               0854....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133879 -               0854... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133880 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133881 -               0854... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
133882 -               0854... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133883 -               0854....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133884 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
133885 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133886 -               0000....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133887 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133888 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133889 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
133890 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133891 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133892 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133893 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133894 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133895 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133896 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133897 -               1336... Hike ends mile 17... ref SDS 0 SQYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133898 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133899 -               1357....weight.................................... 177  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133900 -               1415....BP HR..................................................... 112  73 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133901 -               1420....BP HR..................................................... 115  73  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133902 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133903 -               1700... 40 114220 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
133904 -             1 0000............ 10 20320  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133905 -             1 0000............ 10 20680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133906 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133907 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133908 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133909 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133910 -               2200... 1000 2223000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133911 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133912 -               2340... 40 90420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133913 -               2330... 80 414640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133914 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133918 -  ..
133919 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133920 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133922 -  ..
133923 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133924 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133926 -  ..
133927 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133928 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133929 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133932 -  ..
133933 - Today, hiked 13 miles in San Francisco Golden Gate Park - took Tramdol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133934 - and Gabapentin for metatarsalgia feet pain; took Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133935 - mg and some nutrition -- begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133936 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133937 - Hike South 1 mile on Great Highway.  Turn East onto JFK through Golden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133938 - Gate Park past Buffalo compound, and Sprekles Lake.  At De Young                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133939 - museum mile 5, continue past Conservatory; near Stanyon turn around at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133940 - mile 6.  Have nutrition and hydration with pain meds, and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133941 - and CoQ10.  Hike back to hospital.  Left foot #5 and left knee okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133942 - with pain meds.  Hiked much better today uphill 5% grade on Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133943 - Highway from Ocean Beach to Cliff House then on Point Lobos to 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133944 - and the hospital breathing only through nose indicating increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133945 - conditioning since doing same route a week ago on 240829, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133946 - ref SDS 0 QRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133950 -         ..
133951 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133952 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133953 -        Stomach pain ischemic colitis bloating.......   2         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mild colitis 70% of hike, did not take Simethicone                                                                                                                                                                                                                                                                                                                                                                                                     
133954 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133955 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133956 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133957 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133958 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133959 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133960 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133961 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
133962 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133963 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
133964 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133965 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133966 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
133967 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133968 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133969 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133970 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 0 and again at mile 06  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                           
133971 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133972 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133973 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133974 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133975 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
133976 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133977 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133978 -        Hamstring left leg...........................   0         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
133979 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133980 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133981 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133982 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
133983 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133984 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133985 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin before starting hike then another at mile 06 and again at mile mile 00 got gradually worse then better after last Tramadol - #5 on left foot hurt the most but better today                                                                                                                                                                                                                              
133986 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin before starting hike then another at mile 06 and again at mile mile 00 got gradually worse then better after last Tramadol - #5 on left foot hurt the most but better today                                                                                                                                                                                                                              
133987 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133988 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133989 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
133990 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
133991 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
133992 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
133993 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133994 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
133995 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 240829 - unsure why so painful - will try shaving this evening 240905                                                                                                                                                                                                                                                                                                                                                                                                                                            
133996 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 10and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
133997 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133998 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
133999 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
134000 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
134001 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134002 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
134003 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
134004 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
134005 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
134006 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134007 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
134008 -  new   Callus little toe #5 left foot...PRP 210705..   2         80  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile before starting hike then another at mile 06 and again at mile 00 got gradually worse then better after Tramadol - switched to toe cap, much better today on 240905                                                                                                                                                                                                                                                                               
134009 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134010 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134011 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134012 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
134013 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134014 -        Burning sensation both feet..................   2         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134015 -        Stinging sensation both feet.................   0        100  when stopped at mile 10 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
134016 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134017 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134018 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134019 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134020 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134021 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134022 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134023 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134024 -        Wobbly disoriented staggering dizzy..........   1        100  took 1 Tramadol and 1 Gabapentin mile 00 again at mile 06 again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134025 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134029 -  ..
134030 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134031 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134032 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134033 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134035 -  ..
134036 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134037 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134038 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134039 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134040 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134041 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134042 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134043 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134045 -  ..
134046 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134047 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134049 -  ..
134050 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134051 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134052 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134053 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134054 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134055 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134056 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134057 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134058 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134059 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134061 -  ..
134062 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134063 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134064 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134065 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134066 - ref SDS 0 RT5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134069 -  ..
134070 - San Francisco 13 mile route, reported on 170519, ref SDS 6 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134071 - Before leaving house in Concord, took Glucosamine Chondroitin for OA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134072 - At VA time 0345, before starting hike at the VA, Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134073 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134074 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134075 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134076 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134077 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134078 - ref SDS 42 VY92...) - designed to swallow, but pills are too big to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134079 - slip through LESV, at least until after EGD dilation of LESV scheduled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134080 - on 240910.  On arriving at the hospital before starting hike used a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134081 - stiff pin to puncture a whole in the end of a magnesium pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134082 - Pressing the pill causes magnesium powder to squirt onto food in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134083 - plastic carrying case - avocado, peanut butter, margarine.  Then used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134084 - spoon to consume the Magnesium combined with the food, and washed down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134085 - with sips of softdrink.  This avoided large magnesium pill getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134086 - stuck on top of LESV and clogging the esophagus.  Magnesium increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134087 - energy by disapating lactic acid that causes fatigue in muscles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134088 - also reduces inflammation, critical for raising HDL, and general                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134089 - health in major organs.  Had small amount peanut butter and margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134090 - and chia seeds for electrolytes, including energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134091 - HDL, per above. ref SDS 0 GB3I  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134092 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134093 - in research on 240305 1256. ref SDS 32 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134094 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134095 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134096 - TL6I, and reviewing biopsy results on 200716 0800. ref SDS 20 N88N;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134097 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134098 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134099 - diagnosed on 200612 0700, ref SDS 19 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134100 - with VA medical team on 220503 0900. ref SDS 22 TL6I  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134101 - carry stuff - good to build conditioning for Half Dome.  Weather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134102 - overcast temperature 57, wind 2 mph, heavy mist - streets wet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134103 - Started hike leaving parking lot at VAMCSF at 0359.  Hiked slowly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134104 - downhill on 42nd Street to warm up.  Turned corner heading downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134105 - West on Point Lobos to Cliff House at mile 1.  Getting light now.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134106 - not need headlight.  Road bends and changes to "Great Highway" going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134107 - South along ocean beach.  Pace picked up as magnesium triggered rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134108 - strength.  At mile 2 turned onto John F Kennedy (JFK) Drive entering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134109 - Golden Gate Park.  Maintained pace going slightly uphill into the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134110 - for .5 miles.  Turned corner and continued East on JFK.  Dark and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134111 - few widely spaced street lights, cannot see the road.  Passed Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134112 - compound, then Spreckles Lake.  Hiking past Lindley Meadow said hello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134113 - to early morning jogger going West.  Continued past Helman Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134114 - Both feet pain level 1.  Hiked under bridge at Crossover Drive (part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134115 - of highway 1 that goes to Golden Gate Bridge). - JFK is blocked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134116 - vehicle traffic the rest of the way through the park to Stanyon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134117 - limiting attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134118 - coronavirus.  Now that the epidemic has been delcared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134119 - continues to deny access to drivers on JFK.  At mile 5, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134120 - Young Museum.  Encountering hikers and bikers heading in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134121 - directions.  Past Conservatory near Stanyon stopped mile 6, time 0544,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134122 - temp 56, wind 02; EKG mostly uniform with minor artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134123 - reported HR 102 Tachycardia - see below. ref SDS 0 TWRY  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134124 - 2, burning sensation PL 1, right foot Tailor's bunions PL 0, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134125 - #5 top blister/callus PL 2, right foot #4 top blister/callus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134126 - without pediplasti spacer, left knee PL 2, and left hamstring PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134127 - Feel bloated.  Softddrink carried from home to help swallow Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134128 - for energy, HDL, and to dissipate inflammation, and swallow peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134129 - butter, avocado, margarine.  Took CoQ10 for energy and HDL.  Stayed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134130 - South side against traffic (no actual vehicle traffic in park) going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134131 - Eest.  Increased pace with endorphins rising.  Waterfall not running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134132 - at 0710 this morning, before hiking under Crossover Road bridge and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134133 - past Hellman Hollow.  Hiked past Hellman Hollow then Lindley Meadow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134134 - where 9 years ago, a truck backed up because missed a turn, and struck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134135 - Kathy's car; this got her a new car, reported on 150729 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134136 - ref SDS 4 0001  Continued hiking past Spreckles Lake, then saw 4 or 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134137 - Buffalo grazing in the compound.  Crossed to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134138 - with traffic.  Turned corner and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134139 - North onto Great Highway.  Hiked parallel to ocean toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134140 - House and hospital.  Halfway to Cliff House drank rest of liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134141 - for energy.  Maintained pace hiking up steep hill - 5% - 6% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134142 - Maintained breathing through nose for 1.5 miles uphill all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134143 - the hospital, noticable improvement compared to prior hiking this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134144 - route a week ago on 240829, per above. ref SDS 0 QTSP  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134145 - condition recovering after not hiking to recover from cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134146 - on 240611 - see Polar GPS/HR report on daily hiking in the record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134147 - today, below. ref SDS 0 UVYY  At the Cliff House, turned onto Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134148 - Lobos Avenue going East; hiked uphill for 1 mile.  Turned onto 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134149 - street and maintained pace going up final hill to the VA campus, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134150 - walked through hospital to cafeteria and then Podiatry Clinic on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134151 - ground floor - end hike 13 miles - time 0736 temp 59 wind 03, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134152 - 2, left hamstring PL 0, left knee PL 2, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134153 - (only when turning head or lifting right arm), left shoulder PL 2 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134154 - getting better.  EKG looks variable with p-wave and artifact, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134155 - HR 110 Tachycardia - see below. ref SDS 0 TWUU  Hiked another mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134156 - hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134168 -  ..
134169 - Kardia recorded HR 066 at 0125 Possible Atrial Fibrillation looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134170 - variable heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134171 - after hiking 20 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134172 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134173 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134174 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134177 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134178 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240905-ecg-012518_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134182 -  ..
134183 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134184 - used*** hike 13 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134185 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134187 -  ..
134188 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134190 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
134191 -       Date        240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615 240614 240613   
134192 -       Miles          13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0      0      0     
134193 -       HR AVG        109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     no     no     
134194 -         MAX         133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report report report   
134195 -         Min          79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                                
134196 -       El Climb Ft   355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--   ---  305                  405    305    305           305    305    305 <------Recover 6th ablation -
134197 -       Temp Max       58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                                
134198 -       Wind Max        4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                                
134199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134201 -              https://flow.polar.com/training/analysis/7955693927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134204 -               ..
134206 -   
134207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134211 -  ..
134212 - EKG at mile 06 time 0544 HR 102 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134213 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134214 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134218 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134219 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240905-ecg-054424_mile_06_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134224 -  ..
134225 - End hike EKG at mile 13, time 0736 HR 110 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134226 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134227 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134230 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134231 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240905-ecg-073620_mile_13_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134235 -  ..
134236 - Post hike HR profile beginning 2004, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134237 - hiking 13 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134238 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134239 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134240 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134243 -        ..
134244 -       Date      240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626  240625    
134245 -       Time       2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920    1960     
134246 -       Hours         9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11      11     
134247 -       HR AVG       61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56      56     
134248 -       HR MAX       99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     119     
134249 -       HR Min       37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39      38     
134250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134252 -              https://flow.polar.com/training/analysis/7956068269                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134255 -               ..
134257 -   
134258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134261 -  ..
134262 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134263 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134264 - Dinner - eggs broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134266 -  ..
134267 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134293 -         ..
134294 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134295 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134296 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134297 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134298 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134299 -  250.  240906 0550............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134300 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134301 -               0555....BP HR..................................................... 155  81  53  Kardia ECG reports HR status, see below. ref SDS 0 TVS3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134302 -               0600....BP HR..................................................... 138  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134303 -               0605....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134304 -               0605....80 414720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134305 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
134306 -               0605... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134307 -               0605....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134308 -               0605....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134309 -               0605....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134310 -               0605....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134311 -               0605... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
134312 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134313 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134314 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134315 -               1700... 40 114260 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
134316 -               1830............ 10 20330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134317 -               1830............ 10 20680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134318 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134319 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134320 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134321 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134322 -               2200... 1000 2224000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134323 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134324 -               2340... 40 90460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134325 -               2330... 80 414800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134326 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134328 -  ..
134329 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134330 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134332 -  ..
134333 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134334 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134336 -  ..
134337 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134338 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134339 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134343 -  ..
134344 - Kardia recorded HR 055 at 0541 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134345 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134346 - hiking 13 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134347 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134348 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134349 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134352 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134353 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240906-ecg-054123_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134357 -  ..
134358 - Post hike HR profile beginning 1919, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134359 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134360 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134361 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134362 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134365 -        ..
134366 -       Date      240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627  240626    
134367 -       Time       1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010    1920     
134368 -       Hours        11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11      11     
134369 -       HR AVG       59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56      56     
134370 -       HR MAX      108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     103     
134371 -       HR Min       41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37      39     
134372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134374 -              https://flow.polar.com/training/analysis/7956758772                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134377 -               ..
134379 -   
134380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134383 -  ..
134384 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134385 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134386 - Dinner - eggs hamburger rice broccoli cauliflower onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134388 -  ..
134389 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134416 -         ..
134417 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134418 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134419 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134420 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134421 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134422 -  251.  240907 0550............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134423 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134424 -               0555....BP HR..................................................... 144  91  55  Kardia ECG reports HR status, see below. ref SDS 0 UPWX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134425 -               0600....BP HR..................................................... 139  85  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134426 -               0605....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134427 -               0605....80 414880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134428 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
134429 -               0605... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134430 -               0605....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134431 -               0605....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134432 -               0605....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134433 -               0605....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134434 -               0605... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
134435 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134436 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
134437 -  ..
134438 -         * cr  0816....miles...........  21.0  71.0  355  1168 minutes  temp  86 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134439 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134440 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
134441 -               1103....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134442 -               1103....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134443 -               1103... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134444 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134445 -               1103... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
134446 -               1103... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
134447 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134448 -               1130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
134449 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134450 -               1217....mile 13 stopped EKG and NPO - nothing to eat drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134451 -               1351....mile 18 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134452 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134453 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134454 -               1351... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
134455 -               1351... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
134456 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134457 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134458 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134459 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
134460 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134461 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134462 -               1456... Hike ends mile 21... ref SDS 0 UQST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134463 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134464 -               1510....weight.................................... 172  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134465 -               1515....BP HR.....................................................  82  62 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134466 -               1545....BP HR.....................................................  97  66 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134467 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134468 -               1700... 40 114300 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
134469 -             1 0000............ 10 20330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134470 -             1 0000............ 10 20680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134471 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134472 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134473 -               2050... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134474 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134475 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134476 -               2200... 1000 2225000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134477 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134478 -               2340... 40 90500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134479 -               2330... 80 414960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134482 -  ..
134483 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134484 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134485 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134486 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134487 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134488 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134489 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134490 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134493 -  ..
134494 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134495 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134497 -  ..
134498 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134499 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134501 -  ..
134502 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134503 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134504 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134507 -  ..
134508 - Today, hiked 21 miles - took Magnesium complex powder emptied onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134509 - food - ate chia seeds with it. -- started 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134510 - South Concord streets - Treat, Turtle Creek Road.  Continued on Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134511 - to Clayton Road, mile 3, then West on Ygnacio Valley Road 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134512 - Hiked East on Pine Hollow 0.25 miles.  Turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134513 - Turned West 1 mile on Campus Drive to college.  Hiked 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134514 - parking lots.  Stopped mile 10, for EKG, hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134515 - Took Tramadol and Gabapentin to manage pain Took another Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134516 - dose for energy and inflammation.  Took CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134517 - Hiked 9-mile Crystal Ranch road loop uphill and back to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134518 - Continued 1-mile through parking lots.  Hiked 4 miles home.  Wore Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134519 - Bondi 6 wide shoes with 2 pair socks and bandages for feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134520 - Did not flip into AFL;  had some ischemic colitis - bloating - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134521 - Simethicone.  Long hike with temp > 80, totally wasted at end - barely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134522 - made it home - 4 hours later seem fine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134527 -         ..
134528 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134529 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134530 -        Stomach pain ischemic colitis bloating.......   3         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mild colitis 70% of hike, took Simethicone mile 12                                                                                                                                                                                                                                                                                                                                                                                                     
134531 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134532 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134533 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134534 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134535 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134536 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134537 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134538 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
134539 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134540 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
134541 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134542 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134543 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
134544 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134545 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134546 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134547 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 0 and again at mile 06  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                           
134548 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134549 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134550 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134551 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134552 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
134553 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134554 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134555 -        Hamstring left leg...........................   0         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
134556 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134557 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134558 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134559 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
134560 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134561 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134562 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 10 and again at mile mile 00 got gradually worse should have taken 2nd Tramadol at mile 18                                                                                                                                                                                                                                                                                                       
134563 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 10 and again at mile mile 00 got gradually worse should have taken 2nd Tramadol at mile 18                                                                                                                                                                                                                                                                                                       
134564 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134565 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134566 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
134567 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
134568 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
134569 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
134570 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134571 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
134572 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 240829 - unsure why so painful - will try shaving this evening 240907                                                                                                                                                                                                                                                                                                                                                                                                                                            
134573 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 10and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
134574 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134575 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
134576 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
134577 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
134578 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134579 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
134580 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
134581 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
134582 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
134583 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134584 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
134585 -  new   Callus little toe #5 left foot...PRP 210705..   2         80  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 18 and again at mile 00 got bandage cap with tape to secure worked well today                                                                                                                                                                                                                                                                                                                                                                     
134586 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134587 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134588 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134589 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
134590 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134591 -        Burning sensation both feet..................   2         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 18 and again at mile 00 - much worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                               
134592 -        Stinging sensation both feet.................   0        100  when stopped at mile 10 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
134593 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134594 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134595 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134596 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134597 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134598 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134599 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134600 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134601 -        Wobbly disoriented staggering dizzy..........   1        100  took 1 Tramadol and 1 Gabapentin mile 10 again at mile 00 - should have taken 2nd set of pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                           
134602 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134606 -  ..
134607 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134608 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134609 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134610 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134612 -  ..
134613 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134614 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134615 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134616 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134617 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134618 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134619 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134620 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134622 -  ..
134623 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134624 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134626 -  ..
134627 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134628 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134629 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134630 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134631 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134632 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134633 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134634 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134635 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134636 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134638 -  ..
134639 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134640 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134641 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134642 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134643 - ref SDS 0 RT5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134646 -  ..
134647 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134648 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134649 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134650 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134651 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134652 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134653 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134654 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134655 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134656 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134657 - Since pills are too big to slip through LESV, i.e., swallow, at least                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134658 - until after EGD dilation of LESV scheduled on 240910.  Therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134659 - cutting magnesium capsule open with scissors or punching a hole with a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134660 - pin - the powder spills without splatter onto food bunched on a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134661 - cutting board, and in the small plastic hiking container, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134662 - avocado, peanut butter and margarine.  Consumed Magnesium with a spoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134663 - combined with the food.  Disadvantage is the magnesium may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134664 - processed faster, so increased hiking energy disipates more quickly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134665 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134666 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134667 - 1653. ref SDS 42 JH8L  Fortunately, today there was steady increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134668 - energy for the last 6 miles, whereas there seemed to be uneven energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134669 - at least indicated by the Polar HR monitor.  Therefore consuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134670 - magnesium in the stomach out of capsule seemed better than allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134671 - the Magnesium pill to breakdown on top of LESV, as occurred on 240824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134672 - ref SDS 0 PPTU  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134673 - that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134674 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134675 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134676 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134677 - ref SDS 0 UW8H  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134678 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134679 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134680 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134681 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134682 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134683 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134684 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134685 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134686 - 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134687 - build conditioning for Half Dome.  Hiked Cuneo .25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134688 - left, onto Treat about 1 mile.  Feet starting hike feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134689 - like pins and needles - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134690 - statins.  Breathed through nose entire hike with no dyspnea.  Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134691 - started at 65, and reached 86.  West wind 14 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134692 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134693 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134694 - places 2% uphill, and very light traffic.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134695 - Community park and back today.  Park very busy with soccer tournament.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134696 - Continued on Turtle Creek Road uphill 4% grade.  Overflow from parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134697 - lot, vehicles parked on shoulder, so had to hike in street.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134698 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134699 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134700 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134701 - Way at traffic light and continued on concrete sidewalk .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134702 - mile 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134703 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134704 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134705 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134706 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134707 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134708 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134709 - around and hiked back.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134710 - mile uphill 3% - 4% grade against wind 14 mph.  At mile 07, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134711 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134712 - Campus.  Hiked around main campus buildings.  Since left elbow has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134713 - partially healed from PRP treatments on 231121 0700. ref SDS 27 QU4L,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134714 - stopped at training station to do 10 half-pullups, 10 half-pushups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134715 - 00 situps.  Continued hiking laps through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134716 - lots.  Back at Visitor Parking stopped at Administration Building mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134717 - 10 time 1103 temp 75 and wind 09 mph; EKG variable with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134718 - Kardia reported HR 119 Unclassified - see below. ref SDS 0 UQRQ  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134719 - reported HR dropped today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134720 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134721 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 2 - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134722 - applying Amonium Lactate 12% last night, see, ref SDS 0 G1F4, Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134723 - sensation PL 2, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134724 - left foot #5 edge blister/callus PL 3, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134725 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134726 - PL 3, left hamstring PL 0, left shoulder PL 0, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134727 - intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134728 - (...test this combination with temperature < 80...).  Took 2nd
134729 - Magnesium complex 300 mg pill - after this morning before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134730 - hike... punched hole through end of capsule and pressed capsule;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134731 - magnesium powder flowed onto food in plastic carrying case - avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134732 - peanut butter, margarine, per above, ref SDS 0 TYWY - ate with spoon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134733 - Consuming magnesium powder combined with food avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134734 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134735 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134736 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134737 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134738 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134739 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134740 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134741 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134742 - Since temperature elevated near 80, which increases sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134743 - ejects electrolytes, and dispite extending hike doing Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134744 - road 8-mile loop, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134745 - ref SDS 0 TWWS  Hiked another around main buildings.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134746 - at Visitor Parking taking Campus Drive down hill.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134747 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134748 - turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134749 - grade with 12 mph wind - wind helpful cooling effect against higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134750 - temperatures today.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134751 - dyspnea nor stopping.  This long uphill stretch was difficult after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134752 - not hiking Crystal Ranch for over 2 months.  About mile 12, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134753 - Simethicone to relieve bloating, possibly statin colitis - this was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134754 - somewhat effective.  At summit continued flat grade .5 miles, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134755 - downhill .25 miles 5% grade.  Hiked past Rolling Woods Way uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134756 - Crystal Ranch Road .5 miles 6% grade against with 12 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134757 - at top of hill.  Stopped mile 13 time 1217, temp 76, wind 12 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134758 - mostly uniform with some artifact, Polar reported HR 151 coming up the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134759 - hill.  At the top Kardia reported HR 136 (HR - wait 5 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134760 - different locations to get cellphone connection... clearly lower than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134761 - actual level of effort and temperature at this station...) Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134762 - - see below. ref SDS 0 H2S8  Feet PL 2, burning sensation PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134763 - foot #4, top PL 0 with pressure from top of shoe, left foot #1 callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134764 - PL 2, left foot #5 with cap protecting left edge calluses PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134765 - foot tailor's bunion PL 0, calves PL 0 left knee PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134766 - PL 1, left elbow PL 0, nothing to eat or drink (NPO), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134767 - ref SDS 0 TWWS  Continued downhill on Crystal Ranch Road 6% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134768 - miles.  At bottom of hill, continued uphill .25 mile.  At Autum Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134769 - Circle turned around hiking back and turned left onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134770 - Way hiking East .5 miles uphill 6% grade against 12 mph wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134771 - summit continued downhill .66 miles.  Turned left onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134772 - Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134773 - uphill 3% - 4% grade against wind 10 mph.  At mile 16, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134774 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134775 - through Faculty and Student parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134776 - at Administration Building mile 18, time 1351, temp 84 and wind 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134777 - mph; EKG mostly uniform with minor artifact.  Polar GPS/HR monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134778 - reported momentary spike HR 152; Kardia reported HR 142 Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134779 - Atrial Fibrillation. - see below. ref SDS 0 FA2U  Polar reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134780 - drop during stop for nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134781 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134782 - feet PL 3, right foot Tailor's bunions PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134783 - blister/callus PL 0, left foot #1 callus/blister PL 2, #5 callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134784 - left knee meniscus PL 1, left shoulder PL 1, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134785 - intermitant.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134786 - swallowing meds and nutrition - peanut butter, margarine combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134787 - Magnesium Complex that increases energy and reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134788 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134789 - avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134790 - complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134791 - ref SDS 0 TWWS  With rising heat felt wasted - very tired; sat down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134792 - for few minutes on bus stop bench.  Think I needed to do something,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134793 - but writing up this record cannot remember what.  Exited college North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134794 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134795 - Hiked West on flat grade .5 miles.  At mile 19, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134796 - Ranch Road uphill 3% grade .5 miles against wind 14 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134797 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134798 - Ygnacio Valley Road to avoid severe camber.  Did not hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134799 - uphill 3% grade to summit turn around at end of concrete barriar mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134800 - 20; instead hiked back .5 miles.  turned left onto Cowell heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134801 - North .25 miles downhill 5% grade.  Continued flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134802 - then .5 miles with narrow shoulder against oncoming weekend traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134803 - Turned left onto Treat hiking West .25 miles back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134804 - Ended hike mile 21 time 1456 temp 87, wind 12, feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134805 - sensation PL 3, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134806 - left foot #1 callus PL 2, #5 edge blister/callus PL 1, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134807 - top blister/callus PL 0.  Left knee meniscus PL 1, left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134808 - 0, left shoulder PL 0, left elbow PL 1 intermitant. neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134809 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134810 - 1, when lifting.  EKG looks mostly uniform, with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134811 - reported HR 141 Unclassified - see below. ref SDS 0 UQST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134823 -  ..
134824 - Kardia recorded HR 050 at 0645 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134825 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134826 - 00 miles yesterday, and stopping Apixaban on 240710 after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134827 - on 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134828 - 200612 0700, ref SDS 19 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134829 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134832 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134833 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240907-ecg-064526_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134837 -  ..
134838 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134839 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134840 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134842 -  ..
134843 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134845 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
134846 -       Date        240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616 240615   
134847 -       Miles          21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0      0     
134848 -       HR AVG        127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     no     
134849 -         MAX         158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report report   
134850 -         Min          50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65                  
134851 -       El Climb Ft   660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th card   iac------------>   305                  405    305    305           305    305    305 <------Recover
134852 -       Temp Max       89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82                  
134853 -       Wind Max       12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12                  
134854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134856 -              https://flow.polar.com/training/analysis/7957043302                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134859 -               ..
134861 -   
134862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134866 -  ..
134867 - EKG at mile 10 time 1103 HR 119 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134868 - Unclassifies... looks mostly variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134869 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134872 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134873 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240907-ecg-110332_mile_10_119_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134879 -  ..
134880 - EKG at mile 13 time 1217 HR 136 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134881 - Tachycardia... looks mostly uniform with no some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134882 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134885 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240907-ecg-121731_mile_13_136_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134892 -  ..
134893 - EKG at mile 18 time 1351 HR 136 temp 76, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134894 - Atrial Fibrillation... looks mostly uniform with no some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134895 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134898 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134899 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240907-ecg-135143_mile_18_142_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134904 -  ..
134905 - End hike EKG at mile 21, time 1456 HR 141 temp 87 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134906 - Unclassified... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134907 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134910 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134911 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240907-ecg-145643_mile_21_140_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134915 -  ..
134916 - Post hike HR profile beginning 2344, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134917 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134918 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134919 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134920 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134923 -        ..
134924 -       Date      240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628  240627    
134925 -       Time       2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952    2010     
134926 -       Hours         6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12      11     
134927 -       HR AVG       67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59      56     
134928 -       HR MAX       90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     117     
134929 -       HR Min       44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40      37     
134930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134932 -              https://flow.polar.com/training/analysis/7957433128                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134935 -               ..
134937 -   
134938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134941 -  ..
134942 - Breakfast - peanut butter margarine avocado chia seeds magnesium CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134943 - Lunch - peanut butter margarine avocado chia seeds magnesium CoQ10 Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134944 - Dinner - rice hamburger broccoli cauliflower onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134946 -  ..
134947 - Vomiting: 0%   aspirate  reflux sleep in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134974 -         ..
134975 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134976 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134977 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134978 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134979 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134980 -  252.  240908 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134981 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134982 -               0625....BP HR..................................................... 142  83  66  Kardia ECG reports HR status, see below. ref SDS 0 US2X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134983 -               0630....BP HR..................................................... 139  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134984 -               0635....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134985 -               0635....80 415040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134986 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
134987 -               0635... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134988 -               0635....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134989 -               0635....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134990 -               0635....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134991 -               0635....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134992 -               0635... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
134993 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134994 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
134995 -  ..
134996 -         * cr  0723....miles...........  21.0  92.0  352  1552 minutes  temp  91 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134997 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134998 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
134999 -               0953....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135000 -               0953....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135001 -               0953... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135002 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135003 -               0953... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
135004 -               0953... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135005 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135006 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
135007 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135008 -               1110....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135009 -               1233....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135010 -               1233....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135011 -               1233... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135012 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135013 -               1233... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
135014 -               1233... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135015 -               1233....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135016 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135017 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135018 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135019 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135020 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135021 -               1405... Hike ends mile 21... ref SDS 0 UTVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135022 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135023 -               1430....weight.................................... 172  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135024 -               1435....BP HR.....................................................  86  48  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135025 -               1440....BP HR.....................................................  78  52 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135026 -               1500....BP HR..................................................... 110  82  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135027 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135028 -               1700... 40 114340 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
135029 -               1830............ 10 20340  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
135030 -               1830............ 10 20690  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
135031 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135032 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135033 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135034 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135035 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135036 -               2200... 1000 2226000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135037 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135038 -               2330... 80 415120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135039 -               2340... 40 90540 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135042 -  ..
135043 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135044 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135045 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135046 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135047 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135048 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135049 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135050 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135053 -  ..
135054 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135055 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135057 -  ..
135058 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135059 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135061 -  ..
135062 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135063 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135064 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135067 -  ..
135068 - Today, hiked 21 miles - took Magnesium complex powder emptied onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135069 - food - ate chia seeds with it. -- started 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135070 - South Concord streets - Treat, Turtle Creek Road.  Continued on Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135071 - to Clayton Road, mile 3, then West on Ygnacio Valley Road 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135072 - Hiked East on Pine Hollow 0.25 miles.  Turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135073 - Turned West 1 mile on Campus Drive to college.  Hiked 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135074 - parking lots.  Stopped mile 10, for EKG, hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135075 - Took Tramadol and Gabapentin to manage pain Took another Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135076 - dose for energy and inflammation.  Took CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135077 - Hiked 9-mile Crystal Ranch road loop uphill and back to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135078 - Continued 1-mile through parking lots.  Hiked 4 miles home.  Wore Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135079 - Bondi 6 wide shoes with 2 pair socks and bandages for feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135080 - Did not flip into AFL;  had some ischemic colitis - bloating - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135081 - Simethicone.  Long hike with temp > 90, fatigued and okay at end - 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135082 - hours later seem fine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135087 -         ..
135088 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135089 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135090 -        Stomach pain ischemic colitis bloating.......   2         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mild colitis 70% of hike, did not take Simethicone today                                                                                                                                                                                                                                                                                                                                                                                               
135091 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135092 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135093 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135094 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135095 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135096 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135097 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135098 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
135099 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135100 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
135101 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135102 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135103 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
135104 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135105 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135106 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135107 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 0 and again at mile 06  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                           
135108 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135109 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135110 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135111 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135112 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
135113 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135114 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135115 -        Hamstring left leg...........................   0         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
135116 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135117 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135118 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135119 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
135120 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135121 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135122 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 12 got gradually worse took 3rd Tramadol at mile 17 - seemed to have no effect                                                                                                                                                                                                                                                                                         
135123 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 12 got gradually worse took 3rd Tramadol at mile 17 - seemed to have no effect                                                                                                                                                                                                                                                                                         
135124 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135125 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135126 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
135127 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
135128 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
135129 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
135130 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135131 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
135132 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 240829 - unsure why so painful - will try shaving this evening 240907 - did not use bandaging scheme                                                                                                                                                                                                                                                                                                                                                                                                             
135133 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 10and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
135134 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135135 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
135136 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
135137 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
135138 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135139 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
135140 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
135141 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
135142 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
135143 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135144 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
135145 -  new   Callus little toe #5 left foot...PRP 210705..   2         80  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 18 and again at mile 00 got bandage cap with tape to secure worked well today                                                                                                                                                                                                                                                                                                                                                                     
135146 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135147 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135148 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135149 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
135150 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135151 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 18 and again at mile 00 - much worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                               
135152 -        Stinging sensation both feet.................   0        100  when stopped at mile 10 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
135153 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135154 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135155 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135156 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135157 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135158 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135159 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135160 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135161 -        Wobbly disoriented staggering dizzy..........   1        100  took 1 Tramadol and 1 Gabapentin mile 09 again at mile 12 and again at mile 17 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                   
135162 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135166 -  ..
135167 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135168 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135169 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135170 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135172 -  ..
135173 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135174 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135175 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135176 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135177 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135178 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135179 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135180 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135182 -  ..
135183 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135184 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135186 -  ..
135187 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135188 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135189 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135190 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135191 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135192 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135193 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135194 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135195 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135196 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135198 -  ..
135199 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135200 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135201 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135202 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135203 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135206 -  ..
135207 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135208 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135209 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135210 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135211 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135212 - can cause colitis, and taking Tramadol and Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135213 - reduces inflammation - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135214 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135215 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135216 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135217 - Since pills are too big to slip through LESV, i.e., swallow, at least                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135218 - until after EGD dilation of LESV scheduled on 240910.  Therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135219 - cutting magnesium capsule open with scissors or punching a hole with a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135220 - pin - the powder spills without splatter onto food bunched on a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135221 - cutting board, and in the small plastic hiking container, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135222 - avocado, peanut butter and margarine.  Consumed Magnesium with a spoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135223 - combined with the food.  Disadvantage is the magnesium may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135224 - processed faster, so increased hiking energy disipates more quickly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135225 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135226 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135227 - 1653. ref SDS 42 JH8L  Fortunately, today there was steady increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135228 - energy for the last 6 miles, whereas there seemed to be uneven energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135229 - at least indicated by the Polar HR monitor.  Therefore consuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135230 - magnesium in the stomach out of capsule seemed better than allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135231 - the Magnesium pill to breakdown on top of LESV, as occurred on 240824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135232 - ref SDS 0 PPTU  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135233 - that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135234 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135235 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135236 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135237 - ref SDS 0 YT5G  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135238 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135239 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135240 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135241 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135242 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135243 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135244 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135245 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135246 - 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135247 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135248 - left, onto Treat.  After about 1 mile  feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135249 - swelled and like pins and needles calming down - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135250 - caused by taking statins.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135251 - dyspnea.  Temp started at 56, and reached 91.  West wind 15 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135252 - mostly 08 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135253 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135254 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135255 - Hike across Newhall Community park and back today.  Park starting to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135256 - get busy with soccer tournament.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135257 - uphill 4% grade.  Overflow from parking lot, vehicles parked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135258 - shoulder, so had to hike in street.  Turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135259 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135260 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135261 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135262 - continued on concrete sidewalk .5 miles.  At mile 3.75 stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135263 - Lucky Grocery store used restroom to take more of Magnesium combined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135264 - with avocado, peanut butter and margerine.  Continued at mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135265 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135266 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135267 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135268 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135269 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135270 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135271 - Valley Road; turned left hiked 0.25 miles East on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135272 - around and hiked back.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135273 - mile uphill 3% - 4% grade against wind 14 mph.  At mile 07, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135274 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135275 - Campus.  Did not hike around main campus buildings, so did not expose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135276 - left elbow that has partially healed from PRP treatments on 231121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135277 - 0700. ref SDS 27 QU4L, stopped at training station to do 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135278 - half-pullups, 10 half-pushups and 00 situps.  Continued hiking laps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135279 - through Faculty and Student parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135280 - stopped at Administration Building mile 09 time 0953 temp 65 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135281 - 02 mph; EKG variable with no artifact.  Kardia reported HR 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135282 - Possible Atgrial Fibrillation - see below. ref SDS 0 UTSQ  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135283 - reported HR did not drop significantly today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135284 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135285 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135286 - after applying Amonium Lactate 12% last night, see, ref SDS 0 UW8H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135287 - Burning sensation PL 2, shin plints PL 0, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135288 - PL 0, left foot #5 edge blister/callus PL 3, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135289 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135290 - PL 3, left hamstring PL 0, left shoulder PL 0, left elbow PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135291 - intermitant.  Took Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135292 - (...test this combination with temperature < 80...).  Took 2nd
135293 - Magnesium complex 300 mg pill - after this morning before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135294 - hike... punched hole through end of capsule and pressed capsule;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135295 - magnesium powder flowed onto food in plastic carrying case - avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135296 - peanut butter, margarine, per above, ref SDS 0 UPPR, - ate with spoon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135297 - Consuming magnesium powder combined with food avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135298 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135299 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135300 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135301 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135302 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135303 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135304 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135305 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135306 - Since temperature elevated near 80, which increases sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135307 - ejects electrolytes, and dispite extending hike doing Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135308 - road 8-mile loop, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135309 - ref SDS 0 UPPR  Did not hiked another around main buildings.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135310 - college at Visitor Parking taking Campus Drive down hill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135311 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135312 - 10, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135313 - grade with 12 mph wind - wind helpful cooling effect against higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135314 - temperatures today.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135315 - dyspnea nor stopping.  This long uphill stretch was less difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135316 - after hiking it yesterday, when not having hiked Crystal Ranch for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135317 - over 2 months.  About mile 11, there was mild bloating - did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135318 - Simethicone to relieve bloating possibly from taking statins that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135319 - cause ischemic colitis - lucky bloating seemed to calm down.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135320 - summit continued flat grade .5 miles, then downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135321 - grade.  Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135322 - miles 6% grade against wind 05 mph.  Road ends at top of hill.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135323 - back down hill .25 mile, and turned around at Crystal Ranch Clubhouse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135324 - hiking again uphill to summit.  Stopped mile 12 time 1110, temp 73,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135325 - wind 04 mph; EKG mostly variable with some artifact, Polar reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135326 - 141 coming up the hill.  At the top Kardia reported HR 121 (HR - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135327 - wait x minutes trying different locations to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135328 - connection... clearly lower than actual level of effort and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135329 - temperature at this station...) Unclassified - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135330 - UT3T Feet PL 3, burning sensation PL 2, right foot #4, top PL 0 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135331 - pressure from top of shoe, left foot #1 callus PL 2, left foot #5 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135332 - sleve protecting left edge calluses PL 2, left foot tailor's bunion PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135333 - 0, calves PL 0 left knee PL 0, left shoulder PL 1, left elbow PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135334 - nothing to eat or drink (NPO), per above. ref SDS 0 UPPR  Took sip of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135335 - softdrink for hydration.  Continued downhill on Crystal Ranch Road 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135336 - grade .5 miles.  At bottom of hill, continued uphill .35 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135337 - Crystal Ranch Clubhouse turned around hiking back and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135338 - Rolling Woods Way hiking East .5 miles uphill 6% grade against 03 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135339 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135340 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135341 - mile uphill 3% - 4% grade against wind 10 mph.  At mile 15, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135342 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135343 - through Faculty and Student parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135344 - at Administration Building - 2nd pass - mile 17, time 1233, temp 82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135345 - and wind 06 mph; EKG mostly uniform with no artifact.  Polar GPS/HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135346 - monitor reported no momentary spike HR ___; Kardia reported HR 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135347 - Tachycardia - see below. ref SDS 0 UTUW  Polar did reported normal HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135348 - drop during stop for nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135349 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135350 - feet PL 4, right foot Tailor's bunions PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135351 - blister/callus PL 0, left foot #1 callus/blister PL 3, #5 callus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135352 - left knee meniscus PL 1, left shoulder PL 1, left elbow PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135353 - intermitant.  Took Tramadol 3rd tima 50 mg and 1 Gabapentin 300 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135354 - pain (...test this combination with temperature > 80...).  Took 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135355 - Magnesium complex 300 mg pill - after this morning before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135356 - hike... punched hole through end of capsule and pressed capsule;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135357 - magnesium powder flowed onto food in plastic carrying case - avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135358 - peanut butter, margarine, per above, ref SDS 0 UPPR, - ate with spoon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135359 - Consuming magnesium powder combined with food avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135360 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135361 - carried from home and for hydration and swallowing meds and nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135362 - - peanut butter, margarine combined with Magnesium Complex that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135363 - increases energy and reduces inflammation, and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135364 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135365 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135366 - electrolyte pill, per above. ref SDS 0 UPPR  Even with rising heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135367 - felt better than "wasted" that occurred yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135368 - ref SDS 0 TYWY  Did not need to sit down for few minutes on bus stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135369 - bench.  Hiked loop through Faculty and Student parking.  At mile 19,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135370 - exited college North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135371 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 20,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135372 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135373 - wind 14 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135374 - crossed to North side Ygnacio Valley Road to avoid severe camber.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135375 - not hiked .5 miles uphill 3% grade to summit turn around at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135376 - concrete barriar mile 20; instead hiked back .5 miles. turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135377 - onto Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135378 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135379 - weekend traffic.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135380 - Cuneo and home.  Ended hike mile 21 time 1405 temp 91, wind 07, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135381 - PL 4, burning sensation PL 3, shin plints PL 1, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135382 - bunions PL 0, left foot #1 callus PL 3, #5 edge blister/callus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135383 - right foot #4 top blister/callus PL 0.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135384 - hamstring PL 0, left shoulder PL 0, left elbow PL 1 intermitant. neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135385 - and right shoulder PL 0 intermittantly, lower back left side PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135386 - left elbow PL 1, when lifting.  EKG looks mostly uniform, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135387 - artifact, Kardia reported HR 128 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135388 - UTVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135400 -  ..
135401 - Kardia recorded HR 050 at 0630 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135402 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135403 - after hiking 21 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135404 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135405 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135406 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135409 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135410 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240908-ecg-063014_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135414 -  ..
135415 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135416 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135417 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135419 -  ..
135420 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135422 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
135423 -       Date        240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617 240616   
135424 -       Miles          21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15     0     
135425 -       HR AVG        119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    no     
135426 -         MAX         141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141  report   
135427 -         Min          71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65           
135428 -       El Climb Ft   660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6   th tion--------------->   305                  405    305    305           305    305    305 <------R
135429 -       Temp Max       91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82           
135430 -       Wind Max       15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12           
135431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135433 -              https://flow.polar.com/training/analysis/7957754734                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135436 -               ..
135438 -   
135439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135443 -  ..
135444 - EKG at mile 09 time 0953 HR 103 temp 65, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135445 - Atrial Fibrillation... looks mostly variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135446 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135449 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135450 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240908-ecg-095338_mile_09_103_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135456 -  ..
135457 - EKG at mile 12 time 1110 HR 121 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135458 - Unclassified... looks mostly variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135459 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135462 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135463 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240908-ecg-111019_mile_12_121_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135469 -  ..
135470 - EKG at mile 17 time 1233 HR 125 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135471 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135472 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135475 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135476 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240908-ecg-123314_mile_17_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135481 -  ..
135482 - End hike EKG at mile 21, time 1405 HR 128 temp 91 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135483 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135484 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135487 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135488 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240908-ecg-140559_mile_21_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135492 -  ..
135493 - Post hike HR profile beginning 1947, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135494 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135495 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135496 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135497 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135500 -        ..
135501 -       Date      240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629  240628    
135502 -       Time       1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103    1952     
135503 -       Hours         8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12      12     
135504 -       HR AVG       66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60      59     
135505 -       HR MAX       99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     114     
135506 -       HR Min       38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40      40     
135507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135509 -              https://flow.polar.com/training/analysis/7958003596                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135512 -               ..
135514 -   
135515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135518 -  ..
135519 - Breakfast - peanut butter margarine avocado chia seeds magnesium CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135520 - Lunch - peanut butter margarine avocado chia seeds magnesium CoQ10 Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135521 - Dinner - rice hamburger broccoli cauliflower onion mushrooms potato - ate few bites saved rest for tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135524 -  ..
135525 - Vomiting: 0%   aspirate  reflux sleep in recliner - could only eat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135526 - few bites because something stuck on LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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135551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135553 -         ..
135554 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135555 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135556 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135557 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135558 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135559 -  253.  240909 0410............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135560 -               0410....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135561 -               0415....BP HR..................................................... 127  78  52  Kardia ECG reports HR status, see below. ref SDS 0 KYW7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135562 -               0420....BP HR..................................................... 118  74  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135563 -               0425....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135564 -               0425....80 415200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135565 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
135566 -               0425... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135567 -               0425....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135568 -               0425....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135569 -               0425....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135570 -               0425....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135571 -               0425... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135572 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135573 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
135574 -  ..
135575 -         * cr  0527....miles...........  11.0  11.0  177   177 minutes  temp  67 wind 04  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135576 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135577 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
135578 -               0740....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135579 -               0740....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135580 -               0740... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135581 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135582 -               0740... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
135583 -               0740... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135584 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135585 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
135586 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135587 -               1110....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135588 -               1233....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135589 -               1233....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135590 -               1233... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135591 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135592 -               1233... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
135593 -               1233... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135594 -               1233....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135595 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135596 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135597 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135598 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135599 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135600 -               1405... Hike ends mile 11... ref SDS 0 UTVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135601 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135602 -               1430....weight.................................... 176  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135603 -               1435....BP HR..................................................... 130  87  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135604 -               1440....BP HR..................................................... 120  79  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135605 -               1500....BP HR..................................................... 110  82  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135606 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135607 -               1700... 40 114380 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
135608 -             1 0000............ 10 20340  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
135609 -             1 0000............ 10 20690  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
135610 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135611 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135612 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135613 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135614 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135615 -               2200... 1000 2227000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135616 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135617 -               2330... 80 415280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135618 -               2340... 40 90580 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135621 -  ..
135622 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135623 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135624 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135625 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135626 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135627 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135628 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135629 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135632 -  ..
135633 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135634 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135636 -  ..
135637 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135638 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135640 -  ..
135641 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135642 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135643 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135646 -  ..
135647 - Today, hiked 11 miles - took Magnesium complex powder emptied onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135648 - food - ate chia seeds with it. -- started 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135649 - South Concord streets - Treat, Turtle Creek Road.  Continued on Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135650 - to Clayton Road, mile 3.  Feet hurt so stopped and took 2 Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135651 - Gabapentin.  Continued West on Ygnacio Valley Road 1 mile.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135652 - on Pine Hollow 0.25 miles.  Turned around and hiked back.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135653 - 1 mile on Campus Drive to college.  Hiked 3 miles through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135654 - lots.  Stopped mile 7, for EKG, hydration and nutrition.  Took more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135655 - Tramadol and Gabapentin to manage pain Took another Magnesium dose for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135656 - energy and inflammation.  Took CoQ10 for energy and HDL.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135657 - through Faculty and Student parking lots.  Feet still hurt, so hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135658 - home.  Wore Hoka Bondi 6 wide shoes with 2 pair socks and bandages for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135659 - feet injuries.  Did not flip into AFL;  had mild ischemic colitis -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135660 - bloating - did not take Simethicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135663 -         ..
135664 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135665 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135666 -        Stomach pain ischemic colitis bloating.......   2         70  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - mild colitis 70% of hike, did not take Simethicone today                                                                                                                                                                                                                                                                                                                                                                                               
135667 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135668 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135669 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 10helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135670 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135671 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135672 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135673 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 10and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135674 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
135675 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135676 -        Elbow left arm PRP on 231121.................   1         20  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
135677 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135678 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135679 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
135680 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135681 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135682 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135683 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 0 and again at mile 06  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                           
135684 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135685 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135686 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135687 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135688 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
135689 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135690 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135691 -        Hamstring left leg...........................   0         70  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
135692 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135693 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135694 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135695 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
135696 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135697 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135698 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 12 got gradually worse took 3rd Tramadol at mile 17 - seemed to have no effect                                                                                                                                                                                                                                                                                         
135699 -        Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 12 got gradually worse took 3rd Tramadol at mile 17 - seemed to have no effect                                                                                                                                                                                                                                                                                         
135700 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135701 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135702 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
135703 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
135704 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
135705 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
135706 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135707 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
135708 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 240829 - unsure why so painful - will try shaving this evening 240907 - did not use bandaging scheme                                                                                                                                                                                                                                                                                                                                                                                                             
135709 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 10and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
135710 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135711 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
135712 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
135713 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 10                                                                                                                                                                                                                                                                                                                                           
135714 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135715 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
135716 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
135717 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
135718 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
135719 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135720 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
135721 -  new   Callus little toe #5 left foot...PRP 210705..   5         80  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 18 and again at mile 00 got bandage cap with tape to secure worked well today                                                                                                                                                                                                                                                                                                                                                                     
135722 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135723 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135724 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135725 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
135726 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135727 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 18 and again at mile 00 - much worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                               
135728 -        Stinging sensation both feet.................   0        100  when stopped at mile 10 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
135729 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135730 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135731 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135732 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135733 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135734 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135735 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135736 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135737 -        Wobbly disoriented staggering dizzy..........   1        100  took 1 Tramadol and 1 Gabapentin mile 09 again at mile 12 and again at mile 17 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                   
135738 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135742 -  ..
135743 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135744 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135745 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135746 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135748 -  ..
135749 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135750 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135751 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135752 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135753 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135754 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135755 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135756 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135758 -  ..
135759 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135760 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135762 -  ..
135763 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135764 - 0701, ref SDS 16 NS7J  Today, used old spacer for left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135765 - and #5, created by Doctor Tank at VAMCSF on 240517 0900. ref SDS 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135766 - TJ6G  Also, used new spacer created by the doctor on 240517 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135767 - ref SDS 41 BL6N, to protect callus on #4 in web between #4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135768 - right foot.  Today, did not use Pediplast spacers, and did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135769 - neoprene sleeve to protect top of #4 on right foot.  The left foot had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135770 - PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters today - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135771 - not feel top of right foot #4; carried neoprene sleeve for #4 if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135772 - needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135774 -  ..
135775 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135776 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135777 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135778 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135779 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135782 -  ..
135783 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135784 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135785 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135786 - replace CoQ10 depleted by statins, which increases energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135787 - Did not take Naproxen for pain and inflammation management to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135788 - hike, because can cause colitis, and taking Tramadol and Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135789 - Complex that reduces inflammation - 300 mg 1 Pill Bioemblem Triple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135790 - Complex Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135791 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135792 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135793 - Since pills are too big to slip through LESV, i.e., swallow, at least                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135794 - until after EGD dilation of LESV scheduled on 240910.  Therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135795 - cutting magnesium capsule open with scissors or punching a hole with a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135796 - pin - the powder spills without splatter onto food bunched on a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135797 - cutting board, and in the small plastic hiking container, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135798 - avocado, peanut butter and margarine.  Consumed Magnesium with a spoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135799 - combined with the food.  Disadvantage is the magnesium may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135800 - processed faster, so increased hiking energy disipates more quickly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135801 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135802 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135803 - 1653. ref SDS 42 JH8L  Fortunately, today there was steady increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135804 - energy for the last 6 miles, whereas there seemed to be uneven energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135805 - at least indicated by the Polar HR monitor.  Therefore consuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135806 - magnesium in the stomach out of capsule seemed better than allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135807 - the Magnesium pill to breakdown on top of LESV, as occurred on 240824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135808 - ref SDS 0 PPTU  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135809 - that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135810 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135811 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135812 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135813 - ref SDS 0 6Y9G  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135814 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135815 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135816 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135817 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135818 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135819 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135820 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135821 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135822 - 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135823 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135824 - left, onto Treat.  Feet metatasalgia PL 2 starting - not good sign.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135825 - After about 1 mile feet starting hike with peripheral neuropathy (pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135826 - and needles) from statins calming down.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135827 - hike with no dyspnea.  Temp started at 56, and reached 67.  West wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135828 - 04 mph and mostly 02 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135829 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135830 - mostly flat grade, some places 2% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135831 - not Hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135832 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135833 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135834 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135835 - of shopping complex.  At mile 3.75, feet PL 4 - stopped at light post                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135836 - in Lucky parking lot.  Took 1 Tramadol and 1 Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135837 - management.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135838 - concrete sidewalk .5 miles.  Continued at mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135839 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135840 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135841 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135842 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135843 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135844 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135845 - left hiked 0.25 miles East on Pine Hollow.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135846 - back.  Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135847 - grade against wind 14 mph.  At mile 07, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135848 - California State University East Bay Concord Campus.  At Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135849 - Parking stopped at Administration Building mile 07 time 0740 temp 62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135850 - and wind 01 mph; EKG mostly uniform with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135851 - HR 105 Tachycardia - see below. ref SDS 0 VPSP  Polar reported HR did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135852 - not drop significantly today, during pause for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135853 - nutrition, see case study on 200101 0701, ref SDS 16 PY3I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135854 - research on 240416 0942. ref SDS 34 RU6M  Both feet PL 3 - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135855 - applying Amonium Lactate 12% last night, see, ref SDS 0 URPS.  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135856 - sensation PL 2, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135857 - left foot #1 callus PL 3, #5 edge blister/callus PL 4, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135858 - top blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135859 - meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135860 - 1 intermitant.  Took 2 Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135861 - (...test this combination with temperature < 80...).  Took 2nd
135862 - Magnesium complex 300 mg pill - after this morning before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135863 - hike... punched hole through end of capsule and pressed capsule;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135864 - magnesium powder flowed onto food in plastic carrying case - avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135865 - peanut butter, margarine - ate with spoon.  Consuming magnesium powder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135866 - combined with food avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135867 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135868 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135869 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135870 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135871 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135872 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135873 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135874 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135875 - elevated near 80, which increases sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135876 - and dispite extending hike doing Crystal Ranch road 8-mile loop, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135877 - not take Nuun electrolyte pill, per above. ref SDS 0 UUXR  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135878 - through Faculty and Student parking lots.  Pain did not subside.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135879 - Exited college at North end Student Parking taking Campus Drive West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135880 - around bend then North down hill.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135881 - Road.  Hiked West on flat grade .5 miles.  At mile 8, continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135882 - Crystal Ranch Road. uphill 3% grade .5 miles against wind 3 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135883 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135884 - side Ygnacio Valley Road to avoid severe camber.  Did not hike .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135885 - miles uphill 3% grade to summit turn around at end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135886 - mile 20; instead hiked back and turned left onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135887 - .25 miles downhill 5% grade.  Continued flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135888 - miles with narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135889 - left onto Treat hiking West .25 miles back to Cuneo and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135890 - hike mile 11 time 0849 temp 63, wind 04, feet PL 4, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135891 - PL 3, shin plints PL 0, right foot Tailor's bunions PL 0, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135892 - callus PL 4, #5 edge blister/callus PL 4, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135893 - blister/callus PL 0.  Left knee meniscus PL 1, left hamstring PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135894 - left shoulder PL 0, left elbow PL 1 intermitant. neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135895 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135896 - 1, when lifting.  EKG looks variable with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135897 - HR 098 Unclassified - see below. ref SDS 0 VPVX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135909 -  ..
135910 - Kardia recorded HR 071 at 0427 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135911 - mostly variable heart beat lengths with p-waves and no artifact;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135912 - likely no AFL after hiking 21 miles yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135913 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135914 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135915 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135918 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135919 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240909-ecg-042732_mile_00_071_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135923 -  ..
135924 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135925 - hike 11 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135926 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135928 -  ..
135929 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135931 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
135932 -       Date        240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623 240622 240621 240617   
135933 -       Miles          11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0      16     15     15    
135934 -       HR AVG        109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     125    123    115    
135935 -         MAX         126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   150    156    141    
135936 -         Min          73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60            66     67     65    
135937 -       El Climb Ft   428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis    aftac ablation--------------->   305                  405    305    305           305    305    305 <
135938 -       Temp Max       91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93            94     91     82    
135939 -       Wind Max       15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13            10     14     12    
135940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135943 -              https://flow.polar.com/training/analysis/7958171121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135947 -               ..
135949 -   
135950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135954 -  ..
135955 - EKG at mile 07 time 0740 HR 105 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135956 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135957 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135960 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135961 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240909-ecg-074018_mile_07_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135966 -  ..
135967 - End hike EKG at mile 07, time 0849 HR 098 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135968 - Unclassified... looks mostly variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135969 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135972 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135973 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240909-ecg-084928_mile_11_098_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135977 -  ..
135978 - Post hike HR profile beginning 1808, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135979 - hiking 11 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135980 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135981 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135982 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135985 -        ..
135986 -       Date      240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701  240630  240629    
135987 -       Time       1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934    1925    2103     
135988 -       Hours        12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11      11      12     
135989 -       HR AVG       65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73      55      60     
135990 -       HR MAX      107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     119     119     
135991 -       HR Min       40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48      38      40     
135992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135994 -              https://flow.polar.com/training/analysis/7958759720                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135997 -               ..
135999 -   
136000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136003 -  ..
136004 - Breakfast - peanut butter margarine avocado chia seeds magnesium CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136005 - Lunch - peanut butter margarine avocado chia seeds magnesium CoQ10 Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136006 - Dinner - rice hamburger broccoli cauliflower onion mushrooms potato - ate few bites saved rest for tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136009 -  ..
136010 - Vomiting: 0%   aspirate  reflux sleep in recliner - could only eat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136011 - few bites because something stuck on LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136038 -         ..
136039 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136040 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136041 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136042 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136043 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136044 -  254.  240910 0625............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136045 -               0625....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136046 -               0630....BP HR..................................................... 148  88  62  Kardia ECG reports HR status, see below. ref SDS 0 V5MT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136047 -               0635....BP HR..................................................... 134  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136048 -               0640....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136049 -               0640....80 415360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136050 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136051 -               0640... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136052 -               0640....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136053 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136054 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136055 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136056 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136057 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136058 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136059 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136060 -               1700... 40 114420 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
136061 -               1830............ 10 20350  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136062 -               1830............ 10 20700  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136063 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136064 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136065 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136066 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136067 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136068 -               2200... 1000 2228000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136069 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136070 -               2330... 80 415440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136071 -               2340... 40 90620 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136074 -  ..
136075 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136076 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136078 -  ..
136079 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136080 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136082 -  ..
136083 - Reflux last night slept in bed after EGD earlier today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136087 -  ..
136088 - Kardia recorded HR 050 at 0703 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136089 - uniform heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136090 - AFL after hiking 11 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136091 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136092 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136093 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136096 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136097 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240910-ecg-070321_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136101 -  ..
136102 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136103 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136104 - Dinner - Half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136107 -  ..
136108 - Vomiting: 0%   EGD dilation today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136135 -         ..
136136 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136137 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136138 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136139 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136140 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136141 -  255.  240911 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136142 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136143 -               0730....BP HR..................................................... 153  80  58  Kardia ECG reports HR status, see below. ref SDS 0 WPTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136144 -               0735....BP HR..................................................... 155  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136145 -               0740....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136146 -               0740....80 415520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136147 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136148 -               0740... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136149 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136150 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136151 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136152 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136153 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136154 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136155 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136156 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136157 -               1700... 40 114460 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
136158 -             1 0000............ 10 20350  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136159 -             1 0000............ 10 20700  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136160 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136161 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136162 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136163 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136164 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136165 -               2200... 1000 2229000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136166 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136167 -               2330... 80 415600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136168 -               2340... 40 90660 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136171 -  ..
136172 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136173 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136175 -  ..
136176 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136177 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136179 -  ..
136180 - Reflux last night required sleeping in recliner chair until OA 0330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136181 - then could sleep in bed.  Worse during hike today - difficult to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136182 - sequence of food that will slip through constricted LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136186 -  ..
136187 - Kardia no EKG today....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136191 -  ..
136192 - Post hike HR profile beginning 2151, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136193 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136194 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136195 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136196 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136199 -        ..
136200 -       Date      240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702  240701    
136201 -       Time       2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029    1934     
136202 -       Hours         7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9      11     
136203 -       HR AVG       55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69      73     
136204 -       HR MAX      115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     113     
136205 -       HR Min       40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51      48     
136206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136208 -              https://flow.polar.com/training/analysis/7960068472                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136211 -               ..
136213 -   
136214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136217 -  ..
136218 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136219 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136220 - Dinner - Half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136223 -  ..
136224 - Vomiting: 0%   EGD dilation on 240910, less reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136250 -         ..
136251 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136252 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136253 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136254 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136255 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136256 -  256.  240912 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136257 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136258 -               0730....BP HR..................................................... 149  80  52  Kardia ECG reports HR status, see below. ref SDS 0 8VKR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136259 -               0735....BP HR..................................................... 143  82  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136260 -               0740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136261 -               0740....80 415680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136262 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136263 -               0740... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136264 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136265 -               0740....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136266 -               0740....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136267 -               0740....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136268 -               0740... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136269 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136270 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
136271 -  ..
136272 -               0940....miles...........  21.0  32.0  347   524 minutes  temp  86 wind 09  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136273 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136274 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136275 -               1252....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136276 -               1252....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136277 -               1252... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136278 -               0000....Naproxen 250 mg 2 pills pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136279 -               1252... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
136280 -               1252... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136281 -               1252....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136282 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136283 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136284 -               1110....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136285 -               1233....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136286 -               1233....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136287 -               1233... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136288 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136289 -               1233... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
136290 -               1233... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136291 -               1233....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136292 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136293 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136294 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136295 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136296 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136297 -               1608... Hike ends mile 21... ref SDS 0 WQS7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136298 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136299 -               1620....weight.................................... 171  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136300 -               1625....BP HR..................................................... 108  77 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136301 -               1636....BP HR..................................................... 112  80 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136302 -               1500....BP HR..................................................... 110  82  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136303 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136304 -               1700... 40 114500 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
136305 -               1830............ 10 20360  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136306 -               1830............ 10 20710  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136307 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136308 -               2120... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136309 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136310 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136311 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136312 -               2200... 1000 2230000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136313 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136314 -               2330... 80 415760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136315 -               2340... 40 90700 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136319 -  ..
136320 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136321 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136323 -  ..
136324 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136325 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136327 -  ..
136328 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136331 -  ..
136332 - Today, hiked 21 miles - had no ischemic colitis!!! after EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136333 - with Doctor Lee at VAMC Sacramento on 240910. Did not take Tramdol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136334 - Gabapentin because feet not hurting; took Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136335 - pill, swallowed whole after EGD dilation on 240910.  This allowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136336 - gradual release of magnesium as capsule disolves, and avoided clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136337 - LESV that has been occurring the past month or so -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136338 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136339 - Continued on Ayers to Clayton Road, mile 3; did not feel bloated - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136340 - Simethicone.  Continued West on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136341 - 5, hiked East on Pine Hollow 0.50 miles.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136342 - back.  Turned left heading West 3% grade 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136343 - college.  Hiked 4 miles through faculty and student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136344 - Stopped mile 11, for EKG, pain meds for feet, hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136345 - Took another magnesium pill to prevent inflammation, and increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136346 - energy.  Took CoQ10 for energy and HDL.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136347 - building.  Left college hiking down Campus Road then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136348 - Valley Road.  Continued past Crystal Ranch Road heading uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136349 - Ygnacio Valley Road.  At summit continued West downhill 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136350 - Crossed Oak Grove and hiked a 1 mile loop around Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136351 - complex.  Back at Oak Grove and Ygnacio Valley Road, hiked .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136352 - inside the complex and stopped at Mod Pizza mile 16 for EKG, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136353 - meds, hydration and nutrition.  Hiked another loop around shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136354 - complex and turned left onto Oak Grove.  Hiked a mile North then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136355 - turned West and hiked 2 miles on Treat to Cuneo - continued to Cowell,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136356 - came back to Cuneo then home.  Left knee hurt less today, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136357 - metatarsalgia pain more severe and despite taking 2 Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136358 - Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136362 -         ..
136363 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136364 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136365 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not take Simethicone today                                                                                                                                                                                                                                                                                                                                                                                                                         
136366 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136367 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136368 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136369 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136370 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136371 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136372 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136373 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
136374 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136375 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
136376 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136377 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136378 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
136379 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136380 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136381 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136382 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
136383 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136384 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136385 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136386 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136387 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
136388 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136389 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136390 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
136391 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136392 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136393 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136394 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
136395 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136396 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136397 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 11 and again at mile mile 16 got gradually worse seemed to have no effect                                                                                                                                                                                                                                                                                                                        
136398 -        Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 11 and again at mile mile 16 got gradually worse seemed to have no effect                                                                                                                                                                                                                                                                                                                        
136399 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136400 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136401 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
136402 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
136403 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
136404 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
136405 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136406 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
136407 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                            
136408 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
136409 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136410 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
136411 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
136412 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
136413 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136414 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
136415 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
136416 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
136417 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
136418 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136419 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
136420 -  new   Callus little toe #5 left foot...PRP 210705..   2         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
136421 -        Callus ring toe left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136422 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136423 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136424 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
136425 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136426 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
136427 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
136428 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136429 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136430 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136431 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136432 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136433 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136434 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136435 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136436 -        Wobbly disoriented staggering dizzy..........   1        100  took 1 Tramadol and 1 Gabapentin mile 11 again at mile 16 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                                        
136437 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136441 -  ..
136442 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136443 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136444 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136445 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136447 -  ..
136448 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136449 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136450 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136451 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136452 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136453 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136454 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136455 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136457 -  ..
136458 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136459 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136461 -  ..
136462 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136463 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136464 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136465 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136466 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136467 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136468 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136469 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136470 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136471 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136473 -  ..
136474 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136475 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136476 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136477 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136478 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136481 -  ..
136482 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136483 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136484 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136485 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136486 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136487 - can cause colitis.  Took Tramadol and Gabapentin for pain management;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136488 - and took Magnesium Complex that increases energy and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136489 - inflammation allowing HDL to increase - 300 mg 1 Pill Bioemblem Triple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136490 - Complex Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136491 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136492 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136493 - Since had EGD Dilation on 240910, swallowed large pill that has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136494 - too big to slip through LESV, i.e., swallow, the past month or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136495 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136496 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136497 - 1653. ref SDS 42 JH8L  Magnesium increases energy by disapating lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136498 - acid that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136499 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136500 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136501 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136502 - ref SDS 0 VRUX  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136503 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136504 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136505 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136506 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136507 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136508 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136509 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136510 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136511 - 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136512 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136513 - left, onto Treat.  After about 1 mile  feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136514 - swelled and like pins and needles calming down - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136515 - caused by taking statins.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136516 - dyspnea.  Temp started at 58, and reached 86.  West wind 09 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136517 - mostly 06 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136518 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136519 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136520 - Hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136521 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136522 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136523 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136524 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136525 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136526 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136527 - Begin feeling metatarsaltia PL 2 both feet, and left foot #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136528 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136529 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136530 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136531 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136532 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136533 - left hiked 0.50 miles East on Pine Hollow.  Nearing Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136534 - there was construction crew working, so turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136535 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136536 - against wind 04 mph.  Mile 07, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136537 - State University East Bay Concord Campus.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136538 - buildings, then 3 loops through Faculty and Student parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136539 - Visitor Parking stopped at Administration Building mile 11 time 1252                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136540 - temp 79 and wind 04 mph; EKG variable with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136541 - reported HR 127 Possible Atgrial Fibrillation - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136542 - WP4S  Polar reported HR did not drop significantly today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136543 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136544 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136545 - feet PL 2 - after applying Amonium Lactate 12% on 240909, see,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136546 - ref SDS 0 6Y9G, and not hiking hiking past 2 days.  Burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136547 - PL 1, shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136548 - edge blister/callus PL 1, right foot #4 top blister/callus PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136549 - edge callus/blister PL 0.  Left knee meniscus PL 1, left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136550 - 0, left shoulder PL 0, left elbow PL 1 intermitant.  Took Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136551 - mg and 1 Gabapentin 300 mg for pain (...test this combination with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136552 - temperature < 80...).  Took 2nd Magnesium complex 300 mg pill -
136553 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136554 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136555 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136556 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136557 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136558 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136559 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136560 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136561 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136562 - Since temperature elevated near 80, which increases sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136563 - ejects electrolytes, and since extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136564 - Valley Road, took Nuun electrolyte pill, per above. ref SDS 0 VVTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136565 - Hiked another around main buildings.  Exited college at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136566 - Parking taking Campus Drive down hill.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136567 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136568 - continued past Crystal Ranch Road, heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136569 - uphill 3% grade against wind 04 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136570 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136571 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136572 - end of concrete barriar and break in rising afternoon commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136573 - about mile 13, crossed back to South side Ygnacio Valley Road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136574 - wider shoulder.  Continued 2 miles downhill 3-4% grade.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136575 - traffic crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136576 - Grove at traffic light.  At mile 15, hiked 1-mile loop around block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136577 - Safeway shopping complex.  Today, stopped at Mod Pizza mile 16, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136578 - 1649, temp 85 and wind 06 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136579 - Kardia reported HR 136 (indicating no AFL - elevated HR aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136580 - rising temperature, and hiking 16 miles after no hiking past 3 weeks),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136581 - Tachycardia - see below. ref SDS 0 WQPV  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136582 - drop severely today, during pause for EKG, hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136583 - see case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136584 - 0942. ref SDS 34 RU6M  Both feet PL 3, burning sensation PL 3, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136585 - foot Tailor's bunions PL 0, left foot #5 edge callus/blister PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136586 - right foot #4 bottom blister/callus PL 0, #5 edge callus/blister PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136587 - left knee meniscus PL 1, left shoulder PL 1, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136588 - intermitant.  Took another set of Tramadol 50 mg and 1 Gabapentin 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136589 - mg for pain (...further test this combination with temperature <
136590 - 90...).  Took 3rd Magnesium complex 300 mg pill for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136591 - magnesium reduces inflammation, evident today with increased feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136592 - pain, and magnesium is essential to raise HDL.  Since softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136593 - carried from home has gotten warm the past 4 hours, Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136594 - attendant provided a cup and ice free of charge (...On the House...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136595 - using vending dispenser.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136596 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136597 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136598 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136599 - hike.  Since temperature is still below 90, sweating moderate that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136600 - ejects electrolytes, did not take`another Nuun electrolyte pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136601 - (...save money...).  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136602 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136603 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136604 - Oak Grove.  Hiked 1 mile North on asphalt shoulder in sun with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136605 - temperature rising near 90.  Crossed Treat at break in traffic.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136606 - 1 mile East on flat grade concrete sidewalk.  At San Miguel hiked .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136607 - miles on Treat uphill 5% grade with wind 03 mph, temp 86.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136608 - this well.  At summit, mile 20, hiked another mile to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136609 - Continued .25 mile to Cowell.  Turned around hiking back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136610 - right onto Cuneo and then home.  Ended hike mile 21 time 1608 temp 86,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136611 - wind 06, feet PL 3, left foot #5 edge PL 2, right foot blister #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136612 - bottom PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136613 - knee PL 1 (swollen slightly), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136614 - neck and right shoulder PL 0 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136615 - 0, left elbow PL 1, when lifting.  EKG uniform, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136616 - Kardia reported HR 137 Tachycardia - see below. ref SDS 0 WQS7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136629 -  ..
136630 - Kardia recorded HR 054 at 0748 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136631 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136632 - 00 miles yesterday, and stopping Apixaban on 240710 after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136633 - on 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136634 - 200612 0700, ref SDS 19 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136635 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136638 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136639 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240912-ecg-074854_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136643 -  ..
136644 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136645 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136646 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136648 -  ..
136649 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136651 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
136652 -       Date        240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624 240623   
136653 -       Miles          21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20     0     
136654 -       HR AVG        130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    no     
136655 -         MAX         153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148  report   
136656 -         Min          87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60           
136657 -       El Climb Ft   482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hike reco   verlitis after 6th cardiac ablation--------------->   305                  405    305    305
136658 -       Temp Max       86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93           
136659 -       Wind Max       09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13           
136660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136663 -              https://flow.polar.com/training/analysis/7960453966                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136667 -               ..
136669 -   
136670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136674 -  ..
136675 - EKG at mile 11 time 1252 HR 127 temp 79, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136676 - Atrial Fibrillation... looks mostly variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136677 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136680 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136681 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240912-ecg-125225_mile_11_127_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136687 -  ..
136688 - EKG at mile 16 time 1449 HR 136 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136689 - Tachycardia... looks perfectly uniform (like AFL) with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136690 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136693 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136694 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240912-ecg-144902_mile_16_136_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136699 -  ..
136700 - End hike EKG at mile 21, time 1608 HR 137 temp 91 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136701 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136702 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136705 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136706 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240912-ecg-160827_mile_21_137_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136710 -  ..
136711 - Post hike HR profile beginning 2102, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136712 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136713 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136714 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136715 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136718 -        ..
136719 -       Date      240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703  240702    
136720 -       Time       2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132    2029     
136721 -       Hours        11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10       9     
136722 -       HR AVG       67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60      69     
136723 -       HR MAX      130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113      96     
136724 -       HR Min       39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39      51     
136725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136727 -              https://flow.polar.com/training/analysis/7960823003                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136730 -               ..
136732 -   
136733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136736 -  ..
136737 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136738 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136739 - Dinner - eggs rice hamburger broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136742 -  ..
136743 - Vomiting: 0%   EGD dilation on 240910 improved swallowing that avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136744 -                vomiting and reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136771 -         ..
136772 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136773 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136774 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136775 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136776 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136777 -  257.  240913 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136778 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136779 -               0730....BP HR..................................................... 151  83  54  Kardia ECG reports HR status, see below. ref SDS 0 8VKR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136780 -               0735....BP HR..................................................... 152  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136781 -               0740....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136782 -               0740....80 415840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136783 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136784 -               0740... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136785 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136786 -               0740....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136787 -               0740....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136788 -               0740....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136789 -               0740... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136790 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136791 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
136792 -  ..
136793 -               0947....miles...........  21.0  53.0  345   869 minutes  temp  91 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136794 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136795 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136796 -               1205....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136797 -               1205....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136798 -               1205... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136799 -               1205... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
136800 -               1205... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136801 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136802 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
136803 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136804 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136805 -               1233....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136806 -               1233....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136807 -               1233... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136808 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136809 -               1233... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
136810 -               1233... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136811 -               1233....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136812 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136813 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136814 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136815 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136816 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136817 -               1613... Hike ends mile 21... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136818 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136819 -               1620....weight.................................... 171  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136820 -               1645....BP HR.....................................................  97  72 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136821 -               1635....BP HR.....................................................  91  72 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136822 -               1655....BP HR.....................................................  94  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136823 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136824 -               1730... 40 114540 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
136825 -             1 0000............ 10 20360  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136826 -             1 0000............ 10 20710  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136827 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136828 -               2110... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136829 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136830 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136831 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136832 -               2200... 1000 2231000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136833 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136834 -               2330... 80 415920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136835 -               2340... 40 90740 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136838 -  ..
136839 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136840 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136842 -  ..
136843 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136844 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136846 -  ..
136847 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136850 -  ..
136851 - Today, hiked 21 miles - had no ischemic colitis!!! after EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136852 - with Doctor Lee at VAMC Sacramento on 240910.  Did not take Tramdol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136853 - and Gabapentin because feet not hurting; took Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136854 - pill, swallowed whole after EGD dilation on 240910.  This allowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136855 - gradual release of magnesium as capsule disolves, and avoided clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136856 - LESV that has been occurring the past month or so -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136857 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136858 - Continued on Ayers to Clayton Road, mile 3; did not feel bloated - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136859 - Simethicone.  Continued West on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136860 - 5, hiked East on Pine Hollow 0.25 miles.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136861 - back.  Turned left heading West 3% grade 1 mile on Campus Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136862 - college.  Hiked 1 mile through faculty and student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136863 - Stopped mile 08, for EKG, then double dose pain meds for feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136864 - hydration and nutrition.  Took another magnesium pill to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136865 - inflammation, and increase energy.  Took CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136866 - Hiked loop around main building.  Left college hiking down Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136867 - then West on Ygnacio Valley Road.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136868 - heading uphill on Ygnacio Valley Road.  At summit continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136869 - downhill 2 miles.  Crossed Oak Grove and hiked 4 1-mile loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136870 - Safeway shopping complex.  Back at Oak Grove and Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136871 - hiked .25 mile inside the complex and stopped at Mod Pizza mile 16 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136872 - EKG, pain meds, hydration and nutrition.  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136873 - shopping complex and turned left onto Oak Grove.  Hiked a mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136874 - then turned West and hiked 2 miles on Treat to Cuneo - continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136875 - Cowell, turned left onto Cowell and hiked North about .15 mile; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136876 - around and hiked back to Treat, then back to Cuneo and finally home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136877 - Left knee hurt less today, both feet metatarsalgia pain more severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136878 - and despite taking 3 Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136882 -         ..
136883 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136884 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136885 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - did not take Simethicone today                                                                                                                                                                                                                                                                                                                                                                                                                         
136886 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136887 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136888 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136889 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136890 -        Trapezius right side neck/shoulder...........   0        100  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136891 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136892 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136893 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
136894 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136895 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
136896 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136897 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136898 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
136899 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136900 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136901 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136902 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
136903 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136904 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136905 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136906 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136907 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
136908 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136909 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136910 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
136911 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136912 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136913 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136914 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
136915 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136916 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136917 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 11 and again at mile mile 16 got gradually worse seemed to have no effect                                                                                                                                                                                                                                                                                                                        
136918 -        Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 11 and again at mile mile 16 got gradually worse seemed to have no effect                                                                                                                                                                                                                                                                                                                        
136919 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136920 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136921 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
136922 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
136923 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
136924 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
136925 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136926 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
136927 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                            
136928 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
136929 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136930 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
136931 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
136932 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
136933 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136934 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
136935 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
136936 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
136937 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
136938 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136939 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
136940 -  new   Callus little toe #5 left foot...PRP 210705..   2         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
136941 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136942 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136943 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136944 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
136945 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136946 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
136947 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
136948 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136949 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136950 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136951 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136952 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136953 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136954 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136955 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136956 -        Wobbly disoriented staggering dizzy..........   1        100  took 2 Tramadol and 2 Gabapentin mile 08 again but only 1 at mile 16 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                             
136957 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136961 -  ..
136962 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136963 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136964 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136965 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136967 -  ..
136968 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136969 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136970 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136971 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136972 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136973 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136974 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136975 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136977 -  ..
136978 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136979 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136981 -  ..
136982 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136983 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136984 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136985 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136986 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136987 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136988 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136989 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136990 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136991 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136993 -  ..
136994 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136995 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136996 - Ammonium Lactate 12% lotion, and with wearing 2 pair Wrightsock                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136997 - dual-ply socks and apply ammonium lactate to bottom of feet night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136998 - before hike, per above. ref SDS 0 VRUX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137001 -  ..
137002 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137003 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137004 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137005 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137006 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137007 - can cause colitis.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137008 - management.  Did take Magnesium Complex that increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137009 - reduces inflammation allowing HDL to increase - 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137010 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137011 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow for gradual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137012 - release as plastic capsules breakdown and release magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137013 - over time.  Since had EGD Dilation on 240910, swallowed large pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137014 - that has been too big to slip through LESV, i.e., swallow, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137015 - month or so.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137016 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137017 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137018 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137019 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137020 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137021 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137022 - above. ref SDS 0 G83H  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137023 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137024 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137025 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137026 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137027 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137028 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137029 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137030 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137031 - team on 220503 0900. ref SDS 22 TL6I  Took backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137032 - good to build conditioning for Half Dome.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137033 - feet started to hurt including left foot #1 and #5 both suddenly PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137034 - Went back to house intending to use bandaging and pain meds.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137035 - reaching the house, pain declined.  Decided to try hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137036 - bandaging and taking pain meds.  Turned around and hiked Cuneo again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137037 - 0.25 mile and turned left, onto Treat.  After about 1 mile  feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137038 - starting hike feeling swelled and like pins and needles calming down -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137039 - peripheral neuropathy caused by taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137040 - entire hike with no dyspnea.  Temp started at 79, and reached 92.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137041 - West wind 14 mph and mostly 06 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137042 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137043 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137044 - traffic.  Did not Hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137045 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137046 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137047 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137048 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137049 - traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137050 - Interesting at this stage of hike generally overall body feels very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137051 - good - strong.  This significant change from feeling past 2 months or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137052 - so.  At mile 4, turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137053 - concrete sidewalk .5 miles.  Begin feeling metatarsaltia PL 3 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137054 - feet, and left foot #5 PL 3.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137055 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137056 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137057 - Continued West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137058 - Union 76 Texaco Gas Station store mile 5, time ____.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137059 - Ygnacio Valley Road; turned left hiked 0.25 miles East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137060 - Turned around and hiked back.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137061 - West 1 mile uphill 3% - 4% grade against wind 04 mph.  Mile 06,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137062 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137063 - Concord Campus.  Hiked around main campus buildings, then 1 loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137064 - through Faculty and Student parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137065 - at Administration Building mile 08 time 1205 temp 83 and wind 03 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137066 - EKG Tachycardia with no artifact.  Kardia reported HR 118 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137067 - ref SDS 0 WRSV  Polar reported HR did not drop significantly today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137068 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137069 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137070 - RU6M  Both feet PL 3 - after applying Amonium Lactate 12% on 240909,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137071 - see, ref SDS 0 VRUX, Burning sensation PL 1, shin plints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137072 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137073 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137074 - Left knee meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137075 - elbow PL 1 intermitant.  Took 2 Tramadol 50 mg and 2 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137076 - for pain (...test this combination with temperature > 80...).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137077 - 2nd Magnesium complex 300 mg pill - swallowed whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137078 - on 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137079 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137080 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137081 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137082 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137083 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137084 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137085 - energy, and avocado for HDL - only few bites with spoon.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137086 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137087 - temperature elevated aboe 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137088 - electrolytes, and since extending hike over summit Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137089 - Road, however to save money did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137090 - above. ref SDS 0 VXRS  Hiked another around main buildings.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137091 - college at Visitor Parking taking Campus Drive down hill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137092 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137093 - 09, continued past Crystal Ranch Road, heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137094 - Road uphill 3% grade against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137095 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137096 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137097 - end of concrete barriar and break in rising afternoon commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137098 - about mile 10, crossed back to South side Ygnacio Valley Road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137099 - wider shoulder.  Continued 2 miles downhill 3-4% grade.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137100 - traffic crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137101 - Grove at traffic light.  At mile 12, hiked 4 1-mile loops around block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137102 - at Safeway shopping complex.  Today, stopped at Mod Pizza mile 16,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137103 - time 1440, temp 91 and wind 10 mph; EKG looks variable with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137104 - artifact.  Kardia reported HR 127 (indicating no AFL - elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137105 - aligns with rising temperature, and hiking 16 miles after no hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137106 - past 3 weeks), Possible Atrial Fibrillation - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137107 - WRTY Polar reported HR dropped severely today, during pause for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137108 - hydration and nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137109 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137110 - burning sensation PL 3, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137111 - edge callus/blister PL 3, and #1 PL 3; new issue tip #4 new blister PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137112 - 3; right foot #4 bottom blister/callus PL 0, #5 edge callus/blister PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137113 - 0, left knee meniscus PL 1, left shoulder PL 1, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137114 - intermitant.  Took another set of Tramadol 50 mg and 1 Gabapentin 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137115 - mg for pain (...further test this combination with temperature >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137116 - 90...).  Took 3rd Magnesium complex 300 mg pill for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137117 - magnesium reduces inflammation, evident today with increased feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137118 - pain, and magnesium is essential to raise HDL.  Since softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137119 - carried from home has gotten warm the past 4 hours, Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137120 - attendant provided a cup and ice free of charge (...On the House...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137121 - using vending dispenser.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137122 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137123 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137124 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137125 - hike.  Since temperature is now above 90, sweating ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137126 - electrolytes, did not take`another Nuun electrolyte pill (...save                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137127 - money...).  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137128 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137129 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137130 - Grove.  Hiked 1 mile North on asphalt shoulder in sun with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137131 - rising above 90.  Crossed Treat at break in traffic.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137132 - East on flat grade concrete sidewalk.  At San Miguel hiked .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137133 - on Treat uphill 5% grade with wind 03 mph, temp 92.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137134 - well.  At summit, mile 19, hiked another mile to Cuneo.  Continued .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137135 - mile to Cowell.  Turned left and hiked .15 mile North.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137136 - and hiked back to Treat, then went West .25 mile on Treat and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137137 - right onto Cuneo and then home.  Ended hike mile 21 time 1613 temp 92,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137138 - wind 12, feet PL 5, left foot #5 edge PL 2, new blister tip of #4 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137139 - 3, right foot blister #4 bottom PL 0, #5 PL 0, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137140 - shin splints PL 0, left knee PL 1 (swollen slightly), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137141 - left shoulder PL 0, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137142 - back left side PL 0, left elbow PL 1, when lifting.  EKG uniform, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137143 - no artifact, Kardia reported HR 127 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137144 - below. ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137157 -  ..
137158 - Kardia recorded HR 055 at 0904 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137159 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137160 - hiking 21 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137161 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137162 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137163 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137166 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137167 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240913-ecg-090423_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137171 -  ..
137172 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137173 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137174 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137176 -  ..
137177 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137179 -                                                 x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                     
137180 -       Date        240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 240629 240628 240627 240626 240625 240624   
137181 -       Miles          21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      16     20     20    
137182 -       HR AVG        122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122    no     no     107    110    116    
137183 -         MAX         142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  report report   133    138    148    
137184 -         Min          67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73                   66     58     60    
137185 -       El Climb Ft   482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablation -->  305  <---------- can't hi   ke emic colitis after 6th cardiac ablation--------------->   305                  405    305    305    
137186 -       Temp Max       92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95                   81     91     93    
137187 -       Wind Max       14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14                   15     12     13    
137188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137191 -              https://flow.polar.com/training/analysis/7961018338                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137195 -               ..
137197 -   
137198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137202 -  ..
137203 - EKG at mile 08 time 1205 HR 118 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137204 - Tachycardia... looks perfectly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137205 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137208 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137209 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240913-ecg-120556_mile_08_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137215 -  ..
137216 - EKG at mile 16 time 1440 HR 127 temp 91, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137217 - Atrial Fibrillation... looks perfectly variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137218 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137221 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137222 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240913-ecg-144027_mile_16_127_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137227 -  ..
137228 - End hike EKG at mile 21, time 1613 HR 127 temp 92 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137229 - Possible Atrial Fibrillation...with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137230 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137233 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137234 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240913-ecg-161351_mile_21_127_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137240 -  ..
137241 - Post hike HR profile beginning 1954, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137242 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137243 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137244 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137245 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137248 -        ..
137249 -       Date      240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704  240703    
137250 -       Time       1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945    2132     
137251 -       Hours        11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12      10     
137252 -       HR AVG       66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60      60     
137253 -       HR MAX      115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     113     
137254 -       HR Min       40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40      39     
137255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137257 -              https://flow.polar.com/training/analysis/7961524974                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137260 -               ..
137262 -   
137263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137266 -  ..
137267 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137268 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137269 - Dinner - eggs rice hamburger broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137272 -  ..
137273 - Vomiting: 0%   EGD dilation on 240910 improved swallowing that avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137274 -                vomiting and reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137303 -         ..
137304 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137305 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137306 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137307 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137308 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137309 -  258.  240914 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137310 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137311 -               0730....BP HR..................................................... 127  78  51  Kardia ECG reports HR status, see below. ref SDS 0 2WTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137312 -               0735....BP HR..................................................... 112  66  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137313 -               0740....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137314 -               0740....80 416000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137315 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137316 -               0740... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137317 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137318 -               0740....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137319 -               0740....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137320 -               0740....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137321 -               0740... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137322 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137323 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137324 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137325 -               1730... 40 114580 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
137326 -               1830............ 10 20370  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137327 -               1830............ 10 20720  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137328 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137329 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137330 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137331 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137332 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137333 -               2200... 1000 2232000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137334 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137335 -               2330... 80 418080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137336 -               2340... 40 90780 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137339 -  ..
137340 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137341 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137343 -  ..
137344 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137345 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137347 -  ..
137348 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137352 -  ..
137353 - Kardia recorded HR 055 at 0807 Normal Sinus Rhythm, looks like mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137354 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137355 - after hiking 21 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137356 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137357 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137358 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137361 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137362 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240914-ecg-080717_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137366 -  ..
137367 - Post hike HR profile beginning 1903, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137368 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137369 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137370 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137371 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137374 -        ..
137375 -       Date      240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705  240704    
137376 -       Time       1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842    1945     
137377 -       Hours        13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12      12     
137378 -       HR AVG       64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55      60     
137379 -       HR MAX      123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     109     
137380 -       HR Min       39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38      40     
137381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137383 -              https://flow.polar.com/training/analysis/7962079167                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137386 -               ..
137388 -   
137389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137392 -  ..
137393 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137394 - Lunch - balonga cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137395 - Dinner - eggs rice hamburger broccoli cauliflower onion potatos mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137398 -  ..
137399 - Vomiting: 0%   EGD dilation on 240910 improved swallowing that avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137400 -                vomiting and reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137427 -         ..
137428 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137429 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137430 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137431 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137432 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137433 -  259.  240915 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137434 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137435 -               0720....BP HR..................................................... 140  89  51  Kardia ECG reports HR status, see below. ref SDS 0 X4FA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137436 -               0725....BP HR..................................................... 129  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137437 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137438 -               0730....80 416160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137439 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137440 -               0740... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137441 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137442 -               0740....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137443 -               0740....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137444 -               0740....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137445 -               0740... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137446 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137447 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137448 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137449 -               1730... 40 114520 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
137450 -             1 0000............ 10 20370  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137451 -             1 0000............ 10 20720  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137452 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137453 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137454 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137455 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137456 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137457 -               2200... 1000 2233000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137458 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137459 -               2330... 80 418240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137460 -               2340... 40 90820 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137462 -  ..
137463 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137464 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137466 -  ..
137467 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137468 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137470 -  ..
137471 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137474 -  ..
137475 - Kardia recorded HR 063 at 0824 Possible Atrial Fibrillation, looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137476 - mostly variable heart beat lengths with p-waves and no artifact; likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137477 - no AFL after hiking 00 miles yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137478 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137479 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137480 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137483 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137484 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240915-ecg-082414_mile_00_063_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137488 -  ..
137489 - Post hike HR profile beginning 2321, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137490 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137491 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137492 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137493 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137496 -        ..
137497 -       Date      240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706  240705    
137498 -       Time       2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842    1842     
137499 -       Hours         8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11      12     
137500 -       HR AVG       63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52      55     
137501 -       HR MAX       98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     108     
137502 -       HR Min       41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38      38     
137503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137505 -              https://flow.polar.com/training/analysis/7962627636                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137508 -               ..
137510 -   
137511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137514 -  ..
137515 - Breakfast - pancake egg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137516 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137517 - Dinner - macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137520 -  ..
137521 - Vomiting: 0%   EGD dilation on 240910 improved swallowing that avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137522 -                vomiting and reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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137527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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137529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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137532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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137534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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137539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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137541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137549 -         ..
137550 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137551 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137552 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137553 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137554 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137555 -  260.  240916 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137556 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137557 -               0730....BP HR..................................................... 140  77  56  Kardia ECG reports HR status, see below. ref SDS 0 XS3V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137558 -               0735....BP HR..................................................... 139  80  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137559 -               0740....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137560 -               0740....80 416320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137561 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137562 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137563 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137564 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137565 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137566 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137567 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137568 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137569 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137570 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137571 -               1730... 40 114560 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
137572 -               1830............ 10 20380  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137573 -               1830............ 10 20730  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137574 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137575 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137576 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137577 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137578 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137579 -               2200... 1000 2234000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137580 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137581 -               2330... 80 418400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137582 -               2340... 40 90860 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137585 -  ..
137586 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137587 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137589 -  ..
137590 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137591 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137593 -  ..
137594 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137599 -  ..
137600 - Kardia recorded HR 051 at 0729 Normal Sinus Rhythm, looks like mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137601 - uniform heart beat lengths with p-waves and some artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137602 - AFL after hiking 00 miles yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137603 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137604 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137605 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137608 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137609 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240916-ecg-072931_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137614 -  ..
137615 - Post hike HR profile beginning 1346, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137616 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137617 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137618 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137619 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137622 -        ..
137623 -       Date      240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707  240706    
137624 -       Time       1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310    1842     
137625 -       Hours         9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8      11     
137626 -       HR AVG       59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52      52     
137627 -       HR MAX      121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     101     
137628 -       HR Min       39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38      38     
137629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137631 -              https://flow.polar.com/training/analysis/7963178922                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137634 -               ..
137636 -   
137637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137640 -  ..
137641 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137642 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137643 - Dinner - macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137646 -  ..
137647 - Vomiting: 0%   EGD dilation on 240910 improved swallowing that avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137648 -                vomiting and reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137676 -         ..
137677 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137678 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137679 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137680 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137681 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137682 -  261.  240917 0400............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137683 -               0405....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137684 -               0410....BP HR..................................................... 140  77  48  Kardia ECG reports HR status, see below. ref SDS 0 CUP8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137685 -               0415....BP HR..................................................... 141  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137686 -               0420....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137687 -               0420....80 416480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137688 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137689 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137690 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137691 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137692 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137693 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137694 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137695 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137696 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137697 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137698 -               1730... 40 114600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
137699 -             1 0000............ 10 20380  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137700 -             1 0000............ 10 20730  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137701 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137702 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137703 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137704 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137705 -               2100... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137706 -               2200... 1000 2235000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137707 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137708 -               2330... 80 418560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137709 -               2340... 40 90900 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137712 -  ..
137713 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137714 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137716 -  ..
137717 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137718 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137720 -  ..
137721 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137727 -  ..
137728 - Kardia recorded HR 048 at 0413 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137729 - like variable heart beat lengths with p-waves and no e artifact;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137730 - likely no AFL after hiking 00 miles yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137731 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137732 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137733 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137736 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137737 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240917-ecg-041312_mile_00_048_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137743 -  ..
137744 - Post hike HR profile beginning 2254, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137745 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137746 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137747 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137748 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137751 -        ..
137752 -       Date      240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708  240707    
137753 -       Time       2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922    2310     
137754 -       Hours         8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13       8     
137755 -       HR AVG       64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58      52     
137756 -       HR MAX      124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117      91     
137757 -       HR Min       41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40      38     
137758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137760 -              https://flow.polar.com/training/analysis/7963989103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137763 -               ..
137765 -   
137766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137769 -  ..
137770 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137771 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137772 - Dinner - rice hamburber macaroni cheese broccoli cauliflower onion potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137775 -  ..
137776 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137803 -         ..
137804 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137805 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137806 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137807 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137808 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137809 -  262.  240918 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137810 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137811 -               0655....BP HR..................................................... 138  85  53  Kardia ECG reports HR status, see below. ref SDS 0 CUP8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137812 -               0700....BP HR..................................................... 142  86  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137813 -               0705....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137814 -               0705....80 416640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137815 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137816 -               0705... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137817 -               0705....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137818 -               0705....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137819 -               0705....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137820 -               0705....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137821 -               0705... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137822 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137823 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
137824 -  ..
137825 -         * cr  1000....miles...........  25.0  25.0  415   415 minutes  temp  75 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137826 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137827 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137828 -               1218....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137829 -               1218....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137830 -               1218... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137831 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
137832 -               1205... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137833 -               1218....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137834 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
137835 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137836 -               1352....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137837 -               1615....mile 20 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137838 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137839 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137840 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137841 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
137842 -               1615... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137843 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137844 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137845 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137846 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137847 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137848 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137849 -               1739... Hike ends mile 25... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137850 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137851 -               1750....weight.................................... 171  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137852 -               1800....BP HR.....................................................  87  67 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137853 -               1635....BP HR.....................................................  91  72 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137854 -               1655....BP HR.....................................................  94  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137855 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137856 -               1730... 40 114640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
137857 -               1830............ 10 20390  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137858 -               1830............ 10 20740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137859 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137860 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137861 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137862 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137863 -               2100... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137864 -               2200... 1000 2236000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137865 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137866 -               2330... 80 418720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137867 -               2340... 40 90940 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137870 -  ..
137871 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137872 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137873 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137874 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137875 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137876 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137877 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137878 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137881 -  ..
137882 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137883 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137885 -  ..
137886 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137887 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137889 -  ..
137890 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137893 -  ..
137894 - Today, hiked 25 miles - had no ischemic colitis!!! bloating recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137895 - after EGD dilation with Doctor Lee at VAMC Sacramento on 240910.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137896 - double does Tramdol and Gabapentin because feet hurting mile 9, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137897 - Magnesium complex 300 mg pill, swallowed whole after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137898 - 240910.  This allowed gradual release of magnesium as capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137899 - disolves, and avoided clogging LESV that has been occurring the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137900 - month or so -- started 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137901 - - Treat, Turtle Creek Road.  Continued on Ayers to Clayton Road, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137902 - 3; feeling bloated - took Simethicone.  Continued West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137903 - Valley Road 1 mile.  At mile 5, hiked East on Pine Hollow 0.25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137904 - Turned around and hiked back.  Turned left heading West 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137905 - mile on Campus Drive to college.  Hiked 1 mile through faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137906 - student parking lots.  Stopped mile 09, for EKG, then double dose pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137907 - meds for feet, hydration and nutrition.  Could not take  another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137908 - magnesium pill to prevent inflammation, and increase energy, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137909 - med container did not have magnesium - forgot to check before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137910 - hike.  CoQ10 for energy and HDL.  Hiked loop around main building.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137911 - Left college hiking down Campus Road then West on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137912 - Actually, feeling very energenic today.  Turned onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137913 - Road heading South and did 9 mile loop returning to college.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137914 - another EKG at mile 20.  Did not take more pain meds for feet - this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137915 - was mistake.  More hydration and nutrition including chia seeds, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137916 - has some magnesium.  Wanted to hike over summit and loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137917 - Safeway shopping complex at Oak Grove.  After hiking to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137918 - Road summit mile 22, legs very fatigued without magnesium.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137919 - to Cowell, then Treat and home.  Left knee hurt less  oday, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137920 - metatarsalgia pain more severe and despite taking 3 Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137921 - Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137925 -         ..
137926 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137927 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137928 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating recurrd because took magnesium, tried to reduce amount, so bloating more mild today; took Simethicona as needed - seemed to help                                                                                                                                                                                                                                                                                                              
137929 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137930 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137931 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137932 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137933 -        Trapezius right side neck/shoulder...........   8          1  recurred today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137934 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137935 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137936 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
137937 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137938 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
137939 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137940 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137941 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
137942 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137943 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137944 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137945 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
137946 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137947 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137948 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137949 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137950 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
137951 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137952 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137953 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
137954 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137955 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137956 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137957 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
137958 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137959 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137960 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 2 Gabapentin at mile 09 and again at mile mile 00 got gradually better then gradually worse afer not taking 2nd set                                                                                                                                                                                                                                                                                                   
137961 -        Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 2 Gabapentin at mile 09 and again at mile mile 00 got gradually better then gradually worse afer not taking 2nd set                                                                                                                                                                                                                                                                                                   
137962 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137963 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137964 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
137965 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
137966 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
137967 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
137968 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137969 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
137970 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                            
137971 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
137972 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137973 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
137974 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
137975 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
137976 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137977 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
137978 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
137979 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
137980 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
137981 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137982 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
137983 -  new   Callus little toe #5 left foot...PRP 210705..   2         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
137984 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137985 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137986 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137987 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
137988 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137989 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
137990 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
137991 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137992 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137993 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137994 -        Veering left.................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137995 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137996 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137997 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137998 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137999 -        Wobbly disoriented staggering dizzy..........   1        100  took 2 Tramadol and 2 Gabapentin mile 08 again but only 1 at mile 16 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                             
138000 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138004 -  ..
138005 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138006 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138007 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138008 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138010 -  ..
138011 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138012 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138013 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138014 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138015 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138016 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138017 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138018 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138020 -  ..
138021 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138022 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138024 -  ..
138025 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138026 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138027 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138028 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138029 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138030 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138031 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138032 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138033 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138034 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138036 -  ..
138037 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138038 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138039 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138040 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138041 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138044 -  ..
138045 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138046 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138047 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138048 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138049 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138050 - can cause colitis.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138051 - management.  Did take Magnesium Complex that increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138052 - reduces inflammation allowing HDL to increase - 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138053 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138054 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow for gradual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138055 - release as plastic capsules breakdown and release magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138056 - over time.  Since had EGD Dilation on 240910, swallowed large pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138057 - that has been too big to slip through LESV, i.e., swallow, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138058 - month or so.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138059 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138060 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138061 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138062 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138063 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138064 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138065 - above. ref SDS 0 KW6M  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138066 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138067 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138068 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138069 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138070 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138071 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138072 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138073 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138074 - team on 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138075 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138076 - Could be that magnesium can also cause bloating, if too much is taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138077 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138078 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  After about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138079 - 1 mile  feet starting hike feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138080 - calming down - peripheral neuropathy caused by taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138081 - Breathed through nose entire hike with no dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138082 - 63, and reached 75.  West wind 14 mph and mostly 10 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138083 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138084 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138085 - uphill, and very light traffic.  Feet started to hurt including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138086 - foot #1 and #5 both suddenly PL 2.  Lucky after another .5 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138087 - endorphins kicked in and pain subsided.  Did not Hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138088 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138089 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138090 - road shoulder.  At intersection of Seminole Circle road a woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138091 - walking in the other direction commented she had been worried not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138092 - seeing me hiking everyday the past month or so.  She has asked her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138093 - neighbors, who were also concerned not seeing me hiking daily.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138094 - echos comments of others recently, and suggests hiking everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138095 - creates a zeitgiste that causes emotional when a common event stops.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138096 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138097 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138098 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138099 - Interesting at this stage of hike generally overall body feels very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138100 - good - strong.  This significant change from feeling past 2 months or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138101 - so, and may reflect taking magnesium.  At mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138102 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.  Begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138103 - feeling metatarsalgia PL 3 both feet, and left foot #5 PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138104 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138105 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138106 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138107 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138108 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138109 - left hiked 0.25 miles East on Pine Hollow.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138110 - back.  Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138111 - grade against wind 04 mph.  Mile 06, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138112 - California State University East Bay Concord Campus.  Hiked 1 loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138113 - through Faculty and Student parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138114 - at Administration Building mile 08 time 1218 temp 70 and wind 06 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138115 - EKG Tachycardia with no artifact.  Kardia reported HR 116 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138116 - ref SDS 0 X27Y  Polar reported HR did not drop significantly today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138117 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138118 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138119 - RU6M  Both feet PL 1 - after applying Amonium Lactate 12% on 240909,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138120 - see, ref SDS 0 VRUX, Burning sensation PL 0, shin plints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138121 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138122 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138123 - Left knee meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138124 - elbow PL 1 intermitant.  Took 2 Tramadol 50 mg and 2 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138125 - for pain (...test this combination with temperature < 80...).  Could
138126 - not take 2nd Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138127 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138128 - 240824, above. ref SDS 0 PPTU; and because forgot to bring the pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138129 - magnesium provides energy for hiking, and reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138130 - essential to raise HDL - might be "secret" source that stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138131 - liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138132 - on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138133 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138134 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138135 - avocado for HDL - only few bites with spoon.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138136 - ml for HDL and energy to complete hike.  Since temperature forecast to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138137 - above 75, which increases sweating that ejects electrolytes, and since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138138 - extending hike over summit Ygnacio Valley Road, took Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138139 - pill, per above. ref SDS 0 XRUX  Hiked another around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138140 - Exited college at Visitor Parking taking Campus Drive down hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138141 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138142 - miles.  At mile 10, turned left onto Crystal Ranch Road.  Hiked South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138143 - 1 mile uphill 5% grade with 08 mph wind.  Handled this well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138144 - through nose without dyspnea nor stopping.  This long uphill stretch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138145 - was generally easy, reflecting taking magnesium before starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138146 - At summit continued flat grade .5 miles, then downhill .25 miles 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138147 - grade.  Hiked past Rolling Woods Way uphill on Crystal Ranch Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138148 - miles 6% grade with 05 mph.  Road ends at top of hill.  Stopped mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138149 - 12 time 1352, temp 73, wind 05 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138150 - Polar reported HR 151 coming up the hill.  At the top Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138151 - HR 137 (HR - no wait today, at different locations to get cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138152 - connection... so not lower than actual level of effort and temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138153 - at this station...) Tachycardia - see below. ref SDS 0 5JWR  Feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138154 - 2, burning sensation PL 2, right foot #4, top PL 0 with pressure from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138155 - top of shoe, left foot #1 callus PL 2, left foot #5 without cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138156 - protecting left edge calluses PL 2, #1 callus PL 2; left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138157 - bunion PL 0, calves PL 0 left knee PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138158 - elbow PL 0, nothing to eat or drink (NPO), per above. ref SDS 0 XRUX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138159 - Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138160 - of hill, continued uphill .50 mile.  At Laural Avenue - mile 13 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138161 - turned around hiking back and turned left onto Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138162 - hiking East .5 miles uphill 6% grade against 08 mph wind.  At summit -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138163 - felt very good, considered doing 30 miles today - continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138164 - .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138165 - left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138166 - against wind 10 mph.  At mile 16, reached California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138167 - East Bay Concord Campus.  Hiked 2 loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138168 - parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138169 - mile 20, time 1615, temp 76 and wind 10 mph; EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138170 - artifact.  Polar GPS/HR monitor reported generally steady HR aligned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138171 - with elevation changes; Kardia reported HR 129 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138172 - below. ref SDS 0 KG8X  Polar reported HR no significant abrupt drop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138173 - during stop for nutrition, see case study on 200101 0701, ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138174 - PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138175 - right foot Tailor's bunions PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138176 - 0, left foot #1 callus/blister PL 2, #5 callus PL 2, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138177 - PL 3, left knee meniscus PL 1, left shoulder PL 1, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138178 - intermitant.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138179 - swallowing meds and nutrition - peanut butter, margarine; could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138180 - combine with Magnesium Complex that increases energy and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138181 - inflammation, because forgot to bring pills; and took chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138182 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138183 - HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138184 - Did not take Nuun electrolyte pill, per above. ref SDS 0 XRUX  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138185 - rising heat and no magnesium took extra chia seeds, which has some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138186 - magnesium.  Still felt tired.  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138187 - buildings.  Exited college North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138188 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138189 - mile 22, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138190 - against wind 12 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138191 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138192 - camber.  Hiked .5 miles uphill 3% grade to summit turn around at end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138193 - of concrete barriar mile 23; hiked back .5 miles. turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138194 - Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138195 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138196 - weekend traffic.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138197 - Cuneo and .25 miles to Kaski; turned around and hiked back to home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138198 - Ended hike mile 25 time 1739 temp 75, wind 11, feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138199 - sensation PL 3, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138200 - left foot #1 callus PL 3, #5 edge blister/callus PL 3, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138201 - top blister/callus PL 0.  Left knee meniscus PL 1, left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138202 - 0, left shoulder PL 0, left elbow PL 1 intermitant. neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138203 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138204 - 0, when lifting.  EKG looks mostly uniform, with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138205 - reported HR 134 Unclassified - see below. ref SDS 0 XWPT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138216 -  ..
138217 - Kardia recorded HR 050 at 0730 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138218 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138219 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138220 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138221 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138222 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138225 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138226 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240918-ecg-073046_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138232 -  ..
138233 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138234 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138235 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138237 -  ..
138238 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138240 -                                               x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
138241 -       Date          240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 240630 24062  
138242 -       Miles            25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0      14  
138243 -       HR AVG          126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no     122  
138244 -         MAX           153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report report   149  
138245 -         Min            72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                                73  
138246 -       El Climb Ft     660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac ablati  on   <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------------->   305  
138247 -       Temp Max         75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                                95  
138248 -       Wind Max         14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                                14  
138249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138252 -              https://flow.polar.com/training/analysis/7964360440                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138256 -               ..
138258 -   
138259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138267 -  ..
138268 - EKG at mile 08 time 1218 HR 116 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138269 - Tachycardia... looks perfectly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138270 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138273 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138274 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240918-ecg-121803_mile_08_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138280 -  ..
138281 - EKG at mile 12 time 1352 HR 137 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138282 - Tachycardia... looks perfectly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138283 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138286 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138287 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240918-ecg-135227_mile_12_137_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138293 -  ..
138294 - EKG at mile 20 time 1615 HR 129 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138295 - Tachycardia... looks perfectly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138296 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138299 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138300 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240918-ecg-161544_mile_20_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138305 -  ..
138306 - End hike EKG at mile 25, time 1739 HR 134 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138307 - Unclassified... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138308 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138311 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138312 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240918-ecg-173952_mile_25_134_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138318 -  ..
138319 - Post hike HR profile beginning 0018, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138320 - hiking 25 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138321 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138322 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138323 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138326 -        ..
138327 -       Date      240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709  240708    
138328 -       Time       0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956    1922     
138329 -       Hours         5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12      13     
138330 -       HR AVG       64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62      58     
138331 -       HR MAX       90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     117     
138332 -       HR Min       42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40      40     
138333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138335 -              https://flow.polar.com/training/analysis/7964613350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138338 -               ..
138340 -   
138341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138344 -  ..
138345 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138346 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138347 - Dinner - macaroni cheese broccoli cauliflower onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138350 -  ..
138351 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138379 -         ..
138380 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138381 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138382 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138383 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138384 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138385 -  263.  240919 0545............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138386 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138387 -               0555....BP HR..................................................... 141  75  47  Kardia ECG reports HR status, see below. ref SDS 0 U8AL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138388 -               0500....BP HR..................................................... 138  76  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138389 -               0505....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138390 -               0505....80 416800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138391 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
138392 -               0505... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138393 -               0505....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138394 -               0505....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138395 -               0505....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138396 -               0505....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138397 -               0505... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138398 -               0930....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138399 -               0930... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
138400 -  ..
138401 -               0939....miles...........  21.0  46.0  348   763 minutes  temp  81 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138402 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138403 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
138404 -               1143....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138405 -               1143....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138406 -               1143... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138407 -               1143... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
138408 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138409 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138410 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
138411 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138412 -               1335....mile 13 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138413 -               1335....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138414 -               1335... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138415 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138416 -               1335... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
138417 -               1335... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138418 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138419 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138420 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138421 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138422 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138423 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138424 -               1607... Hike ends mile 21... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138425 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138426 -               1625....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138427 -               1630....BP HR..................................................... 110  70 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138428 -               1642....BP HR..................................................... 113  73  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138429 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138430 -               1700... 40 114680 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
138431 -             1 0000............ 10 20390  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
138432 -             1 0000............ 10 20740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
138433 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138434 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138435 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138436 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138437 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138438 -               2200... 1000 2237000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138439 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138440 -               2330... 80 416880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138441 -               2340... 40 90980 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138445 -  ..
138446 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138447 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138449 -  ..
138450 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138451 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138453 -  ..
138454 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138457 -  ..
138458 - Today, hiked 21 miles - had no ischemic colitis!!! no bloating - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138459 - not take Simethicone entire hike.  Seem able to swallow big pills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138460 - BioEmblem Complex magnesium - following EGD dilation at VAMC Sac on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138461 - 240910.  This allowed gradual release of magnesium as capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138462 - disolves, and avoided clogging LESV that has been occurring the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138463 - months.  Took Tramdol and Gabapentin before starting hike, and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138464 - this again 2 more times during hike, because feet hurting - metatarsal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138465 - #4 bottom of right foot seems injured. -- started 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138466 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138467 - on Ayers to Clayton Road, mile 3; Continued West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138468 - road 1 mile.  At mile 5, hiked East 2.50 miles and stopped at the end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138469 - of Pine Hollow - mile 7.  Did EKG, vitals and had hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138470 - nutrition.  Turned around and hiked back.  Turned left heading West 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138471 - grade 1 mile on Campus Drive to college.  Hiked 1 mile through faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138472 - and student parking lots.  Stopped mile 13, for EKG, did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138473 - another dose pain meds for feet, did have hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138474 - Took  another magnesium pill to prevent inflammation, increase energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138475 - and raise HDL.  CoQ10 for energy and HDL.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138476 - building.  Left college hiking down Campus Road then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138477 - Valley Road.  Turned left onto Crystal Ranch Road heading South uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138478 - for 1.5 miles.  Getting loopy from taking 3 doses opiod - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138479 - Then hiked back.  Turned left heading West uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138480 - road.  At a break in traffic, crossed to North side and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138481 - hiking West.  Hiked over the summit and downhill about .50 mile turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138482 - around at mile 19, because was very wobbly from the 3 doses of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138483 - Tramadol.  Hiked back to Cowell, then Treat and home.  Left knee hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138484 - less today, both feet metatarsalgia pain more severe especially right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138485 - foot and despite taking 3 Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138489 -         ..
138490 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138491 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138492 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
138493 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138494 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138495 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138496 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138497 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138498 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138499 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138500 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
138501 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138502 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
138503 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138504 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138505 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
138506 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138507 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138508 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138509 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
138510 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138511 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138512 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138513 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138514 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
138515 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138516 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138517 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
138518 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138519 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138520 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138521 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
138522 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138523 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138524 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 00 and again at mile mile 08 again at mile 19                                                                                                                                                                                                                                                                                                                                                    
138525 -  new   Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 08 again at mile 19 - seem to have new issue bottom right foot metatarsal #4, could be callus beneath skin                                                                                                                                                                                                                                                             
138526 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138527 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138528 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
138529 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
138530 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
138531 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
138532 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138533 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
138534 -        Callus big toe left foot...PRP 210705........   2         30  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging - shaved this morning - tried to...                                                                                                                                                                                                                                                                                                                                                                                                        
138535 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
138536 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138537 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
138538 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
138539 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
138540 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138541 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
138542 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
138543 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
138544 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
138545 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138546 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
138547 -  new   Callus little toe #5 left foot...PRP 210705..   2         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
138548 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138549 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138550 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138551 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
138552 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138553 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
138554 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
138555 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138556 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138557 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138558 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138559 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138560 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138561 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138562 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138563 -        Wobbly disoriented staggering dizzy..........   3         40  took 2 Tramadol and 2 Gabapentin mile 08 again but only 1 at mile 13 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                             
138564 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138568 -  ..
138569 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138570 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138571 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138572 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138574 -  ..
138575 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138576 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138577 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138578 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138579 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138580 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138581 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138582 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138584 -  ..
138585 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138586 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138588 -  ..
138589 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138590 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138591 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138592 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138593 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138594 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138595 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138596 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138597 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138598 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138600 -  ..
138601 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138602 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138603 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138604 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138605 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138608 -  ..
138609 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138610 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138611 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138612 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138613 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138614 - can cause colitis.  Took Tramadol and Gabapentin for pain management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138615 - before starting hike, because feeling metatarsalgia pain in right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138616 - for metatarsal #4.  Did take Magnesium Complex that increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138617 - and reduces inflammation allowing HDL to increase - 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138618 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138619 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow for gradual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138620 - release as plastic capsules breakdown and release magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138621 - over time.  Since had EGD Dilation on 240910, swallowed large pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138622 - that has been too big to slip through LESV, i.e., swallow, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138623 - month or so.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138624 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138625 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138626 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138627 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138628 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138629 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138630 - above. ref SDS 0 RY3G  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138631 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138632 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138633 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138634 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138635 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138636 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138637 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138638 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138639 - team on 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138640 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138641 - Could be that magnesium can also cause bloating, if too much is taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138642 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138643 - 240507 0930. ref SDS 38 ZC5F  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138644 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138645 - left, onto Treat.  After about 1 mile  feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138646 - swelled and like pins and needles calming down - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138647 - caused by taking statins, and/or diabetes from reduced hiking past 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138648 - months.  Bottom of both feet started to hurt including right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138649 - metatarsal #4.  Luckily after another .5 mile, endorphins kicked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138650 - and pain subsided.  Since took full dose of pain meds 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138651 - early, not clear could be done.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138652 - with no dyspnea.  Starting to feel normal again.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138653 - at 58, and reached 81.  West wind 14 mph and mostly 10 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138654 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138655 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138656 - uphill, and very light traffic.  Did not Hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138657 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138658 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138659 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138660 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138661 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138662 - Interesting at this stage of hike feeling very good - strong.  Taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138663 - steps with swift pace effortlessly - just floating along.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138664 - significant change from feeling weak forcing body to hike the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138665 - months or so, may reflect taking magnesium.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138666 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138667 - Begin feeling metatarsaltia PL 3 both feet, and left foot #5 PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138668 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138669 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138670 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138671 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138672 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138673 - left hiked 2.5 miles East to end of Pine Hollow.  Stopped at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138674 - time 1143 temp 72 and wind 08 mph; EKG Unclassified showing HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138675 - variable with no artifact.  Kardia reported HR 100 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138676 - ref SDS 0 XR3N  Polar reported HR did dropped 68 today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138677 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138678 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138679 - feet PL 1 - after applying Amonium Lactate 12% on 240909, see,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138680 - ref SDS 0 VRUX, Burning sensation PL 0, shin plints PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138681 - Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138682 - foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138683 - knee meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138684 - elbow PL 1 intermitant.  Took 2nd set 1 Tramadol 50 mg and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138685 - Gabapentin 300 mg for pain (...test this combination with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138686 - < 80...), and after taking Tramadol and Gabapentin before starting
138687 - hike at home.  Did not take 2nd Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138688 - because 1st pill taken before starting hike is still effective, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138689 - above. ref SDS 0 RY3G  This reduced risk of large magnesium capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138690 - clogging LESV, as occurred on 240824, above. ref SDS 0 PPTU  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138691 - provides energy for hiking, and reduces inflammation, essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138692 - raise HDL - might be "secret" source that stimulates liver to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138693 - HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138694 - ref SDS 46 XK7M  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138695 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138696 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138697 - HDL - only few bites with spoon.  Did not take Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138698 - for HDL and energy - will evaluate at next stop to prepare for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138699 - hills.  Did not take Nuun electrolyte pill, per above. ref SDS 0 XTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138700 - Hiked back on Pine Hollow 2.5 miles.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138701 - hiking West 1 mile uphill 3% - 4% grade against wind 08 mph.  Mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138702 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138703 - Concord Campus.  Hiked 1 loop through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138704 - Back at Visitor Parking stopped at Administration Building mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138705 - time 1335 temp 78 and wind 12 mph; EKG looks like variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138706 - with no artifact.  Kardia reported HR 103 Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138707 - ref SDS 0 5XWX  Polar reported HR dropped significantly - 63 - today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138708 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138709 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138710 - RU6M  Both feet PL 4 and bottom right foot metatarsal #4 - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138711 - applying not Amonium Lactate 12% on 240909, see, ref SDS 0 VRUX,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138712 - Burning sensation PL 2, shin plints PL 0, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138713 - PL 0, left foot #5 edge blister/callus PL 3 and #1 PL 2, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138714 - top blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138715 - meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138716 - 0 intermitant.  Took 1 Tramadol 50 mg and 2 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138717 - (...test this combination with temperature < 80...).  Take another
138718 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138719 - 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138720 - ref SDS 0 PPTU; and because magnesium provides energy for hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138721 - reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138722 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138723 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138724 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138725 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138726 - Cola/orange juice) for energy, and avocado for HDL - only few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138727 - with spoon.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138728 - complete hike.  Since temperature forecast above 75, which increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138729 - sweating that ejects electrolytes, and since not extending hike over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138730 - summit Ygnacio Valley Road, and to save money did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138731 - electrolyte pill, per above. ref SDS 0 XTRR  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138732 - main buildings.  Exited college at Visitor Parking taking Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138733 - down hill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138734 - grade .5 miles.  At mile 14, turned left onto Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138735 - Hiked South 1 mile uphill 5% grade with 08 mph wind.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138736 - well breathing through nose without dyspnea nor stopping.  This long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138737 - uphill stretch was generally easy, reflecting magnesium taken at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138738 - 13.  At summit continued flat grade .5 miles.  At mile 16, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138739 - around and hiked back.  Turned left onto Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138740 - uphill 3% grade .5 miles against wind 12 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138741 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138742 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138743 - Feet hurting so did not continue to Oak Grove.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138744 - barriar mile 19; hiked back .5 miles. turned left onto Cowell heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138745 - North .25 miles downhill 5% grade.  Continued flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138746 - then .5 miles with narrow shoulder against oncoming commute traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138747 - Turned left onto Treat hiking West .25 miles back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138748 - Ended hike mile 21 time 1607 temp 81, wind 12, feet PL 4, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138749 - sensation PL 3, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138750 - left foot #1 callus PL 3, #5 edge blister/callus PL 3, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138751 - top blister/callus PL 1.  #4 bottom metatarsal PL 3, Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138752 - meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138753 - 0 intermitant. neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138754 - left side PL 0, left elbow PL 0, when lifting.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138755 - variable, with some artifact, Kardia reported HR 112 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138756 - see below. ref SDS 0 8YPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138767 -  ..
138768 - Kardia recorded HR 050 at 0530 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138769 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138770 - hiking 25 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138771 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138772 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138773 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138776 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138777 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240919-ecg-053019_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138783 -  ..
138784 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138785 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138786 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138788 -  ..
138789 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138791 -                                               x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
138792 -       Date          240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 240701 24063  
138793 -       Miles            21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0      0   
138794 -       HR AVG          114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no     no   
138795 -         MAX           137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report report repor  
138796 -         Min            53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                             
138797 -       El Climb Ft     600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th cardiac   ab->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation---------------  
138798 -       Temp Max         81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                             
138799 -       Wind Max         14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                             
138800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138804 -              https://flow.polar.com/training/analysis/7965013409                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138808 -               ..
138810 -   
138811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138816 -  ..
138817 - EKG at mile 07 time 1143 HR 100 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138818 - Unclassified... looks variable uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138819 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138822 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240919-ecg-114330_mile_07_100_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138829 -  ..
138830 - EKG at mile 13 time 1335 HR 103 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138831 - Unclassified... heart rate looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138832 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138835 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138836 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240919-ecg-133513_mile_13_103_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138841 -  ..
138842 - End hike EKG at mile 21, time 1607 HR 112 temp 81 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138843 - Unclassified... looks mostly variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138844 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138847 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138848 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240919-ecg-160701_mile_21_112_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138854 -  ..
138855 - Post hike HR profile beginning 1913, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138856 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138857 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138858 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138859 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138862 -        ..
138863 -       Date      240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710  240709    
138864 -       Time       1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316    1956     
138865 -       Hours        12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7      12     
138866 -       HR AVG       64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67      62     
138867 -       HR MAX      104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     119     
138868 -       HR Min       39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38      40     
138869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138871 -              https://flow.polar.com/training/analysis/7965353693                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138874 -               ..
138876 -   
138877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138880 -  ..
138881 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138882 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138883 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138886 -  ..
138887 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138916 -         ..
138917 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138918 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138919 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138920 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138921 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138922 -  264.  240920 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138923 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138924 -               0715....BP HR..................................................... 133  77  51  Kardia ECG reports HR status, see below. ref SDS 0 YS4X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138925 -               0720....BP HR..................................................... 139  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138926 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138927 -               0725....80 417960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138928 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
138929 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138930 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138931 -               0725....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138932 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138933 -               0725....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138934 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138935 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138936 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
138937 -  ..
138938 -               0931....miles...........  21.0  67.0  344  1107 minutes  temp  84 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138939 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138940 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
138941 -               1230....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138942 -               1230....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138943 -               1230... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138944 -               1230... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
138945 -               1230... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138946 -               1230....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138947 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
138948 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138949 -               0000....mile 13 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138950 -               1435....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138951 -               1435....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138952 -               1435... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138953 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138954 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
138955 -               1435... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138956 -               1435....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138957 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138958 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138959 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138960 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138961 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138962 -               1607... Hike ends mile 21... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138963 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138964 -               1625....weight.................................... 173  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138965 -               1620....BP HR..................................................... 106  76 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138966 -               1642....BP HR..................................................... 113  73  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138967 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138968 -               1700... 40 114720 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
138969 -               1830............ 10 20400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
138970 -               1830............ 10 20750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
138971 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138972 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138973 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138974 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138975 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138976 -               2200... 1000 2238000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138977 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138978 -               2330... 80 418040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138979 -               2340... 40 91020 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138983 -  ..
138984 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138985 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138987 -  ..
138988 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138989 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138991 -  ..
138992 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138995 -  ..
138996 - Today, hiked 21 miles - had no ischemic colitis!!! no bloating - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138997 - not take Simethicone entire hike.  Seem able to swallow big pills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138998 - BioEmblem Complex magnesium - following EGD dilation at VAMC Sac on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138999 - 240910.  This allowed gradual release of magnesium as capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139000 - disolves, and avoided clogging LESV that has been occurring the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139001 - months.  Took Tramdol and Gabapentin before starting hike, and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139002 - this again 2 more times during hike, because feet hurting - metatarsal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139003 - #4 bottom of right foot seems injured. -- started 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139004 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139005 - on Ayers to Clayton Road, mile 3; Continued West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139006 - road 1 mile.  At mile 5, hiked East 2.50 miles and stopped at the end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139007 - of Pine Hollow - mile 7.  Did EKG, vitals and had hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139008 - nutrition.  Turned around and hiked back.  Turned left heading West 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139009 - grade 1 mile on Campus Drive to college.  Hiked 1 mile through faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139010 - and student parking lots.  Stopped mile 13, for EKG, did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139011 - another dose pain meds for feet, did have hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139012 - Took  another magnesium pill to prevent inflammation, increase energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139013 - and raise HDL.  CoQ10 for energy and HDL.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139014 - building.  Left college hiking down Campus Road then West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139015 - Valley Road.  Turned left onto Crystal Ranch Road heading South uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139016 - for 1.5 miles.  Getting loopy from taking 3 doses opiod - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139017 - Then hiked back.  Turned left heading West uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139018 - road.  At a break in traffic, crossed to North side and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139019 - hiking West.  Hiked over the summit and downhill about .50 mile turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139020 - around at mile 19, because was very wobbly from the 3 doses of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139021 - Tramadol.  Hiked back to Cowell, then Treat and home.  Left knee hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139022 - less oday, both feet metatarsalgia pain more severe and despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139023 - 3 Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139027 -         ..
139028 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139029 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139030 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
139031 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 40 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139032 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139033 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139034 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139035 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139036 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139037 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139038 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
139039 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139040 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
139041 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139042 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139043 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
139044 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139045 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139046 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139047 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
139048 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139049 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139050 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139051 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139052 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
139053 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139054 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139055 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
139056 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139057 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139058 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139059 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
139060 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139061 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139062 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 00 and again at mile mile 08 again at mile 19                                                                                                                                                                                                                                                                                                                                                    
139063 -  new   Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 08 again at mile 19 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin                                                                                                                                                                                                                                                               
139064 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139065 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139066 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
139067 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
139068 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
139069 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
139070 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139071 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
139072 -        Callus big toe left foot...PRP 210705........   2         30  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging - shaved this morning - tried to...                                                                                                                                                                                                                                                                                                                                                                                                        
139073 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
139074 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139075 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
139076 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
139077 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
139078 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139079 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
139080 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
139081 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
139082 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
139083 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139084 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
139085 -  new   Callus little toe #5 left foot...PRP 210705..   2         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
139086 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139087 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139088 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139089 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
139090 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139091 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
139092 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
139093 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139094 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139095 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139096 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139097 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139098 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139099 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139100 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139101 -        Wobbly disoriented staggering dizzy..........   3         40  took 2 Tramadol and 2 Gabapentin mile 08 again but only 1 at mile 13 - did not have big effect relieving pain nor causing wobbly                                                                                                                                                                                                                                                                                                                                                                                                             
139102 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139106 -  ..
139107 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139108 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139109 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139110 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139112 -  ..
139113 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139114 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139115 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139116 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139117 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139118 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139119 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139120 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139122 -  ..
139123 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139124 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139126 -  ..
139127 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139128 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139129 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139130 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139131 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139132 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139133 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139134 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139135 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139136 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139138 -  ..
139139 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139140 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139141 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139142 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139143 - ref SDS 0 U17O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139146 -  ..
139147 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139148 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139149 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139150 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139151 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139152 - can cause colitis.  Took Tramadol and Gabapentin for pain management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139153 - before starting hike, because feeling metatarsalgia pain in right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139154 - for metatarsal #4.  Did take Magnesium Complex that increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139155 - and reduces inflammation allowing HDL to increase - 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139156 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139157 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow for gradual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139158 - release as plastic capsules breakdown and release magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139159 - over time.  Since had EGD Dilation on 240910, swallowed large pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139160 - that has been too big to slip through LESV, i.e., swallow, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139161 - month or so.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139162 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139163 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139164 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139165 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139166 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139167 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139168 - above. ref SDS 0 U17O  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139169 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139170 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139171 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139172 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139173 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139174 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139175 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139176 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139177 - team on 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139178 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139179 - Could be that magnesium can also cause bloating, if too much is taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139180 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139181 - 240507 0930. ref SDS 38 ZC5F  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139182 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139183 - left, onto Treat.  After about 1 mile  feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139184 - swelled and like pins and needles calming down - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139185 - caused by taking statins.  Bottom of both feet started to hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139186 - including right foot metatarsal #4, which flared up on 240919, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139187 - above. ref SDS 0 XVTR  Luckily after another .5 mile, endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139188 - kicked in and pain subsided.  Since took full dose of pain meds 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139189 - minutes early, not clear could be done.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139190 - hike with no dyspnea.  Starting to feel normal again.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139191 - started at 58, and reached 81.  West wind 14 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139192 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139193 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139194 - places 2% uphill, and very light traffic.  Did not Hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139195 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139196 - 4% grade.  Turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139197 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139198 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139199 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139200 - sidewalk .5 miles.  Interesting at this stage of hike feeling very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139201 - good - strong.  Taking steps with swift pace effortlessly - just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139202 - floating along.  This significant change from feeling weak forcing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139203 - body to hike the past 2 months or so, may reflect taking magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139204 - At mile 4, turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139205 - concrete sidewalk .5 miles.  Begin feeling metatarsaltia PL 3 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139206 - feet, and left foot #5 PL 3.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139207 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139208 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139209 - Continued West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139210 - Union 76 Texaco Gas Station store mile 5, time ____.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139211 - Ygnacio Valley Road; turned left hiked 0.50 miles East past Discovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139212 - Way - halfway to Rolling Woods Way.  Hiked back on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139213 - Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139214 - against wind 08 mph.  Mile 07, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139215 - State University East Bay Concord Campus.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139216 - buildings, then hiked 2 loops through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139217 - Back at Visitor Parking stopped at Administration Building mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139218 - time 1230 temp 81 and wind 10 mph; EKG was not performed...  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139219 - PL 4 and bottom right foot metatarsal #4 - Burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139220 - shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139221 - blister/callus PL 3 and #1 PL 2, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139222 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139223 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139224 - 1 Tramadol 50 mg and 2 Gabapentin 300 mg for pain (...test this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139225 - combination with temperature < 80...).  Took another Magnesium complex
139226 - 300 mg pill - swallowed whole after EGD Dilation on 240910, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139227 - capsule clogging LESV, as occurred on 240824, above. ref SDS 0 PPTU;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139228 - magnesium provides energy for hiking, and reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139229 - essential to raise HDL - might be "secret" source that stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139230 - liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139231 - on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139232 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139233 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139234 - avocado for HDL - few bites Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139235 - energy to complete hike.  Since temperature forecast to above 75,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139236 - which increases sweating that ejects electrolytes, and since not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139237 - extending hike over summit Ygnacio Valley Road, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139238 - electrolyte pill, per above. ref SDS 0 XYWP  Hiked another around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139239 - buildings.  Exited college at Visitor Parking taking Campus Drive down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139240 - hill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139241 - .5 miles.  At mile 11, turned left onto Crystal Ranch Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139242 - South .5 mile uphill 5% grade with 05 mph wind.  Handled this well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139243 - breathing through nose without dyspnea nor stopping.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139244 - and hiked back.  Turned left onto Ygnacio Valley Road hiking uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139245 - grade .5 miles against wind 08 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139246 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139247 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139248 - concrete barriar and break in rising afternoon commute traffic about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139249 - mile 13, crossed back to South side Ygnacio Valley Road to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139250 - shoulder.  Continued 2 miles downhill 3-4% grade.  At break in traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139251 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139252 - traffic light.  At mile 15, hiked 2 1-mile loops around block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139253 - Safeway shopping complex.  Today, stopped at Mod Pizza mile 17, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139254 - 1435, temp 81 and wind 13 mph; EKG looks variable with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139255 - Kardia reported HR 122 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139256 - ref SDS 0 YTQP  Polar reported HR did dropped severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139257 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139258 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139259 - feet PL 3, burning sensation PL 3, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139260 - left foot #5 edge callus/blister PL 2, right foot #4 bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139261 - blister/callus PL 0, #5 edge callus/blister PL 0, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139262 - PL 1, left shoulder PL 1, left elbow PL 0 intermitant.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139263 - set of Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139264 - test this combination with temperature < 90...).  Took 3rd Magnesium
139265 - complex 300 mg pill for energy, and magnesium reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139266 - evident today with increased feet pain, and magnesium is essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139267 - raise HDL.  Since softdrink carried from home has gotten warm the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139268 - 4 hours, Mod Pizza attendant provided a cup and ice free of charge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139269 - (...On the House...) using vending dispenser.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139270 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139271 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139272 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139273 - energy to complete hike.  Since temperature is still below 90,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139274 - sweating moderate that ejects electrolytes, did not take`another Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139275 - electrolyte pill (...save money...), per above. ref SDS 0 XYWP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139276 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139277 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139278 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139279 - mile North on asphalt shoulder in sun with temperature rising near 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139280 - Crossed Treat at break in traffic.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139281 - concrete sidewalk.  At San Miguel hiked .75 miles on Treat uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139282 - grade with wind 11 mph, temp 86.  Handled this well.  At summit, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139283 - 20, hiked another mile to Cuneo.  Ended hike mile 21 time 1552 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139284 - 84, wind 12, feet PL 3, left foot #5 edge PL 2, right foot blister #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139285 - bottom PL 3, #5 PL 0, burning sensation PL 2, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139286 - knee PL 1 (swollen slightly), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139287 - neck and right shoulder PL 0 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139288 - 0, left elbow PL 1, when lifting.  EKG mostly uniform, with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139289 - artifact, Kardia reported HR 128 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139290 - Y4MR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139302 -  ..
139303 - Kardia recorded HR 047 at 0719 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139304 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139305 - 25 miles yesterday, and stopping Apixaban on 240710 after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139306 - on 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139307 - 200612 0700, ref SDS 19 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139308 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139311 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139312 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240920-ecg-071926_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139318 -  ..
139319 - Polar HR GPS study in Concrd, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139320 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139321 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139323 -  ..
139324 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139326 -                                               x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
139327 -       Date          240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 240703 240702 24070  
139328 -       Miles            21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0      0      0   
139329 -       HR AVG          121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no     no     no   
139330 -         MAX           170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report report report repor  
139331 -         Min            51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                                      
139332 -       El Climb Ft     500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th   caration -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ablation--------  
139333 -       Temp Max         84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                                      
139334 -       Wind Max         14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                                      
139335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139339 -              https://flow.polar.com/training/analysis/7965013409                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139343 -               ..
139345 -   
139346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139349 -  ..
139350 - EKG at mile 10 --- not performed...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139353 -  ..
139354 - EKG at mile 17 time 1435 HR 122 temp 81, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139355 - Atrial Fibrillation... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139356 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139359 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139360 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240920-ecg-143526_mile_17_122_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139365 -  ..
139366 - End hike EKG at mile 21, time 1552 HR 128 temp 84 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139367 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139368 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139371 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139372 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240920-ecg-155236_mile_21_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139378 -  ..
139379 - Post hike HR profile beginning 1932, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139380 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139381 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139382 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139383 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139386 -        ..
139387 -       Date      240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711  240710    
139388 -       Time       1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224    2316     
139389 -       Hours        10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9       7     
139390 -       HR AVG       66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63      67     
139391 -       HR MAX      103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114      99     
139392 -       HR Min       38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40      38     
139393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139395 -              https://flow.polar.com/training/analysis/7966105689                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139398 -               ..
139400 -   
139401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139404 -  ..
139405 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139406 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139407 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139410 -  ..
139411 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139439 -         ..
139440 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139441 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139442 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139443 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139444 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139445 -  265.  240921 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139446 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139447 -               0715....BP HR..................................................... 144  78  58  Kardia ECG reports HR status, see below. ref SDS 0 YXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139448 -               0720....BP HR..................................................... 144  78  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139449 -               0725....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139450 -               0725....80 418120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139451 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
139452 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139453 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139454 -               0725....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139455 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139456 -               0725....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139457 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
139458 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139459 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139460 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139461 -               1700... 40 114760 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
139462 -             1 0000............ 10 20400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
139463 -             1 0000............ 10 20750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
139464 -               1900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139465 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139466 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139467 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139468 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139469 -               2200... 1000 2239000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139470 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139471 -               2330... 80 418200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139472 -               2340... 40 91060 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139475 -  ..
139476 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139477 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139479 -  ..
139480 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139481 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139483 -  ..
139484 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139490 -  ..
139491 - Kardia recorded HR 050 at 0802 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139492 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139493 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139494 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139495 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139496 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139499 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139500 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240921-ecg-080210_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139506 -  ..
139507 - Post hike HR profile beginning ____, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139508 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139509 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139510 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139511 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139514 -        ..
139515 -       Date      240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712  240711    
139516 -       Time         no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023    2224     
139517 -       Hours      report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8       9     
139518 -       HR AVG               66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62      63     
139519 -       HR MAX              103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     114     
139520 -       HR Min               38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41      40     
139521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139523 -              https://flow.polar.com/training/analysis/7966105689                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139526 -               ..
139528 -   
139529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139532 -  ..
139533 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139534 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139535 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139538 -  ..
139539 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139567 -         ..
139568 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139569 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139570 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139571 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139572 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139573 -  266.  240922 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139574 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139575 -               0715....BP HR..................................................... 165  87  50  Kardia ECG reports HR status, see below. ref SDS 0 YXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139576 -               0720....BP HR..................................................... 136  79  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139577 -               0725....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139578 -               0725....80 418280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139579 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
139580 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139581 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139582 -               0725....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139583 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139584 -               0725....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139585 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
139586 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139587 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
139588 -  ..
139589 -         * cr  0931....miles...........  22.0  67.0  344  1107 minutes  temp  84 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139590 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139591 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
139592 -               1425....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139593 -               1425....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139594 -               1425... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139595 -               1425... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
139596 -               1425... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
139597 -               1425....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139598 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
139599 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139600 -               1533....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139601 -               1736....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139602 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139603 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139604 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139605 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
139606 -               1736... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
139607 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139608 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139609 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139610 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
139611 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139612 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139613 -               1845... Hike ends mile 22... ref SDS 0 PTVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139614 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139615 -               1855....weight.................................... 169  lost 8#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139616 -               1900....BP HR..................................................... 109  78 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139617 -               1910....BP HR..................................................... 121  83 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139618 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139619 -               1940... 40 114800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
139620 -               2030............ 10 20410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
139621 -               2030............ 10 20760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
139622 -               2035....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139623 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139624 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139625 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139626 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139627 -               2200... 1000 2240000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139628 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139629 -               2330... 80 418360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139630 -               2340... 40 91100 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139633 -  ..
139634 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139635 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139636 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139637 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139638 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139639 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139640 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139641 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139644 -  ..
139645 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139646 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139648 -  ..
139649 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139650 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139652 -  ..
139653 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139656 -  ..
139657 - Today, hiked 22 miles - had no ischemic colitis!!! no bloating - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139658 - not take Simethicone entire hike.  Seem able to swallow big pills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139659 - BioEmblem Complex magnesium - following EGD dilation at VAMC Sac on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139660 - 240910.  This allowed gradual release of magnesium as capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139661 - disolves, and avoided clogging LESV that has been occurring the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139662 - months.  Took 2 Tramdol and Gabapentin before starting hike, and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139663 - this again 1 more times during hike, because feet hurting - metatarsal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139664 - #4 bottom of right foot seems now not injured. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139665 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139666 - Continued on Ayers to Clayton Road, mile 3; Continued West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139667 - Valley road 1 mile.  At mile 5, hiked East 0.25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139668 - around and hiked back.  Turned left heading West 3% grade 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139669 - Campus Drive to college.  Hiked 1 mile through faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139670 - parking lots.  Stopped mile 08, for EKG, took another dose pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139671 - for feet, did have hydration and nutrition.  Took  another magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139672 - pill to prevent inflammation, increase energy, and raise HDL.  CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139673 - for energy and HDL.  Hiked loop around main building.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139674 - hiking down Campus Road then West on Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139675 - onto Crystal Ranch Road and did 8 mile loop back to college. heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139676 - South uphill for 1.5 miles.  Did not seem to get loopy taking 3 doses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139677 - opiod - Tramadol.  Then hiked back.  Turned left heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139678 - on Ygnacio Valley road.  At a break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139679 - and continued hiking West.  Hiked over the summit and downhill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139680 - .50 mile turned around at mile 20, Hiked back to Cowell, then Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139681 - and home.  Left knee hurt less oday, both feet metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139682 - about same taking 3 Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139686 -         ..
139687 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139688 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139689 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
139690 -        Side ache vasodilation ischemic colitis......   4         70  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139691 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139692 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139693 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139694 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139695 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139696 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139697 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
139698 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139699 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
139700 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139701 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139702 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
139703 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139704 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139705 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139706 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
139707 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139708 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139709 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139710 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139711 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
139712 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139713 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139714 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
139715 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139716 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139717 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139718 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
139719 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139720 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139721 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 00 and again at mile mile 08 again at mile 19                                                                                                                                                                                                                                                                                                                                                    
139722 -  new   Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 08 again at mile 19 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin                                                                                                                                                                                                                                                               
139723 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139724 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139725 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
139726 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
139727 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
139728 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
139729 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139730 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
139731 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging - shaved this morning - tried to...                                                                                                                                                                                                                                                                                                                                                                                                        
139732 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
139733 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139734 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
139735 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
139736 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
139737 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139738 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
139739 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
139740 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
139741 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
139742 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139743 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
139744 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
139745 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139746 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139747 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139748 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
139749 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139750 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
139751 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
139752 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139753 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139754 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139755 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139756 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139757 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139758 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139759 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139760 -        Wobbly disoriented staggering dizzy..........   3         40  took 2 Tramadol and 2 Gabapentin mile 00 again but only 1 at mile 08 - seemed to have big effect relieving pain and did not cause wobbly                                                                                                                                                                                                                                                                                                                                                                                                     
139761 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139765 -  ..
139766 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139767 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139768 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139769 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139771 -  ..
139772 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139773 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139774 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139775 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139776 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139777 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139778 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139779 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139781 -  ..
139782 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139783 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139785 -  ..
139786 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139787 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139788 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139789 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139790 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139791 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139792 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139793 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139794 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139795 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139797 -  ..
139798 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139799 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139800 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139801 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139802 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139805 -  ..
139806 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139807 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139808 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139809 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139810 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139811 - can cause colitis.  Took 2 doses Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139812 - management before starting hike, because feeling metatarsalgia pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139813 - right foot for metatarsal #4.  Took Magnesium Complex - 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139814 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139815 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow for gradual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139816 - release as plastic capsules breakdown and release magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139817 - over time.  Since had EGD Dilation on 240910, swallowed large pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139818 - that has been too big to slip through LESV, i.e., swallow, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139819 - month or so.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139820 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139821 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139822 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139823 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139824 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139825 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139826 - above. ref SDS 0 YK2G  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139827 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139828 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139829 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139830 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139831 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139832 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139833 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139834 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139835 - team on 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139836 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139837 - Could be that magnesium can also cause bloating, if too much is taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139838 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139839 - 240507 0930. ref SDS 38 ZC5F  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139840 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139841 - left, onto Treat.  After about 1 mile  feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139842 - swelled and like pins and needles calming down - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139843 - caused by taking statins.  Bottom of both feet started to hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139844 - including right foot metatarsal #4, which flared up on 240919, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139845 - above. ref SDS 0 XVTR  Luckily after another .5 mile, endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139846 - kicked in with Tramadol and Gabapentin and pain subsided.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139847 - through nose entire hike with no dyspnea.  Starting to feel normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139848 - again.  Temperature started at 78, and reached 84.  West wind 14 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139849 - and mostly 12 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139850 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139851 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139852 - Hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139853 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139854 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139855 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139856 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139857 - continued on concrete sidewalk .5 miles.  Interesting at this stage of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139858 - hike feeling good - strong.  Taking steps with swift pace effortlessly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139859 - - just floating along.  This significant change from feeling weak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139860 - forcing body to hike the past 2 months or so, may reflect taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139861 - magnesium.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139862 - using concrete sidewalk .5 miles.  Feeling metatarsaltia PL 1 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139863 - feet, and left foot #5 PL 1.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139864 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139865 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139866 - Continued West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139867 - Union 76 Texaco Gas Station store mile 5, time ____.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139868 - Ygnacio Valley Road; turned left hiked 0.25 miles East.  Hiked back on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139869 - Pine Hollow.  Turned left onto Campus Drive hiking West 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139870 - 3% - 4% grade against wind 08 mph.  Mile 05, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139871 - at California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139872 - around main buildings, then hiked 1 loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139873 - parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139874 - mile 08 time 1425 temp 84 and wind 08 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139875 - with no artifact.  Kardia reported HR 118 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139876 - ref SDS 0 PTTU  Both feet PL 3 and bottom right foot metatarsal #3 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139877 - Burning sensation PL 2, shin plints PL 0, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139878 - PL 0, left foot #5 edge blister/callus PL 3 and #1 PL 2, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139879 - top blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139880 - meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139881 - 0 intermitant.  Took 1 Tramadol 50 mg and 2 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139882 - (...test this combination with temperature > 80...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139883 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139884 - 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139885 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139886 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139887 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139888 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139889 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139890 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139891 - energy, and avocado for HDL - few bites Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139892 - for HDL and energy to complete hike.  Since temperature forecast to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139893 - above 80, which increases sweating that ejects electrolytes, and since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139894 - hiking 8-mile Crystal Ranch loop took Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139895 - above. ref SDS 0 PPRP  Hiked another loop around main buildings, while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139896 - taking electrolyte pill.  Exited college at Visitor Parking taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139897 - Campus Drive down hill.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139898 - West on flat grade .5 miles.  At mile 09, turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139899 - Ranch Road.  Hiked South 1.0 mile uphill 5% grade with 05 mph wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139900 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139901 - Continued on flat grade .75 mile, then downhill .25 mile 5% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139902 - then past Rolling Woods Way and uphill 0.50 miles 6% grade; stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139903 - end Crystal Ranch Road mile 12 time 1533 temp 87 w 06 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139904 - uniform with no artifact.  Kardia reported HR 138 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139905 - below. ref SDS 0 PTTY  Both feet PL 2 and bottom right foot metatarsal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139906 - #4 PL 2 - improved.  Burning sensation PL 2, shin plints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139907 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139908 - #1 PL 1, right foot #4 top blister/callus PL 0, #5 edge callus/blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139909 - PL 0.  Left knee meniscus PL 1, left hamstring PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139910 - 0, left elbow PL 0 intermitant.  NPO nothing by mouth, except sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139911 - softdrink for hydration, per above. ref SDS 0 PPRP  Continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139912 - on Crystal Ranch Road 6% grade .5 miles.  At bottom of hill, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139913 - uphill .25 mile 5% grade then another .25 mile flat grade.  At Laurel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139914 - Tree Drive, mile 14, turned around hiked back bottom right foot PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139915 - and turned left onto Rolling Woods Way heading East .5 miles uphill 6%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139916 - grade with 10 mph wind.  At summit continued downhill .66 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139917 - Turned left onto Pine Hollow.  Hiked 1 mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139918 - Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139919 - mph.  Reached 2nd time California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139920 - Campus.  Hiked around main campus buildings.  Hiked loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139921 - Faculty and Student parking.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139922 - Administration Building mile 17, time 1736, temp 89 and wind 12 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139923 - EKG mostly variable with some artifact.  Kardia reported HR 127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139924 - Possible Atrial Fibrillation - see below. ref SDS 0 U92L  Polar failed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139925 - about mile 12...  Both feet PL 2, left foot #1 callus PL 2, #5 callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139926 - PL 3, right foot bottom below #4 callus PL 2, left knee right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139927 - 1, left knee meniscus PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139928 - intermitant.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139929 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139930 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139931 - Took 3rd Magnesium complex 300 mg for energy to complete hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139932 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139933 - take Nuun electrolyte pill, per above. ref SDS 0 PPRP  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139934 - around main campus buildings.  Exited college North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139935 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139936 - grade .5 miles.  At mile 19, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139937 - 3% grade .5 miles against wind 08 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139938 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139939 - avoid severe camber.  Hiked West to end concrete traffic barriar.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139940 - mile 20, turned around and hiked back .5 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139941 - Cowell heading North .25 miles downhill 5% grade, then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139942 - miles, then .5 miles with narrow shoulder against oncoming afternoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139943 - commute traffic.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139944 - Cuneo and home.  Ended hike mile 22 time 1845 temp 89, wind 12, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139945 - PL 2, left foot #5 PL 3, #1 PL 3, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139946 - 1, callus bottom foot below #4 PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139947 - shin splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139948 - shoulder PL 0, neck and right shoulder PL 9 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139949 - left side PL 0, left elbow PL 0, when lifting.  EKG looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139950 - with no artifact, Kardia reported HR 122 Possible Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139951 - - see below. ref SDS 0 PTVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139964 -  ..
139965 - Kardia recorded HR 045 at 0758 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139966 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139967 - 00 miles yesterday, and stopping Apixaban on 240710 after 6th ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139968 - on 240611 0930. ref SDS 47 0001, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139969 - 200612 0700, ref SDS 19 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139970 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139973 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139974 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240922-ecg-075856_mile_00_045_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139980 -  ..
139981 - Polar HR GPS study --- crashed today --- in Concord, California ***low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139982 - accuracy GPS used*** hike 22 miles - Medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139983 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139985 -  ..
139986 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139988 -                                               x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
139989 -       Date          240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 240704 24070  
139990 -       Miles            22      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0      0   
139991 -       HR AVG           no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no     no   
139992 -         MAX          report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report report repor  
139993 -         Min                          51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                        
139994 -       El Climb Ft                   500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischemic coli  tisth cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th cardiac ab  
139995 -       Temp Max                       84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                        
139996 -       Wind Max                       14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                        
139997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140002 -  ..
140003 - EKG at mile 08 time 1425 HR 118 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140004 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140005 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140008 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140009 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240922-ecg-142522_mile_08_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140014 -  ..
140015 - EKG at mile 12 time 1533 HR 138 temp 87, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140016 - Tachycardia...  heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140017 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140020 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140021 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240922-ecg-153335_mile_12_138_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140027 -  ..
140028 - EKG at mile 17 time 1736 HR 127 temp 88, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140029 - Tachycardia...  heart rate looks variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140030 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140033 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140034 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240922-ecg-173627_mile_17_127_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140039 -  ..
140040 - End hike EKG at mile 22, time 1845 HR 122 temp 89 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140041 - Possible Atrial Fibrillation... looks mostly variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140042 - artifact - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140045 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140046 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240922-ecg-184507_mile_22_122_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140052 -  ..
140053 - Post hike HR profile beginning 2023, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140054 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140055 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140056 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140057 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140060 -        ..
140061 -       Date      240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713  240712    
140062 -       Time       2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206    2023     
140063 -       Hours        11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9       8     
140064 -       HR AVG       65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58      62     
140065 -       HR MAX      135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     107     
140066 -       HR Min       38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39      41     
140067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140069 -              https://flow.polar.com/training/analysis/7967282725                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140072 -               ..
140074 -   
140075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140078 -  ..
140079 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140080 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140081 - Dinner - steak macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140084 -  ..
140085 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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140090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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140096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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140098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140113 -         ..
140114 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140115 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140116 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140117 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140118 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140119 -  267.  240923 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140120 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140121 -               0715....BP HR..................................................... 151  87  47  Kardia ECG reports HR status, see below. ref SDS 0 P8TQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140122 -               0720....BP HR..................................................... 141  86  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140123 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140124 -               0725....80 418440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140125 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
140126 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140127 -               0725....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140128 -               0725....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140129 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140130 -               0725....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140131 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140132 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140133 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
140134 -  ..
140135 -         * cr  1027....miles...........  18.0  18.0  293   293 minutes  temp  98 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140136 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140137 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
140138 -               1425....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140139 -               1425....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140140 -               1425... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140141 -               1425... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
140142 -               1425... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140143 -               1425....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140144 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
140145 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140146 -               1533....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140147 -               1736....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140148 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140149 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140150 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140151 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
140152 -               1736... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140153 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140154 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140155 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140156 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140157 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140158 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140159 -               1541... Hike ends mile 18... ref SDS 0 PVRU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140160 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140161 -               1615....weight.................................... 165  lost 10#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140162 -               1620....BP HR.....................................................  83  62 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140163 -               1625....BP HR.....................................................  97  65  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140164 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140165 -               1700... 40 114840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
140166 -             1 0000............ 10 20410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
140167 -             1 0000............ 10 20760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
140168 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140169 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140170 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140171 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140172 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140173 -               2200... 1000 2241000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140174 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140175 -               2330... 80 418520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140176 -               2340... 40 91140 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140179 -  ..
140180 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140181 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140182 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140183 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140184 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140185 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140186 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140187 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140190 -  ..
140191 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140192 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140194 -  ..
140195 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140196 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140198 -  ..
140199 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140202 -  ..
140203 - Today, hiked 18 miles - had no ischemic colitis!!! no bloating - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140204 - not take Simethicone entire hike.  Seem able to swallow big pills of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140205 - BioEmblem Complex magnesium - following EGD dilation at VAMC Sac on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140206 - 240910.  This allowed gradual release of magnesium as capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140207 - disolves, and avoided clogging LESV that has been occurring the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140208 - months.  Took 2 Tramdol and Gabapentin before starting hike, and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140209 - this again 1 more times during hike, because feet hurting - metatarsal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140210 - #4 bottom of right foot seems now not injured. -- started 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140211 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140212 - Continued on Ayers to Clayton Road, mile 3; Continued West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140213 - Valley road 1 mile.  At mile 5, hiked East 0.25 miles and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140214 - around and hiked back.  Turned left heading West 3% grade 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140215 - Campus Drive to college.  Hiked 1 mile through faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140216 - parking lots.  Stopped mile 08, for EKG, took another dose pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140217 - for feet, did have hydration and nutrition.  Took  another magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140218 - pill to prevent inflammation, increase energy, and raise HDL.  CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140219 - for energy and HDL.  Hiked loop around main building.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140220 - hiking down Campus Road then West on Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140221 - onto Crystal Ranch Road and did 8 mile loop back to college. heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140222 - South uphill for 1.5 miles.  Did not seem to get loopy taking 3 doses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140223 - opiod - Tramadol.  Then hiked back.  Turned left heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140224 - on Ygnacio Valley road.  At a break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140225 - and continued hiking West.  Hiked over the summit and downhill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140226 - .50 mile turned around at mile 20, Hiked back to Cowell, then Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140227 - and home.  Left knee hurt less oday, both feet metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140228 - about same taking 3 Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140232 -         ..
140233 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140234 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140235 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
140236 -        Side ache vasodilation ischemic colitis......   4         70  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140237 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140238 -        Hands flinching post hike muscle spasms......   3        070                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140239 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140240 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140241 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140242 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140243 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140244 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
140245 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140246 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
140247 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140248 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140249 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
140250 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140251 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140252 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140253 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
140254 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140255 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140256 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140257 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140258 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
140259 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140260 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140261 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
140262 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140263 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140264 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140265 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
140266 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140267 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140268 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 00 and again at mile mile 08 again at mile 19                                                                                                                                                                                                                                                                                                                                                    
140269 -  new   Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 08 again at mile 19 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin                                                                                                                                                                                                                                                               
140270 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140271 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140272 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
140273 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
140274 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
140275 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
140276 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140277 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
140278 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging - shaved this morning - tried to...                                                                                                                                                                                                                                                                                                                                                                                                        
140279 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
140280 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140281 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
140282 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
140283 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
140284 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140285 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
140286 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
140287 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
140288 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
140289 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140290 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
140291 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
140292 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140293 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140294 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140295 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
140296 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140297 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
140298 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
140299 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140300 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140301 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140302 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140303 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140304 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140305 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140306 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140307 -        Wobbly disoriented staggering dizzy..........   3         40  took 2 Tramadol and 2 Gabapentin mile 00 again but only 1 at mile 08 - seemed to have big effect relieving pain and did not cause wobbly                                                                                                                                                                                                                                                                                                                                                                                                     
140308 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140312 -  ..
140313 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140314 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140315 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140316 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140318 -  ..
140319 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140320 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140321 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140322 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140323 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140324 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140325 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140326 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140328 -  ..
140329 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140330 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140332 -  ..
140333 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140334 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140335 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140336 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140337 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140338 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140339 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140340 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140341 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140342 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140344 -  ..
140345 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140346 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140347 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140348 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140349 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140352 -  ..
140353 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140354 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140355 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140356 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140357 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140358 - can cause colitis.  Took 2 doses Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140359 - management before starting hike, because feeling metatarsalgia pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140360 - right foot for metatarsal #4.  Took Magnesium Complex - 300 mg 1 Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140361 - Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140362 - on 240519 1653. ref SDS 42 VY92...) - designed to swallow for gradual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140363 - release as plastic capsules breakdown and release magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140364 - over time.  Since had EGD Dilation on 240910, swallowed large pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140365 - that has been too big to slip through LESV, i.e., swallow, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140366 - month or so.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140367 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140368 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140369 - disapating lactic acid that causes fatigue in muscles, and also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140370 - reduces inflammation, critical for raising HDL, and general health in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140371 - major organs.  Had small amount peanut butter and margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140372 - seeds for electrolytes, including energy, and avocado for HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140373 - above. ref SDS 0 YK2G  Soaking Chia seeds in water, Coca Cola, orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140374 - juice, etc., increases energy and aids hydration, shown in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140375 - 240305 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140376 - starting hike from ischemic colitis caused by taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140377 - overuse of Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140378 - reviewing biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140379 - stomach pain can also result from ablation procedures cited in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140380 - to Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140381 - 200612 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140382 - team on 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140383 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140384 - Could be that magnesium can also cause bloating, if too much is taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140385 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140386 - 240507 0930. ref SDS 38 ZC5F  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140387 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140388 - left, onto Treat.  After about 1 mile  feet starting hike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140389 - swelled and like pins and needles calming down - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140390 - caused by taking statins.  Bottom of both feet started to hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140391 - including right foot metatarsal #4, which flared up on 240919, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140392 - above. ref SDS 0 XVTR  Luckily after another .5 mile, endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140393 - kicked in with Tramadol and Gabapentin and pain subsided.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140394 - through nose entire hike with no dyspnea.  Starting to feel normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140395 - again.  Temperature started at 78, and reached 84.  West wind 14 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140396 - and mostly 12 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140397 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140398 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140399 - Hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140400 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140401 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140402 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140403 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140404 - continued on concrete sidewalk .5 miles.  Interesting at this stage of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140405 - hike feeling good - strong.  Taking steps with swift pace effortlessly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140406 - - just floating along.  This significant change from feeling weak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140407 - forcing body to hike the past 2 months or so, may reflect taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140408 - magnesium.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140409 - using concrete sidewalk .5 miles.  Feeling metatarsaltia PL 1 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140410 - feet, and left foot #5 PL 1.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140411 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140412 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140413 - Continued West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140414 - Union 76 Texaco Gas Station store mile 5, time ____.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140415 - Ygnacio Valley Road; turned left hiked 0.25 miles East.  Hiked back on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140416 - Pine Hollow.  Turned left onto Campus Drive hiking West 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140417 - 3% - 4% grade against wind 08 mph.  Mile 05, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140418 - at California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140419 - around main buildings, then hiked 1 loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140420 - parking.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140421 - mile 08 time 1251 temp 91 and wind 12 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140422 - with some artifact.  Kardia reported HR 114 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140423 - ref SDS 0 PUXX  Both feet PL 3 and bottom right foot metatarsal #3 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140424 - Burning sensation PL 2, shin plints PL 0, right foot Tailor's bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140425 - PL 0, left foot #5 edge blister/callus PL 3 and #1 PL 2, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140426 - top blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140427 - meniscus PL 1, left hamstring PL 0, left shoulder PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140428 - 0 intermitant.  Took 1 Tramadol 50 mg and 2 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140429 - (...test this combination with temperature > 80...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140430 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140431 - 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140432 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140433 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140434 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140435 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140436 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140437 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140438 - energy, and avocado for HDL - few bites Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140439 - for HDL and energy to complete hike.  Since temperature forecast to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140440 - above 80, which increases sweating that ejects electrolytes, and since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140441 - hiking 8-mile Crystal Ranch loop took Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140442 - above. ref SDS 0 PPRP  Hiked another loop around main buildings, while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140443 - taking electrolyte pill.  Exited college at Visitor Parking taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140444 - Campus Drive down hill.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140445 - West on flat grade .5 miles.  At mile 09, turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140446 - Ranch Road.  Hiked South 1.0 mile uphill 5% grade with 05 mph wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140447 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140448 - Continued on flat grade .75 mile, then downhill .25 mile 5% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140449 - then past Rolling Woods Way and uphill 0.50 miles 6% grade; stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140450 - end Crystal Ranch Road mile 12 time 1408 temp 93 w 14 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140451 - uniform with no artifact.  Kardia reported HR 119 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140452 - Fibrillation - see below. ref SDS 0 PVPW  Both feet PL 2 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140453 - right foot metatarsal #4 PL 2 - improved.  Burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140454 - shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140455 - blister/callus PL 1 and #1 PL 1, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140456 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140457 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140458 - nothing by mouth, except sips softdrink for hydration, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140459 - ref SDS 0 PPRP  Continued downhill on Crystal Ranch Road 6% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140460 - miles.  At bottom of hill, turned right onto Rolling Woods Way heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140461 - East .5 miles uphill 6% grade with 10 mph wind.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140462 - downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140463 - turned left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140464 - against wind 08 mph.  Reached 2nd time California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140465 - East Bay Concord Campus.  Continued on Campus Drive bending North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140466 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140467 - miles.  At mile 19, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140468 - .5 miles against wind 08 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140469 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140470 - camber.  Hiked West to end concrete traffic barriar.  At mile 20,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140471 - turned around and hiked back .5 miles.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140472 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140473 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140474 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140475 - and home.  Ended hike mile 22 time 1845 temp 89, wind 12, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140476 - left foot #5 PL 3, #1 PL 3, right foot #4 top blister/callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140477 - callus bottom foot below #4 PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140478 - shin splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140479 - shoulder PL 0, neck and right shoulder PL 9 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140480 - left side PL 0, left elbow PL 0, when lifting.  EKG looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140481 - with some artifact, Kardia reported HR 099 Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140482 - below. ref SDS 0 5S4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140495 -  ..
140496 - Kardia recorded HR 056 at 0754 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140497 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140498 - after hiking 22 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140499 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140500 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140501 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140504 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140505 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240923-ecg-075426_mile_00_056_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140511 -  ..
140512 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140513 - hike 18 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140514 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140516 -  ..
140517 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140519 -                                               x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
140520 -       Date          240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 240705 24070  
140521 -       Miles            18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0      0   
140522 -       HR AVG          122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no     no   
140523 -         MAX           163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report report repor  
140524 -         Min            66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                                 
140525 -       El Climb Ft     660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover ischem  ic after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after 6th car  
140526 -       Temp Max         98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                                 
140527 -       Wind Max         14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                                 
140528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140531 -              https://flow.polar.com/training/analysis/7967606563                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140535 -               ..
140537 -   
140538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140540 -  ..
140541 - EKG at mile 08 time 1251 HR 114 temp 91, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140542 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140543 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140546 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140547 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240923-ecg-125138_mile_08_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140551 -  ..
140552 - EKG at mile 12 time 1408 HR 119 temp 93, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140553 - Atrial Fibrillation... heart rate looks variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140554 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140557 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140558 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240923-ecg-140842_mile_12_119_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140562 -  ..
140563 - End hike EKG at mile 18 time 1709 HR 099 temp 92, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140564 - Normal Sinus Rhythm... heart rate looks uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140565 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140568 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140569 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240923-ecg-170904_mile_17_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140573 -  ..
140574 - Post hike HR profile beginning 1910, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140575 - hiking 18 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140576 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140577 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140578 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140581 -        ..
140582 -       Date      240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714  240713    
140583 -       Time       1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934    2206     
140584 -       Hours         5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12       9     
140585 -       HR AVG       66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60      58     
140586 -       HR MAX      115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117      84     
140587 -       HR Min       50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41      39     
140588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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140590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140591 -              https://flow.polar.com/training/analysis/7967734086                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140594 -               ..
140596 -   
140597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140600 -  ..
140601 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140602 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140603 - Dinner - steak macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140606 -  ..
140607 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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140633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140635 -         ..
140636 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140637 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140638 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140639 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140640 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140641 -  268.  240924 0110............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140642 -               0110....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140643 -               0115....BP HR..................................................... 123  76  50  Kardia ECG reports HR status, see below. ref SDS 0 QPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140644 -               0120....BP HR..................................................... 121  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140645 -               0125....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140646 -               0125....80 418600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140647 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
140648 -               0450... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140649 -               0450....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140650 -               0450....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140651 -               0450....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140652 -               0450....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140653 -               0450... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140654 -               0450....Tramadol 50 mg took 3 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140655 -               0450... Gabapentin 300MG  3 pills to relieve peripheral neuropathy in feet
140656 -  ..
140657 -         * cr  0509....miles...........  16.0  34.0  271   564 minutes  temp  67 wind 05  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140658 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140659 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
140660 -               0730....mile 10 did not stop for EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140661 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140662 -               0005... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140663 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
140664 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140665 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140666 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
140667 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140668 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140669 -               0000....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140670 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140671 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140672 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140673 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
140674 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140675 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140676 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140677 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140678 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
140679 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140680 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140681 -               0931... Hike ends mile 16... ref SDS 0 2QWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140682 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140683 -               0950....weight.................................... 170  lost 04#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140684 -               1000....BP HR..................................................... 113  74 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140685 -               1005....BP HR..................................................... 110  73 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140686 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140687 -               1700... 40 114880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
140688 -               1830............ 10 20420  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
140689 -               1830............ 10 20790  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
140690 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140691 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140692 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140693 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140694 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140695 -               2200... 1000 2242000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140696 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140697 -               2330... 80 418680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140698 -               2340... 40 91180 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140701 -  ..
140702 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140703 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140704 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140705 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140706 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140707 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140708 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140709 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140712 -  ..
140713 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140714 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140716 -  ..
140717 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140718 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140720 -  ..
140721 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140724 -  ..
140725 - Today, hiked 16 miles - had no ischemic colitis!!! no bloating - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140726 - not take Simethicone entire hike.  Received new BioEmblem Triple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140727 - Magnesium pills refill from initial pills purchased on 240514 2126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140728 - ref SDS 40 VY8O  They will be easier to swallow for a few weeks after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140729 - EGD dilation at VAMC Sac on 240910.  Swallowing magnesium in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140730 - manufacturering capsule allows gradual release of magnesium as capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140731 - disolves, and avoids clogging LESV that occurred during June - Aug                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140732 - 2024.  Took BioEmblem magnesium pill at home before driving to San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140733 - Francisco.  At the VA in San Francisco before starting hike, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140734 - Tramdol and Gabapentin before starting hike. because feet hurting -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140735 - metatarsal #4 bottom of right foot seems now not injured.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140736 - another BioEmblem magnesium pill.  Ate small amount nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140737 - Checked starting time for meeting with Doctor Tang in Podiatry.  Turns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140738 - out meeting with Podiatry is on 240926, not today, 240924.  Drove home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140739 - -- started 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140740 - Turtle Creek Road.  Continued on Ayers to Clayton Road, mile 3;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140741 - Continued West on Ygnacio Valley road 1 mile.  At mile 5, hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140742 - 0.25 miles and turned around and hiked back.  Turned left heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140743 - 3% grade 1 mile on Campus Drive to college.  Hiked 1 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140744 - faculty and student parking lots.  Did not stop for EKG, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140745 - more pain meds for feet, and did have hydration and nutrition and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140746 - CoQ10 for energy and HDL.  Left college hiking down Campus Road then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140747 - West on Ygnacio Valley Road.  Seizure symptoms began - got very loopy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140748 - difficulty controlling speed hiking/running.  Fell with no injuries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140749 - (minor scratches).  Over summit and end of concrete traffic barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140750 - turned around and hiked back.  Took Cowell to Treat, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140751 - Cuneo/Hitchcock Road then back and home.  Left knee PL 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140752 - metatarsalgia PL 3 taking 3 Tramadol and Gabapentin.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140753 - mile at Costco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140757 -         ..
140758 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140759 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140760 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
140761 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140762 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140763 -        Hands flinching post hike muscle spasms......   2        040                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140764 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140765 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140766 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140767 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140768 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140769 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                   
140770 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140771 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
140772 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140773 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140774 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
140775 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140776 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140777 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140778 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 10 and again at mile 16  knee PL 2 and swelled after hike                                                                                                                                                                                                                                                                                                                                                                                          
140779 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140780 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140781 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140782 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140783 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
140784 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140785 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140786 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
140787 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140788 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140789 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140790 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
140791 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140792 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140793 -        Metatarsalgia left foot...PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 00 and again at mile mile 08 again at mile 19                                                                                                                                                                                                                                                                                                                                                    
140794 -  new   Metatarsalgia right foot..PRP 210705.........   4         40  Doctor Tang shaved calluses 240829 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 08 again at mile 19 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin                                                                                                                                                                                                                                                               
140795 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140796 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140797 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
140798 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
140799 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
140800 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
140801 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140802 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
140803 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 240829 - shaving on 240911 seemed to help - no pain without bandaging - shaved this morning - tried to...                                                                                                                                                                                                                                                                                                                                                                                                        
140804 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 11and again at mile 17                                                                                                                                                                                                                                                                                                                                                                    
140805 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140806 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
140807 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
140808 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
140809 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140810 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                              
140811 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
140812 -        Callus ring toe #4 top right foot............   1         40  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                         
140813 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
140814 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140815 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
140816 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang cut out core of callus again on 240613 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
140817 -  new   Callus ring tip of #4 toe left foot..........   0         20  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140818 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140819 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140820 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
140821 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140822 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 11 and again at mile 16 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
140823 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
140824 -        Peripheral neruopathy both feet..............   2        100  most siginficant before hike, and declined as hiking miles increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140825 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140826 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140827 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140828 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140829 -        Fall.........................................   1        100  heading uphill on Ygnacio Valley Road may have suffered seizure could not control speed and fell - minor scratches walked home last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                  
140830 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140831 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140832 -        Wobbly disoriented staggering dizzy..........   3         40  took 2 Tramadol and 2 Gabapentin mile 00 again but only 1 at mile 08 - seemed to have big effect relieving pain but got wobbly                                                                                                                                                                                                                                                                                                                                                                                                               
140833 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140837 -  ..
140838 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140839 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140840 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140841 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140843 -  ..
140844 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140845 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140846 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140847 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140848 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140849 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140850 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140851 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140853 -  ..
140854 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140855 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140857 -  ..
140858 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140859 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140860 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140861 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140862 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140863 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140864 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140865 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140866 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140867 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140869 -  ..
140870 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140871 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140872 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140873 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140874 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140877 -  ..
140878 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140879 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140880 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140881 - depleted by statins, which increases energy and HDL.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140882 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140883 - can cause colitis.  Took 1 dose Tramadol and Gabapentin while at VA,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140884 - then took 2 more doses Tramadol and Gabapentin 90 minutes later for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140885 - pain management before starting hike back in Concord, because feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140886 - metatarsalgia pain in right foot below metatarsal #4.  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140887 - Complex - 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140888 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140889 - designed to swallow for gradual release as plastic capsules breakdown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140890 - and release magnesium complex over time.  Since had EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140891 - 240910, swallowed large pill that has been too big to slip through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140892 - LESV, i.e., swallow, the past month or so.  Research with Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140893 - indicates magnesium can be effective combined with avocado, peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140894 - butter and margarine, reported on 240519 1653. ref SDS 42 JH8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140895 - Magnesium increases energy by disapating lactic acid that causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140896 - fatigue in muscles, and also reduces inflammation, critical for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140897 - raising HDL, and general health in major organs.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140898 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140899 - energy, and avocado for HDL, per above. ref SDS 0 VX6O  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140900 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140901 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140902 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140903 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140904 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140905 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140906 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140907 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140908 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140909 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140910 - reported on 240910 1300. ref SDS 53 ZC5F  Could be that magnesium can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140911 - also cause bloating, if too much is taken.  Similar for Famitodine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140912 - PantopraZOL reported in the record on 240507 0930. ref SDS 38 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140913 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140914 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  After about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140915 - 1 mile feet starting hike feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140916 - calming down - peripheral neuropathy caused by taking statins.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140917 - of both feet started to hurt including right foot metatarsal #4, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140918 - flared up on 240919, per above. ref SDS 0 XVTR  Luckily after another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140919 - .5 mile, endorphins kicked in with Tramadol and Gabapentin and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140920 - subsided.  Breathed through nose entire hike with no dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140921 - Starting to feel normal again.  Temperature started at 58, and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140922 - 67.  West wind 05 mph and mostly 03 mph.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140923 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140924 - Road for 1.5 miles mostly flat grade, some places 2% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140925 - light traffic.  Did not Hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140926 - today.  Continued on Turtle Creek Road uphill 4% grade.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140927 - onto Ayers - Lisa pulled up and spoke for a minute.  She is heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140928 - out to pickup her dogs for the walk today - just said hello.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140929 - Continued hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140930 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140931 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140932 - traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140933 - Interesting at this stage of hike feeling good - strong.  Taking steps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140934 - with swift pace effortlessly - just floating along.  This significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140935 - change from feeling weak forcing body to hike the past 2 months or so,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140936 - may reflect taking magnesium.  Later in hike this fast pace may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140937 - correlate to taking too much Gabapentin.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140938 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140939 - Feeling metatarsaltia PL 1 both feet, and left foot #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140940 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140941 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140942 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140943 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140944 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140945 - left hiked 0.50 miles East on Pine Hollow.  Past Discovery Way, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140946 - around and hiked back.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140947 - mile uphill 3% - 4% grade against wind 05 mph.  Mile 08, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140948 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140949 - Campus.  Hiked loop around main buildings, then hiked 1 loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140950 - Faculty and Student parking.  Back at Visitor Parking - feeling very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140951 - loopy - did not stop at Administration Building mile 10 time 0730 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140952 - 61 and wind 06 mph; did not do mobile EKG Both feet PL 3 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140953 - right foot metatarsal #4 PL 4 - burning sensation PL 2, shin plints PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140954 - 0, right foot Tailor's bunions PL 0, left foot #5 edge blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140955 - PL 3 and #1 PL 2, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140956 - callus/blister PL 0, bottom below #4 callus PL 3.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140957 - PL 1, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140958 - intermitant.  Did not take medications and did not have sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140959 - with nutrition, per above. ref SDS 0 PWRP  Exited college at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140960 - Parking taking Campus Drive down hill.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140961 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140962 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140963 - wind 04 mph.  Crossed Cowell at stop light.  Ran to make the light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140964 - lost control - another siezure-like episode - body was difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140965 - slow down, nearly fell forward, but somehow managed to stop, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140966 - resume at slower pace, then pace picked up speed involuntarily,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140967 - similar to hike on 240901, per above. ref SDS 0 RTRX  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140968 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140969 - camber.  Getting more wobbly, along this route lost balance and fell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140970 - Sustained only few scratches - got up and continued hike West to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140971 - concrete traffic barriar.  At mile 12, turned around and hiked back .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140972 - miles.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140973 - grade - more difficulty avoiding fast pace to avoid falling again;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140974 - then flat grade .25 miles, then .5 miles with narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140975 - oncoming afternoon commute traffic.  Turned left onto Treat hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140976 - West .25 mile back to Cuneo.  Hiked North on Cuneo .25 mile, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140977 - over Kaski where the name of the road changes from Cuneo to Hitchcock.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140978 - Continued North 1 mile.  Turned around at Court Lane.  Hiked back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140979 - home.  Ended hike mile 16 time 0931 temp 67, wind 06, feet PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140980 - foot #5 PL 3, #1 PL 3, right foot #4 top blister/callus PL 1, callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140981 - bottom foot below #4 PL 2, right foot Tailor's bunions PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140982 - splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140983 - shoulder PL 0, neck and right shoulder PL 9 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140984 - left side PL 0, left elbow PL 0, when lifting.  EKG looks uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140985 - considerable artifact, Kardia reported HR 115 Tachycarcia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140986 - ref SDS 0 2QWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140999 -  ..
141000 - Kardia recorded HR 065 at 0125 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141001 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141002 - after hiking 18 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141003 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141004 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141005 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141008 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141009 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240924-ecg-012526_mile_00_065_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141015 -  ..
141016 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141017 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141018 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141020 -  ..
141021 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141023 -                                               x           x                           x      y                    x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
141024 -       Date          240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 240716 240715 240714 240713 240712 240711 240710 240709 240708 240707 240706 24070  
141025 -       Miles            16     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0      0      0      22     0      0      0      0      0      0      0      0   
141026 -       HR AVG          107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no     no     no     122    no     no     no     no     no     no     no     no   
141027 -         MAX           130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report report report report   146  report report report report report report report repor  
141028 -         Min            71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                                           66                                                          
141029 -       El Climb Ft     450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hike recover   isolitis after 6th cardiac ablation -->  305  <---------- can't hike recover ischemic colitis after   
141030 -       Temp Max         59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                                           80                                                          
141031 -       Wind Max          5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                                           12                                                          
141032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141035 -              https://flow.polar.com/training/analysis/7968050694                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141039 -               ..
141041 -   
141042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141046 -  ..
141047 - End hike EKG at mile 16, time 0931 HR 115 temp 67 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141048 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141049 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141052 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141053 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240924-ecg-093137_mile_16_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141059 -  ..
141060 - Post hike HR profile beginning 0010, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141061 - hiking 18 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141062 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141063 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141064 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141067 -        ..
141068 -       Date      240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715  240714    
141069 -       Time       0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921    1934     
141070 -       Hours         7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11      12     
141071 -       HR AVG       58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60      60     
141072 -       HR MAX      128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     117     
141073 -       HR Min       38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38      41     
141074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141077 -              https://flow.polar.com/training/analysis/7968637689                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141080 -               ..
141082 -   
141083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141086 -  ..
141087 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141088 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141089 - Dinner - steak macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141092 -  ..
141093 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141122 -         ..
141123 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141124 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141125 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141126 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141127 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141128 -  269.  240925 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141129 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141130 -               0735....BP HR..................................................... 131  78  50  Kardia ECG reports HR status, see below. ref SDS 0 QPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141131 -               0740....BP HR..................................................... 133  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141132 -               0745....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141133 -               0745....80 418600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141134 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141135 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141136 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141137 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141138 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141139 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141140 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141141 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141142 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141143 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141144 -               1700... 40 114880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141145 -             1 0000............ 10 20420  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141146 -             1 0000............ 10 20790  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141147 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141148 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141149 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141150 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141151 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141152 -               2200... 1000 2242000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141153 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141154 -               2330... 80 418680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141155 -               2340... 40 91180 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141158 -  ..
141159 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141160 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141162 -  ..
141163 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141164 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141168 -  ..
141169 - Kardia not recorded HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141173 -  ..
141174 - Post hike HR profile beginning 1812, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141175 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141176 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141177 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141178 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141181 -        ..
141182 -       Date      240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716  240715    
141183 -       Time       1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935    1921     
141184 -       Hours         9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12      11     
141185 -       HR AVG       53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57      60     
141186 -       HR MAX      112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93      99     
141187 -       HR Min       36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40      38     
141188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141191 -              https://flow.polar.com/training/analysis/7969125795                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141194 -               ..
141196 -   
141197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141200 -  ..
141201 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141202 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141203 - Dinner - steak macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141206 -  ..
141207 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141235 -         ..
141236 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141237 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141238 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141239 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141240 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141241 -  270.  240926 0315............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141242 -               0315....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141243 -               0320....BP HR..................................................... 130  81  52  Kardia ECG reports HR status, see below. ref SDS 0 QPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141244 -               0325....BP HR..................................................... 127  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141245 -               0330....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141246 -               0330....80 418760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141247 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141248 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141249 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141250 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141251 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141252 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141253 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141254 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141255 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141256 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141257 -               1700... 40 114920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141258 -               1830............ 10 20440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141259 -               1830............ 10 20800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141260 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141261 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141262 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141263 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141264 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141265 -               2200... 1000 2243000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141266 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141267 -               2330... 80 418840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141268 -               2340... 40 91220 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141271 -  ..
141272 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141273 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141275 -  ..
141276 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141277 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141281 -  ..
141282 - Kardia not recorded HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141286 -  ..
141287 - Post hike HR profile beginning 3312, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141288 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141289 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141290 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141291 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141294 -        ..
141295 -       Date      240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717  240716    
141296 -       Time       2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233    1935     
141297 -       Hours         9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9      12     
141298 -       HR AVG       49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58      57     
141299 -       HR MAX       98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101      93     
141300 -       HR Min       39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40      40     
141301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141304 -              https://flow.polar.com/training/analysis/7969852741                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141307 -               ..
141309 -   
141310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141313 -  ..
141314 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141315 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141316 - Dinner - ham potato cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141319 -  ..
141320 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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141328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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141335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141348 -         ..
141349 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141350 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141351 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141352 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141353 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141354 -  271.  240927 0735............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141355 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141356 -               0740....BP HR..................................................... 124  78  51  Kardia ECG reports HR status, see below. ref SDS 0 QPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141357 -               0745....BP HR..................................................... 124  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141358 -               0750....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141359 -               0750....80 418760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141360 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141361 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141362 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141363 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141364 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141365 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141366 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141367 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141368 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141369 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141370 -               1700... 40 114920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141371 -             1 0000............ 10 20440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141372 -             1 0000............ 10 20800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141373 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141374 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141375 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141376 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141377 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141378 -               2200... 1000 2243000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141379 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141380 -               2330... 80 418840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141381 -               2340... 40 91220 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141383 -  ..
141384 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141385 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141387 -  ..
141388 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141389 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141393 -  ..
141394 - Kardia not recorded HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141397 -  ..
141398 - Post hike HR profile beginning 2041, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141399 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141400 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141401 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141402 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141405 -        ..
141406 -       Date      240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718  240717    
141407 -       Time       2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042    2233     
141408 -       Hours        11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10       9     
141409 -       HR AVG       66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60      58     
141410 -       HR MAX      111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     101     
141411 -       HR Min       46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41      40     
141412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141414 -              https://flow.polar.com/training/analysis/7970509286                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141417 -               ..
141419 -   
141420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141423 -  ..
141424 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141425 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141426 - Dinner - ham potato cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141429 -  ..
141430 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141459 -         ..
141460 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141461 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141462 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141463 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141464 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141465 -  272.  240928 0735............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141466 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141467 -               0745....BP HR..................................................... 136  79  52  Kardia ECG reports HR status, see below. ref SDS 0 QPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141468 -               0750....BP HR..................................................... 137  77  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141469 -               0755....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141470 -               0755....80 418760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141471 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141472 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141473 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141474 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141475 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141476 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141477 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141478 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141479 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141480 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141481 -               1700... 40 114920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141482 -               1830............ 10 20440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141483 -               1830............ 10 20800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141484 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141485 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141486 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141487 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141488 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141489 -               2200... 1000 2243000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141490 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141491 -               2330... 80 418840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141492 -               2340... 40 91220 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141495 -  ..
141496 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141497 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141499 -  ..
141500 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141501 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141505 -  ..
141506 - Kardia not recorded HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141509 -  ..
141510 - Post hike HR profile beginning 1922, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141511 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141512 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141513 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141514 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141517 -        ..
141518 -       Date      240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719  240718    
141519 -       Time       1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140    2042     
141520 -       Hours        13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9      10     
141521 -       HR AVG       63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59      60     
141522 -       HR MAX      127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118      98     
141523 -       HR Min       43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40      41     
141524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141526 -              https://flow.polar.com/training/analysis/7971136470                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141529 -               ..
141531 -   
141532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141535 -  ..
141536 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141537 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141538 - Dinner - ham potato cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141541 -  ..
141542 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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141560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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141563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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141566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141571 -         ..
141572 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141573 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141574 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141575 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141576 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141577 -  273.  240929 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141578 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141579 -               0725....BP HR..................................................... 118  76  51  Kardia ECG reports HR status, see below. ref SDS 0 RUQT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141580 -               0730....BP HR..................................................... 121  79  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141581 -               0735....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141582 -               0735....80 419000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141583 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141584 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141585 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141586 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141587 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141588 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141589 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141590 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141591 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141592 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141593 -               1700... 40 115040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141594 -             1 0000............ 10 20440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141595 -             1 0000............ 10 20800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141596 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141597 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141598 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141599 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141600 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141601 -               2200... 1000 2246000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141602 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141603 -               2330... 80 419080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141604 -               2340... 40 91640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141607 -  ..
141608 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141609 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141611 -  ..
141612 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141613 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141615 -  ..
141616 - Reflux none overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141621 -  ..
141622 - Kardia recorded HR 052 at 1213 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141623 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141624 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141625 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141626 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141627 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141630 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141631 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240929-ecg-121302_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141635 -  ..
141636 - Post hike HR profile beginning 0118, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141637 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141638 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141639 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141640 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141643 -        ..
141644 -       Date      240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720  240719    
141645 -       Time       0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923    2140     
141646 -       Hours         6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12       9     
141647 -       HR AVG       55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63      59     
141648 -       HR MAX       93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     118     
141649 -       HR Min       41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38      40     
141650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141652 -              https://flow.polar.com/training/analysis/7971653203                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141655 -               ..
141657 -   
141658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141661 -  ..
141662 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141663 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141664 - Dinner - eggs ham potato cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141667 -  ..
141668 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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141694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141697 -         ..
141698 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141699 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141700 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141701 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141702 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141703 -  274.  240930 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141704 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141705 -               0725....BP HR..................................................... 134  82  54  Kardia ECG reports HR status, see below. ref SDS 0 RUY8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141706 -               0730....BP HR..................................................... 131  81  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141707 -               0735....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141708 -               0735....80 419160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141709 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141710 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141711 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141712 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141713 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141714 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141715 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141716 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141717 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141718 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141719 -               1700... 40 115080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141720 -               1830............ 10 20450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141721 -               1830............ 10 20810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141722 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141723 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141724 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141725 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141726 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141727 -               2200... 1000 2247000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141728 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141729 -               2330... 80 419240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141730 -               2340... 40 91680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141732 -  ..
141733 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141734 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141736 -  ..
141737 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141738 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141740 -  ..
141741 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141746 -  ..
141747 - Kardia recorded HR 054 at 0928 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141748 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141749 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141750 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141751 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141752 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141755 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_240930-ecg-092817_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141761 -  ..
141762 - Post hike HR profile beginning 1748, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141763 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141764 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141765 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141766 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141769 -        ..
141770 -       Date      240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721  240720    
141771 -       Time       1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030    1923     
141772 -       Hours        13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9      12     
141773 -       HR AVG       68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59      63     
141774 -       HR MAX      115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     117     
141775 -       HR Min       41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41      38     
141776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141778 -              https://flow.polar.com/training/analysis/7972292142                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141781 -               ..
141783 -   
141784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141787 -  ..
141788 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141789 - Lunch - sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141790 - Dinner - eggs hamburger potato cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141793 -  ..
141794 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141824 -         ..
141825 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141826 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141827 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141828 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141829 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141830 -  275.  241001 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141831 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141832 -               0725....BP HR..................................................... 138  89  51  Kardia ECG reports HR status, see below. ref SDS 0 RUY8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141833 -               0730....BP HR..................................................... 136  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141834 -               0735....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141835 -               0735....80 419320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141836 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141837 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141838 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141839 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141840 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141841 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141842 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141843 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141844 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141845 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141846 -               1700... 40 115120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141847 -             1 0000............ 10 20450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141848 -             1 0000............ 10 20810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141849 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141850 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141851 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141852 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141853 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141854 -               2200... 1000 2248000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141855 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141856 -               2330... 80 419400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141857 -               2340... 40 91720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141859 -  ..
141860 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141861 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141863 -  ..
141864 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141865 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141868 -  ..
141869 - Kardia not recorded HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141873 -  ..
141874 - Post hike HR profile beginning 2304, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141875 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141876 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141877 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141878 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141881 -        ..
141882 -       Date      241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722  240721    
141883 -       Time       2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003    2030     
141884 -       Hours         9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13       9     
141885 -       HR AVG       55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68      59     
141886 -       HR MAX       85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     110     
141887 -       HR Min       41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45      41     
141888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141890 -              https://flow.polar.com/training/analysis/7973015096                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141893 -               ..
141895 -   
141896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141899 -  ..
141900 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141901 - Lunch - sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141902 - Dinner - eggs hamburger potato cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141905 -  ..
141906 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141933 -         ..
141934 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141935 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141936 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141937 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141938 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141939 -  276.  241002 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141940 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141941 -               0725....BP HR..................................................... 133  79  53  Kardia ECG reports HR status, see below. ref SDS 0 RXT5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141942 -               0730....BP HR..................................................... 133  82  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141943 -               0735....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141944 -               0735....80 419480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141945 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
141946 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141947 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141948 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141949 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141950 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141951 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
141952 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141953 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141954 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141955 -               1700... 40 115160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
141956 -               1830............ 10 20460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141957 -               1830............ 10 20820  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141958 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141959 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141960 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141961 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141962 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141963 -               2200... 1000 2249000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141964 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141965 -               2330... 80 419560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141966 -               2340... 40 91760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141969 -  ..
141970 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141971 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141973 -  ..
141974 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141975 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141977 -  ..
141978 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141983 -  ..
141984 - Kardia recorded HR 053 at 0942 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141985 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141986 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141987 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141988 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141989 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141992 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141993 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241002-ecg-094245_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141998 -  ..
141999 - Post hike HR profile beginning 2006, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142000 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142001 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142002 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142003 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142006 -        ..
142007 -       Date      241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723  240722    
142008 -       Time       2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848    2003     
142009 -       Hours        10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7      13     
142010 -       HR AVG       56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67      68     
142011 -       HR MAX      111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     122     
142012 -       HR Min       40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39      45     
142013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142015 -              https://flow.polar.com/training/analysis/7973651882                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142018 -               ..
142020 -   
142021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142024 -  ..
142025 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142026 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142027 - Dinner - hamburger avodado onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142030 -  ..
142031 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142056 -         ..
142057 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142058 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142059 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142060 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142061 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142062 -  277.  241003 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142063 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142064 -               0725....BP HR..................................................... 134  80  54  Kardia ECG reports HR status, see below. ref SDS 0 R4TY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142065 -               0740....BP HR..................................................... 137  79  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142066 -               0745....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142067 -               0745....80 419640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142068 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142069 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142070 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142071 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142072 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142073 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142074 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142075 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142076 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142077 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142078 -               1700... 40 115200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
142079 -             1 0000............ 10 20460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142080 -             1 0000............ 10 20820  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142081 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142082 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142083 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142084 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142085 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142086 -               2200... 1000 2250000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142087 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142088 -               2330... 80 419720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142089 -               2340... 40 91800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142092 -  ..
142093 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142094 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142096 -  ..
142097 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142098 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142100 -  ..
142101 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142105 -  ..
142106 - Kardia recorded HR 067 at 1005 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142107 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142108 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142109 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142110 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142111 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142114 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142115 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241003-ecg-100521_mile_00_067_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142120 -  ..
142121 - Post hike HR profile beginning 1921, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142122 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142123 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142124 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142125 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142128 -        ..
142129 -       Date      241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724  240723    
142130 -       Time       1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129    1848     
142131 -       Hours        12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11       7     
142132 -       HR AVG       59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61      67     
142133 -       HR MAX       99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     112     
142134 -       HR Min       39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37      39     
142135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142137 -              https://flow.polar.com/training/analysis/7974192632                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142140 -               ..
142142 -   
142143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142146 -  ..
142147 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142148 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142149 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142152 -  ..
142153 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142178 -         ..
142179 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142180 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142181 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142182 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142183 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142184 -  278.  241004 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142185 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142186 -               0720....BP HR..................................................... 133  70  51  Kardia ECG reports HR status, see below. ref SDS 0 375J                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142187 -               0725....BP HR..................................................... 130  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142188 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142189 -               0735....80 419800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142190 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142191 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142192 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142193 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142194 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142195 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142196 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142197 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142198 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142199 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142200 -               1700... 40 115240 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
142201 -               1830............ 10 20470  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142202 -               1830............ 10 20830  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142203 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142204 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142205 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142206 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142207 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142208 -               2200... 1000 2251000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142209 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142210 -               2330... 80 419880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142211 -               2340... 40 91840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142214 -  ..
142215 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142216 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142218 -  ..
142219 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142220 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142222 -  ..
142223 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142228 -  ..
142229 - Kardia recorded HR 061 at 0903 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142230 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142231 - after hiking 00 miles yesterday, and stopping Apixaban on 240710 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142232 - 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142233 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142234 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142237 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142238 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241004-ecg-090352_mile_00_061_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142243 -  ..
142244 - Post hike HR profile beginning 2038, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142245 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142246 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142247 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142248 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142251 -        ..
142252 -       Date      241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725  240724    
142253 -       Time       2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909    2129     
142254 -       Hours        11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8      11     
142255 -       HR AVG       59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64      61     
142256 -       HR MAX      113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     121     
142257 -       HR Min       39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38      37     
142258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142260 -              https://flow.polar.com/training/analysis/7974819772                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142263 -               ..
142265 -   
142266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142269 -  ..
142270 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142271 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142272 - Dinner - macaroni cheese tuna broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142275 -  ..
142276 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142302 -         ..
142303 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142304 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142305 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142306 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142307 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142308 -  279.  241005 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142309 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142310 -               0710....BP HR..................................................... 140  83  51  Kardia ECG reports HR status, see below. ref SDS 0 SQYU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142311 -               0715....BP HR..................................................... 133  81  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142312 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142313 -               0725....80 419960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142314 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142315 -               1000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142316 -               1000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142317 -               1000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142318 -               1000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142319 -               1000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142320 -               1000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142321 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142322 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
142323 -  ..
142324 -               1028....miles...........  13.0  13.0  202   202 minutes  temp  97 wind 06  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142325 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142326 -               1000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142327 -               1223....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142328 -               1223....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142329 -               1223... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142330 -               1223... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
142331 -               1223... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142332 -               1223....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142333 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142334 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142335 -               1533....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142336 -               1736....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142337 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142338 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142339 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142340 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
142341 -               1736... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142342 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142343 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142344 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142345 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142346 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142347 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142348 -               1409... Hike ends mile 18... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142349 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142350 -               1415....weight.................................... 169  lost  6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142351 -               1420....BP HR.....................................................  96  60  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142352 -               1445....BP HR.....................................................  85  65 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142353 -               1448....BP HR..................................................... 104  67 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142354 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142355 -               1700... 40 115280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
142356 -             1 0000............ 10 20470  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142357 -             1 0000............ 10 20830  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142358 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142359 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142360 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142361 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142362 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142363 -               2200... 1000 2252000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142364 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142365 -               2330... 80 420040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142366 -               2340... 40 91880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142369 -  ..
142370 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142371 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142373 -  ..
142374 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142375 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142377 -  ..
142378 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142381 -  ..
142382 - Today, hiked 13 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142383 - streets - Treat, Turtle Creek Road.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142384 - Road, mile 3; then South 1 mile - noticed peripheral neuropathy both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142385 - feet stronger than usual.  Turned West on Ygnacio Valley road 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142386 - At mile 5, hiked East 0.25 miles and turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142387 - Turned left heading West 3% grade 1 mile on Campus Drive to college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142388 - Hiked 1 mile through faculty and student parking lots.  Stopped mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142389 - for EKG, hydration, nutrition and CoQ10 for energy and HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142390 - Tramadol and Gabapentin for pain management, and to test for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142391 - recurrance of adverse siezure-like side effects reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142392 - on 240923, per above. ref SDS 0 PYSX  Left college hiking down Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142393 - Road then West on Ygnacio Valley Road.  Did not get loopy, nor have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142394 - difficulty controlling speed hiking/running.  At summit where concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142395 - traffic barriar ends, temperature nearing 100.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142396 - hiked back.  Took Cowell to Treat, then Cuneo and home.  Left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142397 - 0 both feet metatarsalgia PL 3 taking 1 Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142401 -         ..
142402 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142403 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142404 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
142405 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142406 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142407 -        Hands flinching post hike muscle spasms......   2        040                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142408 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142409 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142410 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142411 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142412 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 1 Tramadol and 1 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142413 -        Shoulder left myopathy statins...............   2         30  episodic pain when lifting arm to end hike - took 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
142414 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142415 -        Elbow left arm PRP on 231121.................   1         80  mostly episodic doing anything with left arm - at times feels improved, took 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
142416 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142417 -        Hip left.....................................   1         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142418 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
142419 -        Hip right....................................   1         20  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142420 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142421 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142422 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
142423 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142424 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142425 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142426 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142427 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
142428 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142429 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142430 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 1 Tramadol and 1 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
142431 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142432 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142433 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142434 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
142435 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142436 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142437 -        Metatarsalgia left foot...PRP 210705.........   3         60  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 07 and again at mile mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
142438 -  new   Metatarsalgia right foot..PRP 210705.........   3         60  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 07 and again at mile mile 00 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
142439 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142440 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142441 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
142442 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
142443 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
142444 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
142445 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142446 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
142447 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240926 - shaving on 241003 seemed to help - no pain without bandaging - shaved this morning - tried to using saline to soften tissue used in Podiatry on 240926                                                                                                                                                                                                                                                                                                                                                  
142448 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
142449 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142450 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
142451 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
142452 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 1 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
142453 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142454 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
142455 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
142456 -        Callus ring toe #4 top right foot............   1         20  did not use neoprene protective sleeve took 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                         
142457 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
142458 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142459 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
142460 -  new   Callus little toe #5 left foot...PRP 210705..   1         30  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 07 and again at mile 00 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
142461 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142462 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142463 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142464 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
142465 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142466 -        Burning sensation both feet..................   3         30  subsided some after taking 1 Tramadol and 1 Gababenin mile 07 and again at mile 00 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
142467 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
142468 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142469 -        Peripheral neruopathy top left hand..........   2         20  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142470 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142471 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142472 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142473 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142474 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142475 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142476 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 07 again at mile 00 - seemed to have big effect relieving pain and did not cause wobbly                                                                                                                                                                                                                                                                                                                                                                                                                
142477 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142481 -  ..
142482 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142483 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142484 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142485 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142487 -  ..
142488 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142489 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142490 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142491 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142492 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142493 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142494 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142495 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142497 -  ..
142498 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142499 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142501 -  ..
142502 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142503 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142504 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142505 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142506 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142507 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142508 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142509 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142510 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142511 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142513 -  ..
142514 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142515 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142516 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142517 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142518 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142521 -  ..
142522 - Concord 13 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142523 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142524 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142525 - replace CoQ10 depleted by statins, increasing CoQ10 improves cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142526 - function which increases energy and improves liver function to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142527 - increase HDL.  Did not take Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142528 - management to start hike, because can cause colitis.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142529 - Tramadol and Gabapentin for pain management before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142530 - because not feeling metatarsalgia pain in right foot for metatarsal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142531 - #4.  Took Magnesium Complex - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142532 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142533 - ref SDS 42 VY92...) - designed to swallow for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142534 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142535 - Since had EGD Dilation increased LESV from 15 - 19 mm, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142536 - 240910 1300, ref SDS 53 433O, swallowed large pill that has been too                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142537 - big to slip through LESV, i.e., swallow, the past month or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142538 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142539 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142540 - 1653. ref SDS 42 JH8L  Magnesium increases energy by dissipating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142541 - lactic acid that causes fatigue in muscles, and also reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142542 - inflammation, critical for raising HDL, and general health in major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142543 - organs.  Had small amount peanut butter and margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142544 - for electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142545 - ref SDS 0 AW6L  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142546 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142547 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142548 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142549 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142550 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142551 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142552 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142553 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142554 - 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142555 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142556 - Could be that magnesium can also cause bloating, if too much is taken.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142557 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142558 - 240507 0930. ref SDS 38 ZC5F  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142559 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142560 - left, onto Treat.  After about 1 mile  feet starting hike feeling more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142561 - than usual swelled and like pins and needles calming down - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142562 - neuropathy caused by taking statins.  However, bottom of both feet not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142563 - hurting, including right foot metatarsal #4, which flared up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142564 - 240919, per above. ref SDS 0 XVTR  Not hiking last 10 days, may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142565 - healed feet, which together with endorphins prevented pain without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142566 - taking Tramadol and Gabapentin, per above. ref SDS 0 AW6L  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142567 - through nose entire hike with no dyspnea.  Temperature started at 81,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142568 - and reached 97.  West wind 07 mph and mostly 04 mph.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142569 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142570 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142571 - uphill, and very light traffic.  Did not Hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142572 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142573 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142574 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142575 - asphalt pavement in parking lots of shopping complex.  Strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142576 - expression of peripheral neuropathy symptoms.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142577 - traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142578 - Interesting at this stage of hike feeling good - strong.  Taking steps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142579 - with swift pace effortlessly - just floating along.  This significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142580 - change from feeling weak forcing body to hike the past 2 months or so,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142581 - may reflect taking magnesium.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142582 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142583 - metatarsaltia PL 2 both feet, and left foot #5 PL 0.  Moderated pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142584 - by landing mostly on heels and reducing pressure on forefeet as steps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142585 - rolled forward.  Continued hike crossing Park Highlands Road at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142586 - Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142587 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142588 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142589 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142590 - Valley Road; turned left hiked 0.25 miles East.  Hiked back on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142591 - Hollow.  Turned left onto Campus Drive hiking West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142592 - 4% grade against wind 04 mph.  Mile 06, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142593 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142594 - around main buildings.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142595 - Administration Building mile 07 time 1223 temp 92 and wind 07 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142596 - looks mostly uniform with minor artifact.  Kardia reported HR 137                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142597 - Tachycardia - see below. ref SDS 0 SRTQ  Both feet PL 3 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142598 - right foot below metatarsal #4 - PL 1.  Burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142599 - peripheral neuropathy PL 2; shin splints PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142600 - bunions PL 0, left foot #5 edge blister/callus PL 0 and #1 PL 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142601 - foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142602 - knee meniscus PL 1, left hamstring PL 0, left shoulder PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142603 - elbow PL 1 intermitant.  Took 1 Tramadol 50 mg and 2 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142604 - for pain (...test this combination with temperature > 80...).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142605 - another Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142606 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142607 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142608 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142609 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142610 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142611 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142612 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142613 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142614 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142615 - temperature forecast to above 80, which increases sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142616 - electrolytes, even though not hiking 8-mile Crystal Ranch loop took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142617 - Nuun electrolyte pill, per above. ref SDS 0 RXQW  Hiked loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142618 - Faculty and Student parking lots.  At mile 09, exited college at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142619 - Visitor Parking taking Campus Drive down hill.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142620 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142621 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142622 - wind 06 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142623 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142624 - Hiked West to end concrete traffic barriar - feeling effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142625 - temperature 97.  At mile 11, turned around and hiked back .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142626 - Turned left onto Cowell heading North .25 miles downhill 5% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142627 - then flat grade .25 miles, then .5 miles with narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142628 - oncoming afternoon commute traffic.  Turned left onto Treat hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142629 - West .25 miles back to Cuneo and home.  Ended hike mile 13 time 1405                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142630 - temp 97, wind 05, feet PL 3, left foot #5 PL 0, #1 PL 0, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142631 - top blister/callus PL 1; right foot callus bottom foot below #4 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142632 - right foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142633 - (not swollen), right knee PL 0, left shoulder PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142634 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142635 - 0, when lifting.  EKG looks uniform, with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142636 - HR 189 Possible Atrial Fibrillation - see below. ref SDS 0 SRWX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142649 -  ..
142650 - Kardia recorded HR 055 at 0809 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142651 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142652 - hiking 00 miles yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142653 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142654 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142655 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142658 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142659 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241005-ecg-080901_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142665 -  ..
142666 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142667 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142668 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142670 -  ..
142671 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142673 -                     241005                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142674 -                                               x           x                           x      y   zz               x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
142675 -       Date          241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 240722 240721 240720 240719 240718 240717 24071  
142676 -       Miles            13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0      0      0      0      0      0      0   
142677 -       HR AVG          138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no     no     no     no     no     no     no   
142678 -         MAX           164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report report report report report report report repor  
142679 -         Min            89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                                                          
142680 -       El Climb Ft     450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- c an'ke recover IHD----->     305           305  <-- can't hike recover ischemic colitis after 6th card  
142681 -       Temp Max         97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                                                          
142682 -       Wind Max          6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                                                          
142683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142686 -              https://flow.polar.com/training/analysis/7975000970                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142690 -               ..
142692 -   
142693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142696 -  ..
142697 - EKG at mile 07 time 1223 HR 137 temp 92, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142698 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142699 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142702 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142703 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241005-ecg-122312_mile_07_137_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142707 -  ..
142708 - End hike EKG at mile 13, time 1405 HR 189 temp 97 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142709 - Possible Atrial Fibrillation... looks mostly uniform with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142710 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142713 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142714 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241005-ecg-140558_mile_13_189_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142720 -  ..
142721 - EKG check for NSR, Ucl, PAF 10 hours after 13 mile hike that recorded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142722 - HR 189 and EKG PAF... Kardia reported Possible Atrial Fibrillation...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142723 - looks variable with no artifact...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142726 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142727 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241006-ecg-000319_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142733 -  ..
142734 - Post hike HR profile beginning 2016, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142735 - hiking 13 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142736 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142737 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142738 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142741 -        ..
142742 -       Date      241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829  240725    
142743 -       Time       2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009    1909     
142744 -       Hours        12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10       8     
142745 -       HR AVG       65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59      64     
142746 -       HR MAX      126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     102     
142747 -       HR Min       42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42      38     
142748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142751 -              https://flow.polar.com/training/analysis/7975567502                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142754 -               ..
142756 -   
142757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142760 -  ..
142761 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142762 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142763 - Dinner - eggs ham tuna macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142766 -  ..
142767 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142793 -         ..
142794 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142795 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142796 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142797 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142798 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142799 -  280.  241006 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142800 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142801 -               0730....BP HR..................................................... 141  80  55  Kardia ECG reports HR status, see below. ref SDS 0 S8DN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142802 -               0735....BP HR..................................................... 135  74  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142803 -               0740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142804 -               0740....80 420120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142805 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142806 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142807 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142808 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142809 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142810 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142811 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142812 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142813 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142814 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142815 -               1700... 40 115320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
142816 -               1830............ 10 20480  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142817 -               1830............ 10 20840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142818 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142819 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142820 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142821 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142822 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142823 -               2200... 1000 2253000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142824 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142825 -               2330... 80 420200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142826 -               2340... 40 91920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142828 -  ..
142829 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142830 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142832 -  ..
142833 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142834 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142836 -  ..
142837 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142841 -  ..
142842 - Kardia recorded HR 053 at 0910 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142843 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142844 - after hiking 13 miles temp 97 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142845 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142846 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142847 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142850 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142851 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241006-ecg-091050_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142856 -  ..
142857 - Post hike HR profile beginning 2216, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142858 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142859 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142860 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142861 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142864 -        ..
142865 -       Date      241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727  240829    
142866 -       Time       2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938    2009     
142867 -       Hours         9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12      10     
142868 -       HR AVG       62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66      59     
142869 -       HR MAX      104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     103     
142870 -       HR Min       40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40      42     
142871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142874 -              https://flow.polar.com/training/analysis/7976014698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142877 -               ..
142879 -   
142880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142883 -  ..
142884 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142885 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142886 - Dinner - eggs ham macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142889 -  ..
142890 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142916 -         ..
142917 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142918 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142919 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142920 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142921 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142922 -  281.  241007 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142923 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142924 -               0720....BP HR..................................................... 148  81  53  Kardia ECG reports HR status, see below. ref SDS 0 SWQX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142925 -               0725....BP HR..................................................... 142  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142926 -               0730....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142927 -               0730....80 420280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142928 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
142929 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142930 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142931 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142932 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142933 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142934 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
142935 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142936 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142937 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142938 -               1700... 40 115360 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
142939 -             1 0000............ 10 20480  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142940 -             1 0000............ 10 20840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142941 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142942 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142943 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142944 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142945 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142946 -               2200... 1000 2254000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142947 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142948 -               2330... 80 420360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142949 -               2340... 40 91960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142952 -  ..
142953 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142954 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142956 -  ..
142957 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142958 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142963 -  ..
142964 - Kardia recorded HR 052 at 0734 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142965 - uniform heart beat lengths with p-waves and minor artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142966 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142967 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142968 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142969 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142972 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142973 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241007-ecg-073442_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142977 -  ..
142978 - Post hike HR profile beginning 1937, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142979 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142980 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142981 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142982 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142985 -        ..
142986 -       Date      241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728  240727    
142987 -       Time       1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951    1938     
142988 -       Hours        12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10      12     
142989 -       HR AVG       56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65      66     
142990 -       HR MAX      107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     116     
142991 -       HR Min       40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40      40     
142992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142995 -              https://flow.polar.com/training/analysis/7976659276                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142998 -               ..
143000 -   
143001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143004 -  ..
143005 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143006 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143007 - Dinner - eggs macaroni cheese broccoli cauliflower onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143010 -  ..
143011 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143036 -         ..
143037 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143038 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143039 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143040 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143041 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143042 -  282.  241008 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143043 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143044 -               0720....BP HR..................................................... 149  81  54  Kardia ECG reports HR status, see below. ref SDS 0 9XTP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143045 -               0725....BP HR..................................................... 140  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143046 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143047 -               0730....80 420440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143048 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143049 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143050 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143051 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143052 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143053 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143054 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143055 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143056 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143057 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143058 -               1700... 40 115400 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
143059 -               1830............ 10 20490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143060 -               1830............ 10 20840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143061 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143062 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143063 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143064 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143065 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143066 -               2200... 1000 2255000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143067 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143068 -               2330... 80 420520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143069 -               2340... 40 92000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143072 -  ..
143073 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143074 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143076 -  ..
143077 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143078 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143080 -  ..
143081 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143087 -  ..
143088 - Kardia recorded HR 050 at 0758 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143089 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143090 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143091 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143092 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143093 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143096 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143097 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241008-ecg-075802_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143102 -  ..
143103 - Post hike HR profile beginning 1907, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143104 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143105 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143106 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143107 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143110 -        ..
143111 -       Date      241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729  240728    
143112 -       Time       1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909    1951     
143113 -       Hours        13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12      10     
143114 -       HR AVG       62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62      65     
143115 -       HR MAX      118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     129     
143116 -       HR Min       42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40      40     
143117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143119 -              https://flow.polar.com/training/analysis/7977294031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143122 -               ..
143124 -   
143125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143128 -  ..
143129 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143130 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143131 - Dinner - eggs macaroni cheese broccoli cauliflower onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143134 -  ..
143135 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143161 -         ..
143162 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143163 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143164 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143165 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143166 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143167 -  283.  241009 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143168 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143169 -               0720....BP HR..................................................... 150  90  54  Kardia ECG reports HR status, see below. ref SDS 0 9XTP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143170 -               0725....BP HR..................................................... 148  86  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143171 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143172 -               0730....80 420600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143173 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143174 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143175 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143176 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143177 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143178 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143179 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143180 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143181 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143182 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143183 -               1700... 40 115440 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
143184 -             1 0000............ 10 20490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143185 -             1 0000............ 10 20840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143186 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143187 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143188 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143189 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143190 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143191 -               2200... 1000 2256000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143192 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143193 -               2330... 80 420680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143194 -               2340... 40 92040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143196 -  ..
143197 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143198 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143200 -  ..
143201 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143202 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143207 -  ..
143208 - Kardia recorded HR 053 at 0821 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143209 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143210 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143211 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143212 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143213 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143216 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143217 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241009-ecg-082154_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143223 -  ..
143224 - Post hike HR profile beginning 2046, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143225 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143226 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143227 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143228 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143231 -        ..
143232 -       Date      241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730  240729    
143233 -       Time       2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912    1909     
143234 -       Hours        10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11      12     
143235 -       HR AVG       57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61      62     
143236 -       HR MAX      107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     122     
143237 -       HR Min       40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37      40     
143238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143240 -              https://flow.polar.com/training/analysis/7977881112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143243 -               ..
143245 -   
143246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143249 -  ..
143250 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143251 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143252 - Dinner - eggs macaroni cheese broccoli cauliflower onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143255 -  ..
143256 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143282 -         ..
143283 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143284 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143285 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143286 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143287 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143288 -  284.  241010 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143289 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143290 -               0720....BP HR..................................................... 144  82  53  Kardia ECG reports HR status, see below. ref SDS 0 TPXY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143291 -               0725....BP HR..................................................... 148  91  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143292 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143293 -               0730....80 420760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143294 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143295 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143296 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143297 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143298 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143299 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143300 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143301 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143302 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143303 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143304 -               1700... 40 115480 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
143305 -               1830............ 10 20500  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143306 -               1830............ 10 20850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143307 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143308 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143309 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143310 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143311 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143312 -               2200... 1000 2257000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143313 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143314 -               2330... 80 420840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143315 -               2340... 40 92080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143318 -  ..
143319 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143320 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143322 -  ..
143323 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143324 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143326 -  ..
143327 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143332 -  ..
143333 - Kardia recorded HR 049 at 0733 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143334 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143335 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143336 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143337 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143338 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143341 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143342 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241010-ecg-073314_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143346 -  ..
143347 - Post hike HR profile beginning 1906, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143348 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143349 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143350 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143351 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143354 -        ..
143355 -       Date      241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731  240730    
143356 -       Time       1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947    1912     
143357 -       Hours        11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11      11     
143358 -       HR AVG       60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69      61     
143359 -       HR MAX      106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     115     
143360 -       HR Min       38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43      37     
143361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143363 -              https://flow.polar.com/training/analysis/7978436925                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143366 -               ..
143368 -   
143369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143372 -  ..
143373 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143374 - Lunch - hot dog cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143375 - Dinner - macaroni cheese broccoli onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143378 -  ..
143379 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143404 -         ..
143405 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143406 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143407 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143408 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143409 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143410 -  285.  241011 0630............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143411 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143412 -               0635....BP HR..................................................... 150  88  55  Kardia ECG reports HR status, see below. ref SDS 0 2RPY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143413 -               0640....BP HR..................................................... 144  88  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143414 -               0645....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143415 -               0645....80 420920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143416 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143417 -               0655... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143418 -               0645....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143419 -               0645....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143420 -               0645....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143421 -               0645....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143422 -               0645... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143423 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143424 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
143425 -  ..
143426 -               0720....miles...........  21.0  21.0  339   339 minutes  temp  79 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143427 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143428 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143429 -               1015....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143430 -               1015....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143431 -               0000... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143432 -               1015... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
143433 -               1015... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143434 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143435 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143436 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143437 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143438 -               1227....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143439 -               1227....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143440 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143441 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143442 -               1227... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
143443 -               1227... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143444 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143445 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143446 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143447 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143448 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143449 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143450 -               1409... Hike ends mile 18... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143451 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143452 -               1420....weight.................................... 173  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143453 -               1425....BP HR..................................................... 104  57 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143454 -               1436....BP HR..................................................... 101  75 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143455 -               1450....BP HR..................................................... 102  71  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143456 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143457 -               1700... 40 115520 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
143458 -             1 0000............ 10 20500  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143459 -             1 0000............ 10 20850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143460 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143461 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143462 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143463 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143464 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143465 -               2200... 1000 2258000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143466 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143467 -               2330... 80 421000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143468 -               2340... 40 92080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143472 -  ..
143473 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143474 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143476 -  ..
143477 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143478 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143480 -  ..
143481 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143484 -  ..
143485 - Today, hiked 21 miles - temperature started about 52 and reached 79,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143486 - made hike much easier than starting at 70 and reaching 100+, the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143487 - 4 months.  Hike started 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143488 - - Treat, Turtle Creek Road.  Continued on Ayers to Clayton Road, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143489 - 3; then South 1 mile Turned West on Ygnacio Valley road 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143490 - mile 5, hiked East on Pine Hollow .75 mile.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143491 - turned around and hiked back.  Turned left heading West 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143492 - mile on Campus Drive to college.  Hiked 2 miles through faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143493 - student parking lots.  Stopped mile 10 for EKG, hydration, nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143494 - and CoQ10 for energy and HDL.  Took only Tramadol and no Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143495 - for pain management, and to test for recurrance of adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143496 - siezure-like effects reported during hike on 240923, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143497 - ref SDS 0 PYSX  Left college hiking over summit on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143498 - to Safeway complex at corner Oak Grove.  Did 3 1 mile laps, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143499 - stopped at Mod Pizza for EKG.  After hydration and nutrition took Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143500 - Grove to Treat and then to Cuneo and home.  Left knee PL 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143501 - metatarsalgia PL 3 taking 3 Tramadol and 0 Gabapentin.  Despite hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143502 - minimally the past few months, today hiked with energy and good rhythm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143503 - aided by magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143507 -         ..
143508 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143509 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143510 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
143511 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143512 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143513 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143514 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143515 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143516 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143517 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143518 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143519 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
143520 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143521 -        Elbow left arm PRP on 231121.................   1         80  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
143522 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143523 -        Hip left.....................................   1         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143524 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
143525 -        Hip right....................................   1         20  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143526 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143527 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143528 -        Knee left meniscus...PRP 231121..............   2         30  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
143529 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143530 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143531 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143532 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143533 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
143534 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143535 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143536 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
143537 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143538 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143539 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143540 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
143541 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143542 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143543 -        Metatarsalgia left foot...PRP 210705.........   3         25  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 0 Gabapentin at mile 10 and again at mile mile 17 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
143544 -  new   Metatarsalgia right foot..PRP 210705.........   3         25  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 0 Gabapentin at mile 10 and again at mile mile 17 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
143545 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143546 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143547 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
143548 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
143549 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
143550 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
143551 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143552 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
143553 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240926 - shaving on 241011 seemed to help - no pain without bandaging - shaved this morning - tried to using saline to soften tissue used in Podiatry on 240926                                                                                                                                                                                                                                                                                                                                                  
143554 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
143555 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143556 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
143557 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
143558 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
143559 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143560 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
143561 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
143562 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
143563 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
143564 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143565 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
143566 -  new   Callus little toe #5 left foot...PRP 210705..   3         70  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
143567 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143568 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143569 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143570 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
143571 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143572 -        Burning sensation both feet..................   0        100  subsided some after taking 2 Tramadol and 1 Gababenin mile 10 and again at mile 17 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
143573 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
143574 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143575 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143576 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143577 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143578 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143579 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143580 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143581 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143582 -        Wobbly disoriented staggering dizzy..........   2         20  took 2 Tramadol and 0 Gabapentin mile 10 and again only 1 Tramadol at mile 17 - omitting Gabapentin avoided seizure effects                                                                                                                                                                                                                                                                                                                                                                                                                  
143583 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143587 -  ..
143588 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143589 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143590 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143591 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143593 -  ..
143594 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143595 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143596 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143597 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143598 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143599 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143600 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143601 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143603 -  ..
143604 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143605 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143607 -  ..
143608 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143609 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143610 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143611 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143612 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143613 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143614 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143615 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143616 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143617 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143619 -  ..
143620 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143621 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143622 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143623 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143624 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143627 -  ..
143628 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143629 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143630 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143631 - because CoQ10 is a natural enzyme produced in the body to help the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143632 - heart produce energy and help the liver produce HDL, but is lowered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143633 - statins.  Did not take Naproxen for pain and inflammation management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143634 - to start hike, because it can cause colitis.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143635 - with Gabapentin for pain management, because there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143636 - pain in feet starting the hike.  Took Magnesium Complex that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143637 - energy and reduces inflammation allowing HDL to increase - 300 mg 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143638 - Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143639 - research on 240519 1653. ref SDS 42 VY92...) - designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143640 - whole for gradual release as plastic capsules breakdown and release                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143641 - magnesium complex over time.  These capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143642 - medication pills.  They become gradually more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143643 - achalasia closes LESV over weeks and months.  Last month had to open                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143644 - the pills and empty the magnesium powder onto food to swallow all at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143645 - once, rather dispense the magnesium over hours while hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143646 - reduced the prolonged effect of increased energy.  After EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143647 - on 240910, have been able to swallow the pills whole.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143648 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143649 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143650 - ref SDS 42 JH8L  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143651 - that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143652 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143653 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143654 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143655 - ref SDS 0 LY8G  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143656 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143657 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143658 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143659 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143660 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143661 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143662 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143663 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143664 - 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143665 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143666 - Magnesium can also cause bloating, if too much is taken; can relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143667 - bloating in some cases.  Similar for Famitodine and PantopraZOL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143668 - reported in the record on 240507 0930. ref SDS 38 ZC5F  Took backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143669 - to carry stuff - good to build conditioning for Half Dome.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143670 - Cuneo .25 mile and turned left, onto Treat.  After about 1 mile  feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143671 - starting hike feeling swelled and like pins and needles calming down -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143672 - peripheral neuropathy caused by taking statins.  Bottom of both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143673 - started to hurt including right foot metatarsal #4, which flared up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143674 - 240919, per above. ref SDS 0 XVTR  Pavement on Treat has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143675 - scarrified pending resurface with new asphalt.  After another .5 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143676 - endorphins kicked in and pain subsided, even though did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143677 - Tramadol and Gabapentin before starting hike.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143678 - entire hike with no dyspnea, indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143679 - hiking last few months.  Temperature started at 54, and reached 79.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143680 - West wind 10 mph and mostly 07 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143681 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143682 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143683 - traffic.  Did not Hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143684 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143685 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143686 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143687 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143688 - traffic light and continued on concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143689 - strong - aligns with taking magnesium.  At mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143690 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.  Begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143691 - feeling metatarsaltia PL 2 both feet, and left foot #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143692 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143693 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143694 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143695 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143696 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143697 - left hiked 0.75 miles East.  Turned around at Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143698 - Hiked back on Pine Hollow.  Turned left onto Campus Drive hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143699 - 1 mile uphill 3% - 4% grade against wind 10 mph.  Mile 08, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143700 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143701 - Campus.  Hiked loop around main buildings, then hiked loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143702 - Faculty and Student parking.  Crossed paths with Lisa arriving to walk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143703 - 26 dogs, on lower Student parking lot.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143704 - stopped at Administration Building mile 10 time 1015 temp 76 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143705 - 10 mph; EKG looks mostly uniform with minor artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143706 - HR 122 Tachycardia - see below. ref SDS 0 TRUV  Both feet PL 2 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143707 - bottom right foot metatarsal #4 - Burning sensation PL 0, shin plints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143708 - PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143709 - blister/callus PL 2 and #1 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143710 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143711 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143712 - 2 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143713 - taking Gabapentin...).  Took another Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143714 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143715 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143716 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143717 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143718 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143719 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143720 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143721 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143722 - bites Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143723 - Since temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143724 - electrolytes, then despite extending hike over summit Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143725 - Road, did not take Nuun electrolyte pill, per above. ref SDS 0 SXWR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143726 - Hiked another loop around main buildings.  Passed Zane and Lisa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143727 - walking dogs on same route.  Exited college at Visitor Parking taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143728 - Campus Drive down hill.  Turned left onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143729 - West on flat grade .5 miles.  At mile 11, turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143730 - Ranch Road.  Hiked South .5 mile uphill 5% grade with 05 mph wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143731 - Handled this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143732 - Turned around and hiked back.  Turned left onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143733 - hiking uphill 3% grade .5 miles against wind 08 mph.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143734 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143735 - Valley Road to avoid severe camber.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143736 - summit.  At end of concrete barriar and break in rising afternoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143737 - commute traffic about mile 12, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143738 - Valley Road to use wider shoulder.  Continued 2 miles downhill 3-4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143739 - grade.  At break in traffic crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143740 - Road.  Crossed Oak Grove at traffic light.  At mile 14, hiked 3 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143741 - loops around block at Safeway shopping complex.  Today, stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143742 - Pizza mile 17, time 1227, temp 72 and wind 10 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143743 - with artifact.  Kardia reported HR 135 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143744 - ref SDS 0 F7M2  Polar reported HR did not dropped severely today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143745 - during pause for EKG, hydration and nutrition, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143746 - 200101 0701, ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143747 - RU6M  Both feet PL 2, burning sensation PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143748 - bunions PL 0, left foot #5 edge callus/blister PL 2, right foot #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143749 - bottom blister/callus PL 2, #5 edge callus/blister PL 0, left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143750 - meniscus PL 1, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143751 - another Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143752 - test this combination with temperature < 90...).  Took 3rd Magnesium
143753 - complex 300 mg pill for energy, and magnesium reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143754 - evident today with increased feet pain, and magnesium is essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143755 - raise HDL.  Since softdrink carried from home has gotten warm the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143756 - 4 hours, Mod Pizza attendant provided a cup and ice free of charge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143757 - (...On the House...) using vending dispenser.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143758 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143759 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143760 - energy, and avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143761 - energy to complete hike.  Since temperature is still below 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143762 - sweating moderate that ejects electrolytes, did not take`another Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143763 - electrolyte pill (...save money...), per above. ref SDS 0 SXWR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143764 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143765 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143766 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143767 - hiking record shows HR jumped above 160 almost immediately after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143768 - resuming hiking, and maintained steady like AFL for about a mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143769 - After turning the corner HR dropped back into 130s while hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143770 - North on asphalt shoulder in sun with temperature rising near 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143771 - Crossed Treat at break in traffic.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143772 - concrete sidewalk.  At San Miguel hiked .75 miles on Treat uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143773 - grade with wind 11 mph, temp 86.  Handled this well.  At summit, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143774 - 20, hiked another mile to Cuneo.  Ended hike mile 21 time 1352 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143775 - 79, wind 10, feet PL 3, left foot #5 edge PL 3, right foot blister #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143776 - bottom PL 2, #5 PL 0, burning sensation PL 0, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143777 - knee PL 1 (swollen slightly), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143778 - neck and right shoulder PL 0 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143779 - 0, left elbow PL 0, when lifting.  EKG perfectly uniform, like AFL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143780 - with no artifact, Kardia reported HR 131 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143781 - ref SDS 0 7DVA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143795 -  ..
143796 - Kardia recorded HR 052 at 0618 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143797 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143798 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143799 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143800 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143801 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143804 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143805 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241011-ecg-061833_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143811 -  ..
143812 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143813 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143814 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143816 -  ..
143817 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143819 -                     241005                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143820 -                                               x           x   xx                      x      y   zz               x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
143821 -       Date          241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 240723 24072  
143822 -       Miles            21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0      0   
143823 -       HR AVG          129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no     no   
143824 -         MAX           169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  report repor  
143825 -         Min            76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61                
143826 -       El Climb Ft     450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- can't hi  
143827 -       Temp Max         79                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54                
143828 -       Wind Max         10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10                
143829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143832 -              https://flow.polar.com/training/analysis/7978710591                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143836 -               ..
143838 -   
143839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143842 -  ..
143843 - EKG at mile 10 time 1015 HR 122 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143844 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143845 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143848 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143849 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241011-ecg-101525_mile_10_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143854 -  ..
143855 - EKG at mile 17 time 1227 HR 135 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143856 - Tachycardia... heart rate looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143857 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143860 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143861 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241011-ecg-122702_mile_17_135_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143865 -  ..
143866 - End hike EKG at mile 21, time 1352 HR 131 temp 79 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143867 - Tachycardia... looks perfectly uniform like AFL with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143868 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143871 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143872 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241011-ecg-135220_mile_21_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143877 -  ..
143878 - Post hike HR profile beginning 1927, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143879 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143880 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143881 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143882 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143885 -        ..
143886 -       Date      241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801  240731    
143887 -       Time       1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916    1947     
143888 -       Hours        12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12      11     
143889 -       HR AVG       59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69      69     
143890 -       HR MAX      145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     117     
143891 -       HR Min       40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42      43     
143892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143894 -              https://flow.polar.com/training/analysis/7979138148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143897 -               ..
143899 -   
143900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143903 -  ..
143904 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143905 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143906 - Dinner - macaroni cheese broccoli onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143909 -  ..
143910 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143934 -         ..
143935 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143936 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143937 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143938 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143939 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143940 -  286.  241012 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143941 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143942 -               0735....BP HR..................................................... 139  78  52  Kardia ECG reports HR status, see below. ref SDS 0 TEC5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143943 -               0740....BP HR..................................................... 152  85  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143944 -               0745....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143945 -               0745....80 421080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143946 -               0700... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143947 -               1015... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143948 -               1015....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143949 -               1015....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143950 -               1015....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143951 -               1015....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143952 -               1015... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143953 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143954 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
143955 -  ..
143956 -               1044....miles...........  13.0  34.0  210   549 minutes  temp  78 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143957 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143958 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143959 -               1314....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143960 -               1314....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143961 -               0000... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143962 -               1314... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
143963 -               1314... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143964 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143965 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
143966 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143967 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143968 -               1227....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143969 -               1227....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143970 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143971 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143972 -               1227... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
143973 -               1227... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143974 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143975 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143976 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143977 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
143978 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143979 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143980 -               1437... Hike ends mile 18... ref SDS 0 WR1T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143981 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143982 -               1450....weight.................................... 173  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143983 -               1500....BP HR.....................................................  97  62 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143984 -               1510....BP HR..................................................... 114  70 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143985 -               1515....BP HR..................................................... 116  76  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143986 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143987 -               1700... 40 115600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
143988 -               1830............ 10 20510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143989 -               1830............ 10 20860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143990 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143991 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143992 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143993 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143994 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143995 -               2200... 1000 2259000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143996 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143997 -               2330... 80 421160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143998 -               2340... 40 92100 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144001 -  ..
144002 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144003 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144005 -  ..
144006 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144007 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144009 -  ..
144010 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144013 -  ..
144014 - Today, hiked 13 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144015 - streets - Treat, Turtle Creek Road.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144016 - Road, mile 3; then South 1 mile Turned West on Ygnacio Valley road 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144017 - mile.  At mile 5, hiked East on Pine Hollow .5 mile.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144018 - and hiked back.  Turned left heading West 3% grade 1 mile on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144019 - Drive that bends North.  Turned left onto Ygnacio Valley Road heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144020 - West.  Hiked .5 mile to Crystal Ranch Road and back.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144021 - hiking .25 mile uphill to the college.  Hiked around main buildings,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144022 - then stopped mile 09 for EKG, hydration, nutrition and CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144023 - energy and HDL.  Took only Tramadol and no Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144024 - management, and to test for recurrance of adverse siezure-like side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144025 - effects reported during hike on 240923, per above. ref SDS 0 PYSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144026 - Left college hiking West on Ygnacio Valley Road.  At summit mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144027 - turned around.  Hiked back and turned onto Cowell.  Hiked North 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144028 - mile.  Turned left on Treat and home.  Left knee PL 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144029 - metatarsalgia PL 3 taking 2 Tramadol and 0 Gabapentin.  Despite hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144030 - minimally the past few months, today hiked with energy and good rhythm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144031 - aided by magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144035 -         ..
144036 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144037 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144038 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
144039 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144040 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144041 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144042 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144043 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144044 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144045 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144046 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144047 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
144048 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144049 -        Elbow left arm PRP on 231121.................   1         80  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
144050 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144051 -        Hip left.....................................   1         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144052 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
144053 -        Hip right....................................   1         20  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144054 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144055 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144056 -        Knee left meniscus...PRP 231121..............   1         30  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
144057 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144058 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144059 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144060 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144061 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
144062 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144063 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144064 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
144065 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144066 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144067 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144068 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
144069 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144070 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144071 -        Metatarsalgia left foot...PRP 210705.........   3         25  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 0 Gabapentin at mile 09 and again at mile mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
144072 -  new   Metatarsalgia right foot..PRP 210705.........   3         25  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 0 Gabapentin at mile 09 and again at mile mile 00 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
144073 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144074 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144075 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
144076 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
144077 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
144078 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
144079 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144080 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
144081 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 240926 - shaving on 241011 seemed to help - no pain without bandaging - shaved this morning - tried to using saline to soften tissue used in Podiatry on 240926                                                                                                                                                                                                                                                                                                                                                  
144082 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
144083 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144084 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
144085 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
144086 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
144087 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144088 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
144089 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
144090 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
144091 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
144092 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144093 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
144094 -  new   Callus little toe #5 left foot...PRP 210705..   4         30  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 09 and again at mile 00 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
144095 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144096 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144097 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144098 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
144099 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144100 -        Burning sensation both feet..................   0        100  subsided some after taking 2 Tramadol and 1 Gababenin mile 10 and again at mile 17 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
144101 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
144102 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144103 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144104 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144105 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144106 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144107 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144108 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144109 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144110 -        Wobbly disoriented staggering dizzy..........   1         20  took 2 Tramadol and 0 Gabapentin mile 10 and again only 0 Tramadol at mile 17 - omitting Gabapentin avoided seizure effects                                                                                                                                                                                                                                                                                                                                                                                                                  
144111 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144115 -  ..
144116 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144117 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144118 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144119 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144121 -  ..
144122 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144123 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144124 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144125 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144126 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144127 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144128 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144129 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144131 -  ..
144132 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144133 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144135 -  ..
144136 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144137 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144138 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144139 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144140 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144141 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144142 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144143 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144144 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144145 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144147 -  ..
144148 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144149 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144150 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144151 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144152 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144155 -  ..
144156 - Concord 13 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144157 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144158 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144159 - because CoQ10 is a natural enzyme produced in the body to help the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144160 - heart produce energy and help the liver produce HDL, but is lowered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144161 - statins.  Did not take Naproxen for pain and inflammation management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144162 - to start hike, because it can cause colitis.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144163 - with Gabapentin for pain management, because there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144164 - pain in feet starting the hike.  Took Magnesium Complex that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144165 - energy and reduces inflammation allowing HDL to increase - 300 mg 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144166 - Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144167 - research on 240519 1653. ref SDS 42 VY92...) - designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144168 - whole for gradual release as plastic capsules breakdown and release                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144169 - magnesium complex over time.  These capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144170 - medication pills.  They become gradually more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144171 - achalasia closes LESV over weeks and months.  Last month had to open                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144172 - the pills and empty the magnesium powder onto food to swallow all at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144173 - once, rather dispense the magnesium over hours while hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144174 - reduced the prolonged effect of increased energy.  After EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144175 - on 240910, have been able to swallow the pills whole.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144176 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144177 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144178 - ref SDS 42 JH8L  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144179 - that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144180 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144181 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144182 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144183 - ref SDS 0 LY8G  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144184 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144185 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144186 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144187 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144188 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144189 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144190 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144191 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144192 - 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144193 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144194 - Magnesium can also cause bloating, if too much is taken; can relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144195 - bloating in some cases.  Similar for Famitodine and PantopraZOL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144196 - reported in the record on 240507 0930. ref SDS 38 ZC5F  Took backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144197 - to carry stuff - good to build conditioning for Half Dome.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144198 - Cuneo .25 mile and turned left, onto Treat.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144199 - feeling swelled and like pins and needles calming down - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144200 - neuropathy caused by taking statins.  Bottom of both feet started to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144201 - hurt including right foot metatarsal #4, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144202 - per above. ref SDS 0 XVTR  Pavement on Treat has been scarrified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144203 - pending resurface with new asphalt.  After another .5 mile, endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144204 - kicked in and pain lessens, even though did not take Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144205 - Gabapentin before starting hike.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144206 - with no dyspnea, indicating good condition despite minimal hiking last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144207 - few months.  Temperature started at 54, and reached 79.  West wind 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144208 - mph and mostly 07 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144209 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144210 - mostly flat grade, some places 2% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144211 - not Hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144212 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144213 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144214 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144215 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144216 - continued on concrete sidewalk .5 miles.  Feeling strong - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144217 - taking magnesium.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144218 - Valley Road using concrete sidewalk .5 miles.  Begin feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144219 - metatarsaltia PL 2 both feet, and left foot #5 PL 2.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144220 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144221 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144222 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144223 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144224 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 0.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144225 - miles East.  Hiked back on Pine Hollow.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144226 - hiking West 1 mile uphill 3% - 4% grade against wind 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144227 - Continued on Ygnacio Valley Road .5 mile West.  Turned around at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144228 - Crystal Ranch Road hiking back to Campus Road, then up to the College.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144229 - Mile 08, reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144230 - Bay Concord Campus.  Hiked 2 loops around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144231 - Visitor Parking stopped at Administration Building mile 09 time 1314                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144232 - temp 75 and wind 10 mph; EKG looks perfectly uniform (...like AFL...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144233 - with no artifact.  Kardia reported HR 118 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144234 - ref SDS 0 PF2A  Both feet PL 3 and burning sensation PL 0, bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144235 - right foot .5" below #4 PL 2, right foot Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144236 - foot #5 edge blister/callus PL 2 and #1 PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144237 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144238 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144239 - intermitant.  Took 2 Tramadol 50 mg and 0 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144240 - (...avoid seizure taking Gabapentin...).  Took another Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144241 - complex 300 mg pill - swallowed whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144242 - avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144243 - ref SDS 0 PPTU; sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144244 - swallow nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144245 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144246 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144247 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144248 - ejects electrolytes, and not extending hike over summit Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144249 - Road, did not take Nuun electrolyte pill, per above. ref SDS 0 TPST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144250 - Hiked another loop around main buildings.  Exited college at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144251 - Parking taking Campus Drive down hill.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144252 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144253 - continued uphill 3% grade .5 miles against wind 08 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144254 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144255 - Ygnacio Valley Road to avoid severe camber.  Hiked West to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144256 - concrete traffic barriar - continued .25 mile then turned around.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144257 - mile 11, turned around and hiked back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144258 - heading North .25 miles downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144259 - then .5 miles with narrow shoulder against oncoming afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144260 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144261 - and home.  Ended hike mile 13 time 1437 temp 78, wind 11, feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144262 - burning sensation PL 2, left foot #5 PL 3, #1 PL 2, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144263 - blister/callus PL 0; right foot callus bottom foot below #4 PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144264 - right foot Tailor's bunions PL 0, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144265 - (not swollen), right knee PL 0, left shoulder PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144266 - shoulder PL 0 intermittantly, lower back left side PL 0, left elbow PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144267 - 0, when lifting.  EKG looks uniform, with significant artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144268 - reported HR 129 Tachycardia - see below. ref SDS 0 A8XD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144282 -  ..
144283 - Kardia recorded HR 051 at 0737 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144284 - lengths with p-waves and no artifact; likely no AFL after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144285 - miles temp 79 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144286 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144287 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144288 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144291 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144292 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241012-ecg-073714_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144298 -  ..
144299 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144300 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144301 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144303 -  ..
144304 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144306 -                     x                         x           x   xx                      x      y   zz               x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
144307 -       Date          241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 240728 240727 240829 240725 240724 24072  
144308 -       Miles            13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0      0      10     0      13     0   
144309 -       HR AVG          121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no     no     123    no     120    no   
144310 -         MAX           140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report report report   152  report   152  repor  
144311 -         Min            70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                                        57            61         
144312 -       El Climb Ft     450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD----->     305           305  <-- c  
144313 -       Temp Max         78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                                        57            54         
144314 -       Wind Max         12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                                        10            10         
144315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144318 -              https://flow.polar.com/training/analysis/7979297806                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144321 -               ..
144323 -   
144324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144328 -  ..
144329 - EKG at mile 09 time 1314 HR 118 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144330 - Tachycardia... heart rate looks perfectly uniform (...like AFL...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144331 - with no artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144332 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144335 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144336 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241012-ecg-131446_mile_09_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144341 -  ..
144342 - End hike EKG at mile 13, time 1437 HR 129 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144343 - Tachycardia... looks uniform with significant artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144344 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144347 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144348 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241012-ecg-143729_mile_13_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144353 -  ..
144354 - Post hike HR profile beginning 1905, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144355 - hiking 13 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144356 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144357 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144358 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144361 -        ..
144362 -       Date      241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802  240801    
144363 -       Time       1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059    1916     
144364 -       Hours        13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10      12     
144365 -       HR AVG       66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61      69     
144366 -       HR MAX      130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     133     
144367 -       HR Min       41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40      42     
144368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144370 -              https://flow.polar.com/training/analysis/7979932844                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144373 -               ..
144375 -   
144376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144379 -  ..
144380 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144381 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144382 - Dinner - hamburger macaroni cheese broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144385 -  ..
144386 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144410 -         ..
144411 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144412 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144413 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144414 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144415 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144416 -  287.  241013 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144417 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144418 -               0705....BP HR..................................................... 125  77  51  Kardia ECG reports HR status, see below. ref SDS 0 EYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144419 -               0710....BP HR..................................................... 131  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144420 -               0715....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144421 -               0715....80 421240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144422 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144423 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144424 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144425 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144426 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144427 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144428 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144429 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144430 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144431 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144432 -               1700... 40 115640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
144433 -             1 0000............ 10 20510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144434 -             1 0000............ 10 20860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144435 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144436 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144437 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144438 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144439 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144440 -               2200... 1000 2260000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144441 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144442 -               2330... 80 421320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144443 -               2340... 40 92140 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144446 -  ..
144447 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144448 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144450 -  ..
144451 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144452 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144454 -  ..
144455 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144462 -  ..
144463 - Kardia recorded HR 050 at 0942 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144464 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144465 - AFL after hiking 13 miles temp 78 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144466 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144467 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144468 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144471 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144472 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241013-ecg-094204_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144477 -  ..
144478 - Post hike HR profile beginning 2329, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144479 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144480 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144481 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144482 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144485 -        ..
144486 -       Date      241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803  240802    
144487 -       Time       2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904    2059     
144488 -       Hours         8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12      10     
144489 -       HR AVG       58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59      61     
144490 -       HR MAX       90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143      98     
144491 -       HR Min       44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39      40     
144492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144494 -              https://flow.polar.com/training/analysis/7980340768                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144497 -               ..
144499 -   
144500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144503 -  ..
144504 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144505 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144506 - Dinner - hamburger macaroni cheese broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144509 -  ..
144510 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144534 -         ..
144535 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144536 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144537 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144538 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144539 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144540 -  288.  241014 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144541 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144542 -               0705....BP HR..................................................... 158  89  53  Kardia ECG reports HR status, see below. ref SDS 0 UTQX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144543 -               0710....BP HR..................................................... 156  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144544 -               0715....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144545 -               0715....80 421400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144546 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144547 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144548 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144549 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144550 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144551 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144552 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144553 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144554 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144555 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144556 -               1700... 40 115680 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
144557 -               1830............ 10 20520  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144558 -               1830............ 10 20870  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144559 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144560 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144561 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144562 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144563 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144564 -               2200... 1000 2261000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144565 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144566 -               2330... 80 421480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144567 -               2340... 40 92180 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144570 -  ..
144571 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144572 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144574 -  ..
144575 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144576 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144581 -  ..
144582 - Kardia recorded HR 057 at 0752 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144583 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144584 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144585 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144586 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144587 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144590 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144591 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241014-ecg-075258_mile_00_057_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144595 -  ..
144596 - Post hike HR profile beginning 1919, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144597 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144598 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144599 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144600 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144603 -        ..
144604 -       Date      241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804  240803    
144605 -       Time       1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102    1904     
144606 -       Hours        12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12      12     
144607 -       HR AVG       56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64      59     
144608 -       HR MAX      100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     143     
144609 -       HR Min       39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41      39     
144610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144612 -              https://flow.polar.com/training/analysis/7980907596                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144615 -               ..
144617 -   
144618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144621 -  ..
144622 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144623 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144624 - Dinner - eggs hamburger macaroni cheese broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144627 -  ..
144628 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144652 -         ..
144653 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144654 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144655 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144656 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144657 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144658 -  289.  241015 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144659 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144660 -               0735....BP HR..................................................... 154  86  54  Kardia ECG reports HR status, see below. ref SDS 0 B8E2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144661 -               0740....BP HR..................................................... 147  83  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144662 -               0745....weight.................................... 175    dropped 2 #, see frequent urination 5 last night... 200101 0701, ref SDS 16 5C7I                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144663 -               0745....80 421560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144664 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144665 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144666 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144667 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144668 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144669 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144670 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144671 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144672 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144673 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144674 -               1700... 40 115720 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
144675 -             1 0000............ 10 20520  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144676 -             1 0000............ 10 20870  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144677 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144678 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144679 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144680 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144681 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144682 -               2200... 1000 2262000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144683 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144684 -               2330... 80 421640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144685 -               2340... 40 92220 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144688 -  ..
144689 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144690 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144692 -  ..
144693 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144694 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144696 -  ..
144697 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144702 -  ..
144703 - Kardia recorded HR 049 at 0724 Bradycardia, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144704 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144705 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144706 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144707 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144708 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144711 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144712 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241015-ecg-072436_mile_00_049_bdy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144717 -  ..
144718 - Post hike HR profile beginning 1920, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144719 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144720 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144721 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144722 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144725 -        ..
144726 -       Date      241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805  240804    
144727 -       Time       1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009    2102     
144728 -       Hours         9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10      12     
144729 -       HR AVG       65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66      64     
144730 -       HR MAX      106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     128     
144731 -       HR Min       42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41      41     
144732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144734 -              https://flow.polar.com/training/analysis/7981525145                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144737 -               ..
144739 -   
144740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144743 -  ..
144744 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144745 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144746 - Dinner - hot dog broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144749 -  ..
144750 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144775 -         ..
144776 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144777 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144778 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144779 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144780 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144781 -  290.  241016 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144782 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144783 -               0725....BP HR..................................................... 151  90  54  Kardia ECG reports HR status, see below. ref SDS 0 WE6K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144784 -               0730....BP HR..................................................... 159  89  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144785 -               0735....weight.................................... 176    gained 1 #, see frequent urination 5 last night... 200101 0701, ref SDS 16 5C7I                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144786 -               0735....80 421720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144787 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144788 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144789 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144790 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144791 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144792 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144793 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144794 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144795 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144796 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144797 -               1700... 40 115760 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
144798 -               1830............ 10 20530  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144799 -               1830............ 10 20880  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144800 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144801 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144802 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144803 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144804 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144805 -               2200... 1000 2263000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144806 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144807 -               2330... 80 421800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144808 -               2340... 40 92260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144810 -  ..
144811 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144812 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144814 -  ..
144815 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144816 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144818 -  ..
144819 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144823 -  ..
144824 - Kardia recorded HR 049 at 0654 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144825 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144826 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144827 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144828 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144829 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144832 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144833 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241016-ecg-065437_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144837 -  ..
144838 - Post hike HR profile beginning 1906, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144839 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144840 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144841 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144842 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144845 -        ..
144846 -       Date      241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807  240805    
144847 -       Time       1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032    2009     
144848 -       Hours        12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11      10     
144849 -       HR AVG       64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63      66     
144850 -       HR MAX      111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     129     
144851 -       HR Min       38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39      41     
144852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144854 -              https://flow.polar.com/training/analysis/7982169142                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144857 -               ..
144859 -   
144860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144863 -  ..
144864 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144865 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144866 - Dinner - hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144869 -  ..
144870 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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144877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144895 -         ..
144896 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144897 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144898 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144899 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144900 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144901 -  291.  241017 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144902 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144903 -               0705....BP HR..................................................... 159  88  54  Kardia ECG reports HR status, see below. ref SDS 0 KEH2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144904 -               0710....BP HR..................................................... 158  91  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144905 -               0715....weight.................................... 177    gained 2 #, see frequent urination 5 last night... 200101 0701, ref SDS 16 5C7I                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144906 -               0715....80 421880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144907 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144908 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144909 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144910 -               1110....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144911 -               1110....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144912 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144913 -               1110... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144914 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144915 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
144916 -  ..
144917 -          *cr  1138....miles...........  22.0  22.0  355   355 minutes  temp  76 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144918 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144919 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144920 -               1015....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144921 -               1015....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144922 -               0000... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144923 -               1015... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
144924 -               1015... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144925 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144926 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
144927 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144928 -               0000....mile 12 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144929 -               1646....mile 18 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144930 -               1646....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144931 -               1646... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144932 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144933 -               1646... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
144934 -               1646... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144935 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144936 -               0000....mile 25 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144937 -               0000....mile 22 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144938 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
144939 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144940 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144941 -               1833... Hike ends mile 22... ref SDS 0 UD9C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144942 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144943 -               1847....weight.................................... 173  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144944 -               1900....BP HR.....................................................  97  68 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144945 -               1910....BP HR.....................................................  94  63 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144946 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144947 -               1930... 40 115800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
144948 -             1 0000............ 10 20530  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144949 -             1 0000............ 10 20880  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144950 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144951 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144952 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144953 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144954 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144955 -               2200... 1000 2264000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144956 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144957 -               2330... 80 421960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144958 -               2340... 40 92300 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144961 -  ..
144962 - * cr - hiked Crystal Ranch Road only to street light pole #2 and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144963 - adding about .75 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144965 -  ..
144966 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144967 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144969 -  ..
144970 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144971 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144973 -  ..
144974 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144977 -  ..
144978 - Today, hiked 22 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144979 - streets - Treat, Turtle Creek Road.  Continued on Ayers to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144980 - Road, mile 3; then South 1 mile Turned West on Ygnacio Valley road 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144981 - mile.  At mile 5, hiked East on Pine Hollow 1.5 mile.  At Pennsylvania                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144982 - Boulavard, turned around and hiked back.  Turned left heading West 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144983 - grade 1 mile on Campus Drive that bends North.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144984 - Ygnacio Valley Road heading West.  Hiked .5 mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144985 - Crystal Ranch Road; continued South .5 Mile uphill 4% grade.  At 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144986 - tall street light pole, turned back.  Turned right onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144987 - Road heading East .5 mile.  Turned left onto Campus Drive that curves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144988 - mainly heading West.  Bends North to connect with Ygacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144989 - Hiked .5 mile and turned left onto Crystal Ranch Road heading South.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144990 - uphill 4% grade.  Turned around and hiked back; turned on Ygancio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144991 - Valley Road  hiked East .5 mile on Ygnacio Valley Road.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144992 - Campus Drive again; hiked uphill .25 mile and reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144993 - at the College.  Hiked  around main buildings.  Then loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144994 - Faculty and Student parking.  Stopped at mile 12 for EKG, hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144995 - nutrition and CoQ10 for energy and HDL.  Took Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144996 - Gabapentin for pain management, and to test for recurrance of adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144997 - siezure-like side effects reported during hike on 240923, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144998 - ref SDS 0 PYSX  Hiked around main buildings, then through Student and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144999 - Faculty parking lots.  Stopped at entry to college.  EKG shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145000 - elevated.  Took Tramadol and Gabapentin - experiment taking usual dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145001 - testing to avoid severe seizure symptoms that occurred 3 weeks ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145002 - 240924.. see above. ref SDS 0 PWXX - then took magneseum complex, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145003 - nutrition and hydration.  Hiked through parking lots and left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145004 - hiking West uphill 3% grade on Ygnacio Valley Road.  At summit mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145005 - 14, with very heavy traffic crossed to South side of road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145006 - West 2 miles.  Crossed at Oak Grove.  Hiked 2 loops around 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145007 - paved path around the block at Safeway shopping complex.  At mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145008 - stopped at Mod Pizza.  EKG shows HR elevated more than usual,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145009 - reflecting pause hiking the past few months.  Continued hike another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145010 - loop around shopping complex, then took Oak Grove 1 mile North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145011 - Turned onto Treat and hiked 2 miles home.  Good news, left knee did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145012 - not hurt despite forgetting to take Glucosamine Chondroitin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145013 - starting hike.  Very loopy last 4 miles after 2nd dose Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145014 - this lasted 4 - 6 hours after hike; however, no symptoms of seizure,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145015 - i.e no loss motor control, no hallucinations.  HR elevated today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145016 - reflecting mostly no hiking past 3 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145022 -         ..
145023 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145024 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145025 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
145026 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145027 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145028 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145029 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145030 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145031 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145032 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145033 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145034 -        Shoulder left myopathy statins...............   1         30  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
145035 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145036 -        Elbow left arm PRP on 231121.................   1         80  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
145037 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145038 -        Hip left.....................................   1         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145039 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
145040 -        Hip right....................................   1         20  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145041 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145042 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145043 -        Knee left meniscus...PRP 231121..............   2          5  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
145044 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145045 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145046 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145047 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145048 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
145049 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145050 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145051 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
145052 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145053 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145054 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145055 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
145056 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145057 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145058 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 12 and again at mile mile 18 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
145059 -  new   Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 12 and again at mile mile 18 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
145060 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145061 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145062 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
145063 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
145064 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
145065 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
145066 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145067 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
145068 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145069 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
145070 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145071 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
145072 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
145073 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
145074 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145075 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
145076 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
145077 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
145078 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
145079 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145080 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
145081 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 12 and again at mile 18 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
145082 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145083 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145084 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145085 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
145086 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145087 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
145088 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
145089 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145090 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145091 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145092 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145093 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145094 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145095 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145096 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145097 -        Wobbly disoriented staggering dizzy..........   3         20  took 1 Tramadol and 1 Gabapentin mile 12 and again at mile 17 - was loopy 4 hours after ending hike, but no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                                                 
145098 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145102 -  ..
145103 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145104 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145105 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145106 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145108 -  ..
145109 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145110 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145111 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145112 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145113 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145114 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145115 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145116 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145118 -  ..
145119 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145120 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145122 -  ..
145123 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145124 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145125 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145126 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145127 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145128 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145129 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145130 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145131 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145132 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145134 -  ..
145135 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145136 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145137 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145138 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145139 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145142 -  ..
145143 - Concord 22 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145144 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145145 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145146 - because CoQ10 is a natural enzyme produced in the body to help the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145147 - heart produce energy and help the liver produce HDL, but is lowered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145148 - statins.  Did not take Naproxen for pain and inflammation management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145149 - to start hike, because it can cause colitis.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145150 - with Gabapentin for pain management, because there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145151 - pain in feet starting the hike.  Took Magnesium Complex that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145152 - energy and reduces inflammation allowing HDL to increase - 300 mg 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145153 - Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145154 - research on 240519 1653. ref SDS 42 VY92...) - designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145155 - whole for gradual release as plastic capsules breakdown and release                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145156 - magnesium complex over time.  These capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145157 - medication pills.  They become gradually more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145158 - achalasia closes LESV over weeks and months.  Last month had to open                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145159 - the pills and empty the magnesium powder onto food to swallow all at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145160 - once, rather dispense the magnesium over hours while hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145161 - reduced the prolonged effect of increased energy.  After EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145162 - on 240910, have been able to swallow the pills whole.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145163 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145164 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145165 - ref SDS 42 JH8L  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145166 - that causes fatigue in muscles, and also reduces inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145167 - critical for raising HDL, and general health in major organs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145168 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145169 - electrolytes, including energy, and avocado for HDL, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145170 - ref SDS 0 EW5J  Soaking Chia seeds in water, Coca Cola, orange juice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145171 - etc., increases energy and aids hydration, shown in research on 240305                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145172 - 1256. ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145173 - hike from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145174 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145175 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145176 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145177 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145178 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145179 - 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145180 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145181 - Magnesium can also cause bloating, if too much is taken; can relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145182 - bloating in some cases.  Similar for Famitodine and PantopraZOL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145183 - reported in the record on 240507 0930. ref SDS 38 ZC5F  Took backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145184 - to carry stuff - good to build conditioning for Half Dome.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145185 - Cuneo .25 mile and turned left, onto Treat.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145186 - starting hike feeling swelled and like pins and needles calming down -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145187 - peripheral neuropathy caused by taking statins.  Bottom of both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145188 - not hurting yet, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145189 - per above. ref SDS 0 XVTR  Pavement on Treat has been scarrified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145190 - pending resurface with new asphalt.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145191 - with no dyspnea, indicating good condition despite minimal hiking last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145192 - few months.  Temperature started at 67, and reached 76.  West wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145193 - mph and mostly 10 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145194 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145195 - mostly flat grade, some places 2% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145196 - not Hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145197 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145198 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145199 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145200 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145201 - continued on concrete sidewalk .5 miles.  Feeling strong - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145202 - taking magnesium.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145203 - Valley Road using concrete sidewalk .5 miles.  Begin feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145204 - metatarsaltia PL 1 both feet, and left foot #5 PL 2.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145205 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145206 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145207 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145208 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145209 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145210 - miles East.  Turned around at Pennsylvania Avenue.  Hiked back on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145211 - Hollow.  Turned left onto Campus Drive hiking West 1 mile uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145212 - 4% grade against wind 12 mph.  Road bends North, tunred left heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145213 - West on Ygnacio Valley Road .5 mile, Turned left going South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145214 - Crystal Ranch Road uphill 4% grade .5 mile.  At steet lightpole #2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145215 - turned around hiking back to Ygnacio Valley Road, then East and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145216 - onto Campus Drive again.  Hiked uphill .25[mile 5% grade.  Mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145217 - reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145218 - Concord Campus.  Hiked loop around main buildings, then hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145219 - through Faculty and Student parking.  Back at Visitor Parking stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145220 - at Administration Building mile 12 time 1449 temp 73 and wind 08 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145221 - EKG looks mostly uniform with no artifact.  Kardia reported HR 133                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145222 - Tachycardia - see below. ref SDS 0 6XSQ  Both feet PL 3 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145223 - right foot 1" below metatarsal #4 PL 2, burning sensation PL 2, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145224 - plints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145225 - blister/callus PL 2 and #1 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145226 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145227 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145228 - 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145229 - avoid seizure taking normal dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145230 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145231 - 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145232 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145233 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145234 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145235 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145236 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145237 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145238 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145239 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145240 - 80, reduced sweating that ejects electrolytes, then despite extending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145241 - hike over summit Ygnacio Valley Road, to save money did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145242 - electrolyte pill, per above. ref SDS 0 SXWR  Hiked through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145243 - lots again.  Exited college at South end Student Parking taking Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145244 - Drive down that bends North.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145245 - Hiked West on flat grade .5 miles.  At mile 13, continued uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145246 - grade .5 miles against wind 12 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145247 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145248 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145249 - concrete barriar and break in rising afternoon commute traffic - very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145250 - heavy today - about mile 14, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145251 - Road to use wider shoulder.  Continued 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145252 - At break in traffic crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145253 - Crossed Oak Grove at traffic light.  At mile 16, hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145254 - around block at Safeway shopping complex.  Today, stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145255 - mile 18, time 1646, temp 74 and wind 10 mph; EKG looks perfectly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145256 - uniform with no artifact - looks like AFL.  Kardia reported HR 141                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145257 - Unclassified - common way Kardia signals AFL - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145258 - X2N6  Polar reported HR did not dropped severely today, during pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145259 - for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145260 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145261 - feet PL 3, burning sensation PL 2, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145262 - left foot #5 edge callus/blister PL 3, right foot #4 bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145263 - blister/callus PL 2, #5 edge callus/blister PL 0, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145264 - PL 1, left shoulder PL 0, left elbow PL 0 intermitant.  Took another 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145265 - Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...further test this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145266 - combination with temperature < 90, for recurrance seizure
145267 - symptoms...).  Took 3rd Magnesium complex 300 mg pill for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145268 - magnesium reduces inflammation, evident today with increased feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145269 - pain, and magnesium is essential to raise HDL.  Since softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145270 - carried from home has gotten warm the past 4 hours, Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145271 - attendant provided a cup and ice free of charge (...On the House...)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145272 - using vending dispenser.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145273 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145274 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145275 - for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145276 - hike.  Since temperature is still below 80, sweating moderate that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145277 - ejects electrolytes, did not take`another Nuun electrolyte pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145278 - (...save money...), per above. ref SDS 0 UTPU  After 20 minutes, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145279 - another EKG looks uniform with minor artifact.  Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145280 - Unclassified see below. ref SDS 0 WJ3A   This established have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145281 - flipped into AFL.  Submitted this 2nd EKG report to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145282 - with note explaining 1st EKG looked like AFL. ref SDS 0 U94N  Also saw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145283 - article on hiking extended miles.  Sent link to Doctor Pellegrini who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145284 - has asked about this. ref SDS 0 R56F  Continued hiking 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145285 - around the block - turned right onto path parallel to Via Monte hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145286 - North .25 miles, turned right onto Shadelands hiking .25 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145287 - turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145288 - sun with temperature mid 70s.  Crossed Treat at Stop Light.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145289 - mile East on flat grade concrete sidewalk.  At San Miguel hiked .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145290 - miles on Treat uphill 5% grade with wind 11 mph, temp 86.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145291 - this well.  At summit, mile 21, hiked another mile to Cuneo.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145292 - hike mile 22 time 1833 temp 72, wind 08, feet PL 3, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145293 - PL 3, right foot blister #4 bottom PL 1, #5 PL 0, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145294 - 3, shin splints PL 0, left knee PL 1 (swollen slightly), right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145295 - 0, left shoulder PL 0, neck and right shoulder PL 0 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145296 - lower back left side PL 0, left elbow PL 0, when lifting.  EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145297 - uniform, with no artifact, Kardia reported HR 125 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145298 - below. ref SDS 0 UD9C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145312 -  ..
145313 - Kardia recorded HR 052 at 0853 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145314 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145315 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145316 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145317 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145318 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145322 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241017-ecg-085311_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145328 -  ..
145329 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145330 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145331 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145333 -  ..
145334 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145336 -                                               x           x   xx                      x      y   zz               x                                                       x                                                                                                                                                                                                                                                                                                                                                                                                                                       
145337 -       Date          241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 240730 240729 24072  
145338 -       Miles            22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0      0      0   
145339 -       HR AVG          132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no     no     no   
145340 -         MAX           156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report report report repor  
145341 -         Min            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                              
145342 -       El Climb Ft     450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hike recover IHD  
145343 -       Temp Max         76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                              
145344 -       Wind Max         12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                              
145345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145348 -              https://flow.polar.com/training/analysis/7982495915                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145352 -               ..
145354 -   
145355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145359 -  ..
145360 - EKG at mile 12 time 1449 HR 133 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145361 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145362 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145365 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145366 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241017-ecg-144933_mile_12_133_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145371 -  ..
145372 - EKG at mile 18 time 1646 HR 141 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145373 - Unclassified... heart rate looks perfectly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145374 - commonly signals AFL - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145375 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145378 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145379 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241017-ecg-164633_mile_18_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145383 -  ..
145384 - EKG at mile 18 time 1711 - 2nd test for AFL - HR 118 temp 73, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145385 - reported Possible Atrial Fibrillation... heart rate looks uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145386 - minor artifact - signals no AFL - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145387 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145390 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145391 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241017-ecg-171119_mile_18_118_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145394 -  ..
145395 - Sent this EKG report to Doctor Pellegrini, shown in another record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145396 - today, shown here and in the record on, ref SDS 54 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145398 -        Cara this is 2nd EKG, because 1st was steady at 146 looked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145399 -        like AFL, so after 10 minutes did this to see HR settle down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145400 -        Heading home about 4 miles. Haven't been hiking a lot, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145401 -        vitals are high. This will correct in a few days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145403 -  ..
145404 - Actually, the EKG sent to Cara was the 1st that looks like AFL - hope                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145405 - this is not too confusing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145408 -  ..
145409 - Additionally, saw article on hiking extended miles, specifically 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145410 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145412 -         https://www.yahoo.com/lifestyle/an-18-mile-stroll-why-the-extreme-walk-trend-has-people-crossing-their-cities-on-foot-100018397.html                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145414 -  ..
145415 - Used cellphone send letter to Doctor Pellegrini that links the article                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145416 - for her review, reported in another record on 241017 1718. ref SDS 54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145417 - N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145423 -  ..
145424 - End hike EKG at mile 22, time 1833 HR 125 temp 72 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145425 - Tachycardia... looks mostly uniform with no minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145426 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145429 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145430 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241017-ecg-183311_mile_22_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145435 -  ..
145436 - Post hike HR profile beginning 2253, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145437 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145438 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145439 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145440 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145443 -        ..
145444 -       Date      241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808  240807    
145445 -       Time       2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949    2032     
145446 -       Hours         9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11      11     
145447 -       HR AVG       64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61      63     
145448 -       HR MAX      121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     119     
145449 -       HR Min       41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38      39     
145450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145452 -              https://flow.polar.com/training/analysis/7982820992                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145455 -               ..
145457 -   
145458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145461 -  ..
145462 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145463 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145464 - Dinner - hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145467 -  ..
145468 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145493 -         ..
145494 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145495 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145496 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145497 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145498 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145499 -  292.  241018 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145500 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145501 -               0725....BP HR..................................................... 170  92  50  Kardia ECG reports HR status, see below. ref SDS 0 LR7M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145502 -               0730....BP HR..................................................... 150  85  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145503 -               0735....weight.................................... 177    gained 2 #, see frequent urination 5 last night... 200101 0701, ref SDS 16 5C7I                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145504 -               0735....80 422040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145505 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
145506 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145507 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145508 -               0000....Chia Seeds 2 oz - magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145509 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145510 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145511 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
145512 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145513 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145514 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145515 -               1930... 40 115840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
145516 -               1830............ 10 20540  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145517 -               1830............ 10 20890  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145518 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145519 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145520 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145521 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145522 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145523 -               2200... 1000 2265000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145524 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145525 -               2330... 80 422120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145526 -               2340... 40 92340 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145529 -  ..
145530 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145531 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145533 -  ..
145534 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145535 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145537 -  ..
145538 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145543 -  ..
145544 - Kardia recorded HR 048 at 0851 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145545 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145546 - 22 miles temp 76 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145547 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145548 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145549 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145552 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145553 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241018-ecg-085132_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145557 -  ..
145558 - Post hike HR profile beginning 1945, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145559 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145560 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145561 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145562 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145565 -        ..
145566 -       Date      241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809  240808    
145567 -       Time       1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901    1949     
145568 -       Hours        12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12      11     
145569 -       HR AVG       62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64      61     
145570 -       HR MAX      114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     120     
145571 -       HR Min       40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40      38     
145572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145574 -              https://flow.polar.com/training/analysis/7983421876                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145577 -               ..
145579 -   
145580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145583 -  ..
145584 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145585 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145586 - Dinner - eggs hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145589 -  ..
145590 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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145603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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145607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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145610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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145613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145615 -         ..
145616 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145617 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145618 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145619 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145620 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145621 -  293.  241019 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145622 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145623 -               0735....BP HR..................................................... 152  86  52  Kardia ECG reports HR status, see below. ref SDS 0 VUP3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145624 -               0740....BP HR..................................................... 145  85  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145625 -               0745....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145626 -               0745....80 422200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145627 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
145628 -               0920... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145629 -               0920....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145630 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145631 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145632 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145633 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
145634 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145635 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet
145636 -  ..
145637 -               0940....miles...........  25.0  47.0  399   754 minutes  temp  79 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145638 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145639 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
145640 -               1156....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145641 -               1156....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145642 -               1156... Gabapentin 300MG  2 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145643 -               1156... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
145644 -               1156....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145645 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
145646 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145647 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
145648 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145649 -               1335....mile 13 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145650 -               1335....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145651 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145652 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145653 -               1335... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
145654 -               1335... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
145655 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145656 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145657 -               1534....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145658 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145659 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145660 -               1534... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
145661 -               1534... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
145662 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145663 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145664 -               1700... Hike ends mile 25... ref SDS 0 SP4B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145665 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145666 -               1710....weight.................................... 173  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145667 -               1720....BP HR.....................................................  91  64 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145668 -               1732....BP HR..................................................... 112  74 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145669 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145670 -               1800... 40 115880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
145671 -             1 0000............ 10 20540  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145672 -             1 0000............ 10 20890  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145673 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145674 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145675 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145676 -               0000... Urea 60 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145677 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145678 -               2200... 1000 2266000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145679 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145680 -               2330... 80 422280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145681 -               2340... 40 92380 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145684 -  ..
145685 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145686 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145688 -  ..
145689 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145690 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145692 -  ..
145693 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145696 -  ..
145697 - Today, hiked 25 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145698 - streets - Treat, Turtle Creek Road.  Oddly, 1st 8 miles Polar HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145699 - record shows series of 9 severe HR dips, despite steady pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145700 - terraine elevation routine.  On Treat at Cowell noticed forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145701 - billfold.  Hiked back to house, then back adding .5 mile to hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145702 - Continued on Ayers to Clayton Road, mile 3; then South 1 mile Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145703 - West on Ygnacio Valley road 1 mile.  At mile 5, hiked East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145704 - Hollow 2.5 miles.  At mile 09 end of Pine Hollow stopped for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145705 - hydration and nutrition.  Took Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145706 - management.  Hiked back on Pine Hollow 2.5 miles and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145707 - Campus Drive heading West 3% grade 1 mile that bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145708 - Ygnacio Valley Road turned around hiking on Campus Road uphill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145709 - mile and reached Visitor Parking at the College.  Hiked a loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145710 - Faculty and Student parking, then loop around main buildings.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145711 - at mile 13 for EKG, hydration, nutrition and CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145712 - Took Tramadol but not Gabapentin in order to avoid seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145713 - that occurred during hike on 240923, per above. ref SDS 0 PYSX - then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145714 - took magneseum complex, with nutrition and hydration.  Hiked through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145715 - parking lots again and left college hiking West uphill 3% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145716 - Ygnacio Valley Road.  At summit mile 16, crossed to South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145717 - road.  Continued West 2 miles.  Crossed at Oak Grove.  Hiked 2 loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145718 - around 1 mile paved path around the block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145719 - At mile 20, stopped at Mod Pizza.  EKG shows HR elevated more than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145720 - usual, reflecting pause hiking the past few months.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145721 - another loop around shopping complex, then took Oak Grove 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145722 - North.  New callus/blister left foot #4 tip.  Turned onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145723 - hiked 2 miles.  Turned left onto Cuneo.  Hiked another mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145724 - residential streets then home.  Barely loopy - actually fatigue - last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145725 - 4 miles with only 1 dose Gabapentin, and no seizure symptoms, e.g. no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145726 - loss motor control, no hallucinations.  HR elevated today, reflecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145727 - mostly no hiking past 3 months.  Need explanation for irregular HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145728 - dips and rises with steady pace and elevation 1st 7 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145734 -         ..
145735 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145736 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145737 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
145738 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145739 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145740 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145741 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145742 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145743 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145744 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145745 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145746 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
145747 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145748 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
145749 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145750 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145751 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
145752 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145753 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145754 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145755 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
145756 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145757 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145758 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145759 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145760 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
145761 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145762 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145763 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
145764 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145765 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145766 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145767 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
145768 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145769 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145770 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 12 and again at mile mile 18 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
145771 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 12 and again at mile mile 18 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
145772 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145773 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145774 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
145775 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
145776 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
145777 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
145778 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145779 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
145780 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145781 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
145782 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145783 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
145784 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
145785 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
145786 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145787 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
145788 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
145789 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
145790 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
145791 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145792 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
145793 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 12 and again at mile 18 - no bandaging only mild issue today
145794 -  ..
145795 -  new   Callus/blister toe #4 tip left foot..........   4         15  blister - Wrightsocks should protect against blisters very odd on 240913 - recurred today 241019 - similar to injury wearing soft padding on orthotic inserts that failed                                                                                                                                                                                                                                                                                                                                                                    
145796 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145797 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145798 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
145799 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145800 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
145801 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
145802 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145803 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145804 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145805 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145806 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145807 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145808 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145809 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145810 -        Wobbly disoriented staggering dizzy..........   1         20  took 1 Tramadol and 1 Gabapentin mile 12 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                                             
145811 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145815 -  ..
145816 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145817 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145818 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145819 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145821 -  ..
145822 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145823 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145824 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145825 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145826 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145827 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145828 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145829 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145831 -  ..
145832 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145833 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145835 -  ..
145836 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145837 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145838 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145839 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145840 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145841 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145842 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145843 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145844 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145845 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145847 -  ..
145848 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145849 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145850 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145851 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145852 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145855 -  ..
145856 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145857 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145858 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145859 - because CoQ10 is a natural enzyme produced in the body to help the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145860 - heart produce energy and help the liver produce HDL, which overcomes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145861 - HDL lowered by statins, see research on 131125 0005. ref SDS 2 AT3J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145862 - Did not take Naproxen for pain and inflammation management to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145863 - hike, because it can cause colitis.  Did not take Tramadol with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145864 - Gabapentin for pain management, because there is no metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145865 - in feet starting the hike.  Took Magnesium Complex that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145866 - energy and reduces inflammation allowing HDL to increase - 300 mg 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145867 - Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145868 - research on 240519 1653. ref SDS 42 VY92...) - designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145869 - whole for gradual release as plastic capsules breakdown and release                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145870 - magnesium complex over time.  These capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145871 - medication pills.  They become gradually more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145872 - achalasia closes LESV over weeks and months.  In August had to open                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145873 - the pills and empty the magnesium powder onto food to swallow all at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145874 - once, rather dispense the magnesium over hours while hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145875 - reduced the prolonged effect of increased energy, see an example on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145876 - 240827, above. ref SDS 0 PXRP  After EGD Dilation on 240910, have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145877 - able to swallow the pills whole.  Research with Microsoft AI indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145878 - magnesium can be effective combined with avocado, peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145879 - margarine, reported on 240519 1653. ref SDS 42 JH8L  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145880 - increases energy by disapating lactic acid that causes fatigue in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145881 - muscles, and also reduces inflammation, critical for raising HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145882 - general health in major organs.  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145883 - margarine and chia seeds for electrolytes, including energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145884 - avocado for HDL, per above. ref SDS 0 6M9I  Soaking Chia seeds in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145885 - water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145886 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145887 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145888 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145889 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145890 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145891 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145892 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145893 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145894 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145895 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145896 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145897 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145898 - 240507 0930. ref SDS 38 ZC5F  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145899 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145900 - left, onto Treat.  At Cowell, noticed forgot to bring billfold.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145901 - back home to get billfold, then back to Cowell and continued.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145902 - about 1 mile feet starting hike feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145903 - needles calming down - peripheral neuropathy caused by taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145904 - Bottom of both feet not hurting yet, including left foot #5, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145905 - flared up on 240919, per above. ref SDS 0 XVTR  Pavement on Treat has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145906 - been scarrified pending resurface with new asphalt.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145907 - nose entire hike with no dyspnea, indicating good condition despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145908 - minimal hiking last few months.  Temperature started at 58, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145909 - reached 78.  West wind 12 mph and mostly 08 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145910 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145911 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145912 - very light traffic.  Did not Hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145913 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Oddly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145914 - during this 1st part of hike out to mile 8, at end of Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145915 - Polar shows HR dipped roughly 30 points for 5 - 20 mninutes, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145916 - flipped back to normal HR for this hike today, and irrespective of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145917 - pace and elevation.  At end of Turtle Creek Road turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145918 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145919 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145920 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145921 - traffic light and continued on concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145922 - strong - aligns with taking magnesium.  At mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145923 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.  Begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145924 - feeling metatarsaltia PL 1 both feet, and left foot #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145925 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145926 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145927 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145928 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145929 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145930 - left hiked 2.5 miles East.  Pine Hollow ends at a home.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145931 - mile 08 time 1156 temp 73 and wind 11 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145932 - with some artifact.  Kardia reported HR 117 Possible
145933 - Atrial Fibrillation - see below. ref SDS 0 VVSW  Kardia report
145934 - PAF may relate to Polar GPS HR profile showing 9 severe HR drops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145935 - during this initial 8 miles.  Both feet PL 3 and bottom right foot 1"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145936 - below metatarsal #4 PL 0, burning sensation PL 0, shin plints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145937 - right foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145938 - 0 and #1 PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145939 - callus/blister PL 0.  Left knee meniscus PL 0, left hamstring PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145940 - left shoulder PL 0, left elbow PL 0 intermitant.  Took 1 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145941 - mg and 1 Gabapentin 300 mg for pain (...experiment test avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145942 - taking normal dose Gabapentin...).  Took another Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145943 - mg pill - swallowed whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145944 - clogging LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145945 - provides energy for hiking, and reduces inflammation, essential to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145946 - raise HDL - might be "secret" source that stimulates liver to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145947 - HDL 64 on 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145948 - ref SDS 46 XK7M  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145949 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145950 - (soaked in water/Coca Cola/orange juice) for energy and electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145951 - and some avocado for HDL - few bites.  Did not take Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145952 - for energy because no long hills pending yet.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145953 - forecast below 80, reduced sweating that ejects electrolytes, then to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145954 - save money did not take Nuun electrolyte pill, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145955 - VQXT  Turned around and hiked back 2.5 miles on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145956 - left onto Campus Drive hiking West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145957 - wind 12 mph.  Road bends North, tunred left heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145958 - Valley Road .5 mile, Turned around hiked uphill .25[mile 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145959 - Mile 11, reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145960 - Bay Concord Campus.  Hiked loop through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145961 - Back at Visitor Parking hiked loop around main buildings, then stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145962 - at Administration Building mile 13 time 1335 temp 76 and wind 10 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145963 - EKG looks uniform with no artifact.  Kardia reported HR 132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145964 - Tachycardia - see below. ref SDS 0 VVTY  Since HR looks perfectly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145965 - uniform with no artifact, and is elevated this presents common AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145966 - signals.  Since Kardia reports Tachycardia seems to indicate heart is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145967 - working "perfectly" at this time, possibly resolving function 1st 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145968 - miles that seem "irregular." Both feet PL 2 and bottom right foot 1"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145969 - below metatarsal #4 PL 0, burning sensation PL 2, shin plints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145970 - right foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145971 - 0 and #1 PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145972 - callus/blister PL 0.  Left knee meniscus PL 0, left hamstring PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145973 - left shoulder PL 0, left elbow PL 0 intermitant.  Took 1 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145974 - mg and 0 Gabapentin 300 mg for pain (...experiment test avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145975 - taking normal 2nd dose Gabapentin...).  Took another (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145976 - complex 300 mg pill - swallowed whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145977 - avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145978 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145979 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145980 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145981 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145982 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145983 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145984 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145985 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145986 - 80, reduced sweating that ejects electrolytes, then despite extending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145987 - hike over summit Ygnacio Valley Road, to save money did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145988 - electrolyte pill, per above. ref SDS 0 VQXT  Hiked through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145989 - lots again.  Exited college at South end Student Parking taking Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145990 - Drive down that bends North.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145991 - Hiked West on flat grade .5 miles.  At mile 13, continued uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145992 - grade .5 miles against wind 12 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145993 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145994 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145995 - concrete barriar and break in rising afternoon commute traffic - very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145996 - heavy today - about mile 16, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145997 - Road to use wider shoulder.  Continued 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145998 - At break in traffic crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145999 - Crossed Oak Grove at traffic light.  At mile 18, hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146000 - around block at Safeway shopping complex.  Today, stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146001 - mile 20, time 1534, temp 79 and wind 10 mph; EKG looks perfectly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146002 - uniform with no artifact - looks like AFL.  Kardia reported HR 141                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146003 - Unclassified - common way Kardia signals AFL - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146004 - V3NR Polar reported HR did not drop severely today, during pause for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146005 - EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146006 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146007 - feet PL 2, burning sensation PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146008 - left foot #5 edge callus/blister PL 1, #4 top callus/blister PL 2 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146009 - seems new, right foot #4 bottom blister/callus PL 1, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146010 - callus/blister PL 0, left knee meniscus PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146011 - elbow PL 0 intermitant.  Decided not to take another 1 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146012 - and 1 Gabapentin 300 mg for pain.  Took 4th Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146013 - pill for energy, and magnesium reduces inflammation, evident today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146014 - with increased feet pain, and magnesium is essential to raise HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146015 - Since softdrink carried from home has gotten warm the past 4 hours,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146016 - Mod Pizza attendant provided a cup and ice free of charge (...On the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146017 - House...) using vending dispenser.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146018 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146019 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146020 - avocado for HDL.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146021 - complete hike.  Since temperature is still below 80, sweating moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146022 - that ejects electrolytes, did not take`another Nuun electrolyte pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146023 - (...save money...), per above. ref SDS 0 VQXT  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146024 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146025 - hiking North .25 miles, turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146026 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146027 - shoulder in sun with temperature mid 70s.  Crossed Treat at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146028 - Light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146029 - Miguel hiked .75 miles on Treat uphill 5% grade with against 12 mph,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146030 - temp 79.  Handled this well.  At summit, mile 23, hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146031 - and turned left onto Cuneo.  Hiked another mile through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146032 - streets.  Ended hike mile 25 time 1700 temp 78, wind 10, feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146033 - left foot #5 edge PL 2, #4 tip new blister PL 3, right foot blister #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146034 - bottom PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146035 - knee PL 1 (swollen slightly), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146036 - neck and right shoulder PL 0 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146037 - 0, left elbow PL 0, when lifting.  EKG mostly uniform, with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146038 - artifact, Kardia reported HR 130 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146039 - SP4B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146053 -  ..
146054 - Kardia recorded HR 047 at 0803 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146055 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146056 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146057 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146058 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146059 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146062 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146063 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241019-ecg-080324_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146069 -  ..
146070 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146071 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146072 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146074 -  ..
146075 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146077 -       Date          241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 240803 240802 240801 240731 24073  
146078 -       Miles            25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0      0      14     0      0   
146079 -       HR AVG          129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no     no     130    no     no   
146080 -         MAX           151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report report report   158  report repor  
146081 -         Min            82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                               73                
146082 -       El Climb Ft     450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -------------------------------------------------------->  305  <-- can't hi  
146083 -       Temp Max         79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                               92                
146084 -       Wind Max         12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                               14                
146085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146088 -              https://flow.polar.com/training/analysis/7983603697                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146092 -               ..
146094 -   
146095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146099 -  ..
146100 - EKG at mile 08 time 1156 HR 117 temp 73, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146101 - Atrial Fibrillation... may relate to Polar HR profile showing 1st 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146102 - miles repetitive HR dips despite steady pace and elevation... heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146103 - rate looks mostly uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146104 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146107 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146108 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241019-ecg-115654_mile_08_117_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146113 -  ..
146114 - EKG at mile 13 time 1335 HR 132 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146115 - Tachycardia... heart rate looks perfectly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146116 - commonly signals AFL; since Kardia reports Tachycardia seems to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146117 - indicate heart is working "perfectly" - possibly initial irregular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146118 - heart beats, continued walking restored regular heart function -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146119 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146122 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146123 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241019-ecg-133511_mile_13_132_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146127 -  ..
146128 - EKG at mile 20 time 1534 HR 130 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146129 - Tachycardia... heart rate looks uniform with no artifact - commonly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146130 - signals AFL; since Kardia reports Tachycardia seems to indicate heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146131 - is working "perfectly" - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146132 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146135 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146136 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241019-ecg-153421_mile_20_130_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146141 -  ..
146142 - End hike EKG at mile 25, time 1700 HR 130 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146143 - Tachycardia... looks mostly uniform with no some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146144 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146147 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146148 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241019-ecg-170018_mile_25_130_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146152 -  ..
146153 - Post hike HR profile beginning 2009, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146154 - hiking 25 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146155 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146156 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146157 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146160 -        ..
146161 -       Date      241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810  240809    
146162 -       Time       2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956    1901     
146163 -       Hours        13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11      12     
146164 -       HR AVG       63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66      64     
146165 -       HR MAX      123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     126     
146166 -       HR Min       42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42      40     
146167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146169 -              https://flow.polar.com/training/analysis/7984074440                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146172 -               ..
146174 -   
146175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146178 -  ..
146179 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146180 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146181 - Dinner - hamburger broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146184 -  ..
146185 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146210 -         ..
146211 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146212 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146213 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146214 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146215 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146216 -  294.  241020 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146217 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146218 -               0725....BP HR..................................................... 150  78  51  Kardia ECG reports HR status, see below. ref SDS 0 JVA2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146219 -               0730....BP HR..................................................... 132  81  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146220 -               0735....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146221 -               0735....80 422360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146222 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
146223 -               0920... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146224 -               0920....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146225 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146226 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146227 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146228 -               0920... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
146229 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146230 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146231 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146232 -               1800... 40 115920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
146233 -               1830............ 10 20550  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146234 -               1830............ 10 20900  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146235 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146236 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146237 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146238 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146239 -               2200... 1000 2267000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146240 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146241 -               2330... 80 422440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146242 -               2340... 40 92420 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146245 -  ..
146246 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146247 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146249 -  ..
146250 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146251 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146253 -  ..
146254 - Reflux last night had to sleep in recliner chair despite EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146255 - procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146259 -  ..
146260 - Kardia recorded HR 050 at 0924 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146261 - uniform heart beat lengths with p-waves and no artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146262 - after hiking 25 miles temp 79 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146263 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146264 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146265 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146268 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146269 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241020-ecg-092405_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146274 -  ..
146275 - Post hike HR profile beginning 1942, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146276 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146277 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146278 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146279 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146282 -        ..
146283 -       Date      241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811  240810    
146284 -       Time       1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106    1956     
146285 -       Hours        13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9      11     
146286 -       HR AVG       61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58      66     
146287 -       HR MAX      113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     131     
146288 -       HR Min       42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41      42     
146289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146291 -              https://flow.polar.com/training/analysis/7984613630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146294 -               ..
146296 -   
146297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146300 -  ..
146301 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146302 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146303 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146306 -  ..
146307 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146332 -         ..
146333 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146334 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146335 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146336 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146337 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146338 -  295.  241021 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146339 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146340 -               0725....BP HR..................................................... 157  88  49  Kardia ECG reports HR status, see below. ref SDS 0 QSB3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146341 -               0730....BP HR..................................................... 160  90  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146342 -               0735....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146343 -               0735....80 422520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146344 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146345 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146346 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146347 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146348 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146349 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
146350 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146351 -               1700... 40 115960 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
146352 -             1 0000............ 10 20550  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146353 -             1 0000............ 10 20900  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146354 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146355 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146356 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146357 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146358 -               2200... 1000 2268000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146359 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146360 -               2330... 80 422600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146361 -               2340... 40 92460 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146364 -  ..
146365 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146366 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146368 -  ..
146369 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146370 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146372 -  ..
146373 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146379 -  ..
146380 - Kardia recorded HR 049 at 0844 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146381 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146382 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146383 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146384 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146385 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146388 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146389 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241021-ecg-084416_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146393 -  ..
146394 - Post hike HR profile beginning 1911, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146395 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146396 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146397 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146398 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146401 -        ..
146402 -       Date      241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812  240811    
146403 -       Time       1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904    2106     
146404 -       Hours        12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12       9     
146405 -       HR AVG       60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61      58     
146406 -       HR MAX      103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     101     
146407 -       HR Min       39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39      41     
146408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146410 -              https://flow.polar.com/training/analysis/7985219012                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146413 -               ..
146415 -   
146416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146419 -  ..
146420 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146421 - Lunch - avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146422 - Dinner - ham eggs macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146425 -  ..
146426 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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146433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146450 -         ..
146451 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146452 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146453 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146454 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146455 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146456 -  296.  241022 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146457 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146458 -               0655....BP HR..................................................... 152  88  49  Kardia ECG reports HR status, see below. ref SDS 0 W6SU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146459 -               0700....BP HR..................................................... 149  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146460 -               0705....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146461 -               0705....80 422680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146462 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146463 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146464 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146465 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146466 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146467 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
146468 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146469 -               1700... 40 116000 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
146470 -               1830............ 10 20560  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146471 -               1830............ 10 20910  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146472 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146473 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146474 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146475 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146476 -               2200... 1000 2269000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146477 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146478 -               2330... 80 422760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146479 -               2340... 40 92500 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146482 -  ..
146483 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146484 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146486 -  ..
146487 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146488 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146490 -  ..
146491 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146496 -  ..
146497 - Kardia recorded HR 045 at 0736 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146498 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146499 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146500 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146501 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146502 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146505 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146506 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241022-ecg-073650_mile_00_045_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146510 -  ..
146511 - Post hike HR profile beginning 1919, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146512 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146513 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146514 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146515 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146518 -        ..
146519 -       Date      241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813  240812    
146520 -       Time       1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007    1904     
146521 -       Hours        12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9      12     
146522 -       HR AVG       60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60      61     
146523 -       HR MAX      123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     124     
146524 -       HR Min       40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39      39     
146525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146528 -              https://flow.polar.com/training/analysis/7985879815                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146531 -               ..
146533 -   
146534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146537 -  ..
146538 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146539 - Lunch - avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146540 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146543 -  ..
146544 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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146556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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146558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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146563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146570 -         ..
146571 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146572 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146573 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146574 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146575 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146576 -  297.  241023 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146577 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146578 -               0655....BP HR..................................................... 154  81  59  Kardia ECG reports HR status, see below. ref SDS 0 7DP4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146579 -               0700....BP HR..................................................... 154  92  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146580 -               0705....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146581 -               0705....80 422840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146582 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146583 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146584 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146585 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146586 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146587 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
146588 -  ..
146589 -               1004....miles...........  24.0  24.0  379   379 minutes  temp  82 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146590 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146591 -               1231....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146592 -               1231....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146593 -               1231... Gabapentin 300MG  1 pills to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146594 -               1231... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
146595 -               1231... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
146596 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146597 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
146598 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146599 -               1407....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146600 -               1407....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146601 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146602 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146603 -               1407... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
146604 -               1407... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
146605 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146606 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146607 -               1547....mile 20 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146608 -               1547....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146609 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146610 -               1547... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
146611 -               1547... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
146612 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146613 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146614 -               1700... Hike ends mile 24... ref SDS 0 VXRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146615 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146616 -               1710....weight.................................... 171  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146617 -               1720....BP HR.....................................................  94  72 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146618 -               1728....BP HR.....................................................  97  73 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146619 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146620 -               1740... 40 116040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
146621 -             1 0000............ 10 20560  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146622 -             1 0000............ 10 20910  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146623 -               2040....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146624 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146625 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146626 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146627 -               2200... 1000 2270000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146628 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146629 -               2330... 80 422930 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146630 -               2340... 40 92540 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146633 -  ..
146634 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146635 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146637 -  ..
146638 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146639 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146641 -  ..
146642 - Reflux last had to sleep in recliner chair despite EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146643 - procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146646 -  ..
146647 - Today, hiked 24 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146648 - streets - Treat, Turtle Creek Road.  Oddly, 1st 3 miles Polar HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146649 - record shows series of 4 severe HR dips, despite steady pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146650 - terraine elevation routine, similar to HR profile last hike but it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146651 - lasted 7 miles, reported on 241019, above, ref SDS 0 JP3H, instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146652 - 3 miles today.  Continued on Ayers to Clayton Road, mile 3; then South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146653 - 1 mile Turned West on Ygnacio Valley road 1 mile.  At mile 5, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146654 - East on Pine Hollow 1 mile.  Turned and hiked a mile uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146655 - on Rollijg Woods Way.  At summit tunred around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146656 - and hiked 2 miles to end of Pine Hollow.  Stopped at mile 9 for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146657 - hydration and nutrition.  Took Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146658 - management.  Hiked back on Pine Hollow 2.5 miles and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146659 - Campus Drive heading West 3% grade 1 mile that bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146660 - Ygnacio Valley Road turned around hiking on Campus Road uphill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146661 - mile and reached Visitor Parking at the College.  Hiked a loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146662 - Faculty and Student parking, then loop around main buildings.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146663 - at mile 14 for EKG, hydration, nutrition and CoQ10 for energy and HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146664 - Took Tramadol but not Gabapentin in order to avoid seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146665 - that occurred during hike on 240923, per above. ref SDS 0 PYSX - then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146666 - took magneseum complex, with nutrition and hydration.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146667 - downhill on Campus Drive heading West .25 miles.  Turned ont Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146668 - Valley Road heading West uphill 3% grade on Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146669 - summit mile 16, crossed to South side of road.  Continued West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146670 - miles.  Crossed at Oak Grove.  Hiked 1 loop around 1 mile paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146671 - around the block at Safeway shopping complex.  At mile 20, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146672 - Mod Pizza for EKG, hydration and nutrition.  Continued hike another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146673 - loop around shopping complex, then took Oak Grove 1 mile North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146674 - Turned onto Treat and hiked 2 miles East.  This part of hike was more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146675 - difficult, because the asphalt road is being resurfaced.  At Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146676 - continued .25 mile and turned around at Cowell.  Hiked back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146677 - then home.  Barely loopy - actually fatigue - last 4 miles with only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146678 - dose Gabapentin, and no seizure symptoms, e.g. no loss motor control,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146679 - no hallucinations.  HR elevated today, reflecting mostly no hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146680 - past 3 months.  Need explanation for erratic HR dips with steady pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146681 - and elevation 1st 3 miles, but this has not caused noticable adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146682 - symptoms.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146688 -         ..
146689 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146690 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146691 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take  Simethicone                                                                                                                                                                                                                                                                                                                                                   
146692 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146693 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146694 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146695 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146696 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146697 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146698 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146699 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146700 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
146701 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146702 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
146703 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146704 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146705 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
146706 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146707 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146708 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146709 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
146710 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146711 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146712 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146713 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146714 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
146715 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146716 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146717 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
146718 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146719 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146720 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146721 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
146722 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146723 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146724 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 14 again at mile 20                                                                                                                                                                                                                                                                                                                                                    
146725 -  new   Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 00 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
146726 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146727 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146728 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
146729 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
146730 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
146731 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
146732 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146733 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
146734 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146735 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
146736 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146737 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
146738 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
146739 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
146740 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146741 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
146742 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
146743 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
146744 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
146745 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146746 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
146747 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 12 and again at mile 18 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
146748 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
146749 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146750 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146751 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
146752 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146753 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
146754 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
146755 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146756 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146757 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146758 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146759 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146760 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146761 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146762 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146763 -        Wobbly disoriented staggering dizzy..........   1         20  took 1 Tramadol and 1 Gabapentin mile 09 and only 1 Tramadol mile 14 and again at mile 20 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
146764 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146768 -  ..
146769 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146770 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146771 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146772 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146774 -  ..
146775 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146776 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146777 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146778 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146779 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146780 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146781 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146782 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146784 -  ..
146785 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146786 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146788 -  ..
146789 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146790 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146791 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146792 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146793 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146794 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146795 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146796 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146797 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146798 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146800 -  ..
146801 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146802 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146803 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146804 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146805 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146808 -  ..
146809 - Concord 24 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146810 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146811 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146812 - because CoQ10 is a natural enzyme produced in the body to help the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146813 - heart produce energy and help the liver produce HDL, which is lowered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146814 - by statins, HDL lowered by statins, see research on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146815 - ref SDS 2 AT3J  Did not take Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146816 - management to start hike, because it can cause colitis.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146817 - Tramadol with Gabapentin for pain management, because there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146818 - metatarsalgia pain in feet starting the hike.  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146819 - that increases energy and reduces inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146820 - increase - 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146821 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146822 - designed to swallow whole for gradual release as plastic capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146823 - breakdown and release magnesium complex over time.  These capsules are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146824 - much larger than most medication pills.  They become gradually more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146825 - difficult to swallow as achalasia closes LESV over weeks and months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146826 - In August had to open the pills and empty the magnesium powder onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146827 - food to swallow all at once, rather dispense the magnesium over hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146828 - while hiking.  This reduced the prolonged effect of increased energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146829 - see an example on 240827, above. ref SDS 0 PXRP  After EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146830 - 240910, have been able to swallow the pills whole.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146831 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146832 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146833 - ref SDS 42 JH8L  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146834 - that causes fatigue in muscles, and magnesium also reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146835 - inflammation, which then enables HDL to rise with hiking.  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146836 - further improves general health in major organs.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146837 - peanut butter and margarine and chia seeds for electrolytes, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146838 - energy, and avocado for HDL, per above. ref SDS 0 B3Q7  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146839 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146840 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146841 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146842 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146843 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146844 - ref SDS 20 N88N; Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146845 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146846 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146847 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146848 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146849 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146850 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146851 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146852 - 240507 0930. ref SDS 38 ZC5F  For some reason felt bloated starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146853 - hike for about 5 miles.  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146854 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146855 - onto Treat.  After about 1 mile feet starting hike feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146856 - like pins and needles calming down - peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146857 - taking statins.  Bottom of both feet not hurting yet, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146858 - foot #5, which flared up on 240919, per above. ref SDS 0 XVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146859 - Breathed through nose entire hike with no dyspnea, indicating good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146860 - condition despite minimal hiking last few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146861 - at 55, and reached 83.  West wind 10 mph and mostly 04 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146862 - East on Treat .5 miles.  Pavement on Treat has been scarrified pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146863 - resurface with new asphalt.  This required more concentration on where                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146864 - to step.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146865 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146866 - very light traffic.  Did not Hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146867 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146868 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146869 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146870 - hiking South .5 miles on asphalt pavement in parking lots of shopping
146871 - complex. Oddly during this initial hike out to mile 3,
146872 - where Ayers intersects with Clayton, Polar shows HR dipped roughly 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146873 - points for 5 - 20 mninutes, then flipped back to normal HR for this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146874 - hike today, and irrespective of pace and elevation.  Paid closer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146875 - attention checking Polar wrist HR monitor, so was aware of HR dips.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146876 - Like AFL have no physical symptoms of HR dips and rises.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146877 - irregular HR during initial 3 miles of hike shows 4 dips and rises,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146878 - correlates to initial 8 miles of irregular HR with 9 dips, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146879 - for hike on 241019, per above. ref SDS 0 JP3H  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146880 - traffic light and continued on concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146881 - strong - aligns with taking magnesium.  At mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146882 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.  Begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146883 - feeling metatarsaltia PL 1 both feet, and left foot #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146884 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146885 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146886 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146887 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146888 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146889 - left hiked .75 miles East. <WP9N Made unusual change in the route.
146890 - Turned right hiking 1 mile West uphill 5% grade on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146891 - At summit near Woodgrove Court, turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146892 - right heading East hiking to end of Pine Hollow.  Fun passing several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146893 - grade schools.  Teachers were trying to manage very young students in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146894 - Kindergarden, 1st or 2nd grade.  Seemed like trying to "herd cats."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146895 - Kids laughing, hollering, running in different directions.  Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146896 - Hollow ends at a home.  Stopped at mile 09 time 1231 temp 73 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146897 - 06 mph; EKG looks mostly uniform with some artifact.  Kardia reported
146898 - HR 129 Possible Atrial Fibrillation - see below.
146899 - ref SDS 0 WVPT  Kardia report PAF may relate to repetitive severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146900 - brief HR drops during initial 3 miles, per above. ref SDS 0 QH7O  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146901 - feet PL 3 and bottom right foot 1" below metatarsal #4 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146902 - sensation PL 0, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146903 - left foot #5 edge blister/callus PL 0 and #1 PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146904 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146905 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146906 - intermitant.  Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146907 - (...experiment test avoid seizure taking normal dose Gabapentin...).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146908 - Took another Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146909 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146910 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146911 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146912 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146913 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146914 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146915 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146916 - Cola/orange juice) for energy and electrolytes, and some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146917 - HDL - few bites.  Did not take Ubiquinol CoQ10 for energy because no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146918 - long hills pending yet.  Since temperature forecast below 90, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146919 - sweating that ejects electrolytes, then to save money did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146920 - Nuun electrolyte pill, per above. ref SDS 0 WQSV  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146921 - hiked back 2.5 miles on Pine Hollow.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146922 - hiking West 1 mile uphill 3% - 4% grade against wind 05 mph.  Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146923 - bends North - at Ygnacio Valley Road turned around hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146924 - Campus Drive .25 mile 5% grade.  Mile 12, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146925 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146926 - through Faculty and Student parking.  Back at Visitor Parking hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146927 - loop around main buildings, then stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146928 - mile 14 time 1407 temp 78 and wind 03 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146929 - with some artifact.  Kardia reported HR 138 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146930 - ref SDS 0 WVQX  Since Kardia reports Tachycardia seems to indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146931 - heart is working "well" at this time, possibly resolving Polar GPS/HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146932 - monitor showing 1st 3 miles that seem grossly "irregular." Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146933 - PL 3 and bottom right foot 1" below metatarsal #4 PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146934 - sensation PL 0, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146935 - left foot #5 edge blister/callus PL 0 and #1 PL 0, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146936 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146937 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146938 - intermitant.  Took 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146939 - (...experiment test avoid seizure taking normal 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146940 - Gabapentin...).  Took another (3rd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146941 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146942 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146943 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146944 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146945 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146946 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146947 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146948 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146949 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146950 - hike.  Since temperature forecast below 90, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146951 - ejects electrolytes, then despite extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146952 - Valley Road, to save money did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146953 - above. ref SDS 0 WQSV  Exited college taking Campus Drive North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146954 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146955 - miles.  At mile 15, continued uphill 3% grade .5 miles against wind 06                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146956 - mph.  Crossed Cowell at stop light.  At break in traffic, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146957 - North side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146958 - uphill 3% grade to summit.  At end of concrete barriar and break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146959 - rising afternoon commute traffic about mile 16, crossed back to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146960 - side Ygnacio Valley Road to use wider shoulder.  Continued 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146961 - downhill 3-4% grade.  At break in traffic crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146962 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  At mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146963 - hiked 1-mile loop around block at Safeway shopping complex.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146964 - stopped at Mod Pizza mile 20, time 1547, temp 80 and wind 10 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146965 - looks mostly uniform with some artifact.  Kardia reported HR 141                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146966 - Unclassified - see below. ref SDS 0 WVSR  Polar reported HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146967 - drop severely today, during pause for EKG, hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146968 - see case study on 200101 0701, ref SDS 16 PY3I, and research on 240416                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146969 - 0942. ref SDS 34 RU6M  Both feet PL 3, burning sensation PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146970 - foot Tailor's bunions PL 0, left foot #5 edge callus/blister PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146971 - right foot #4 bottom blister/callus PL 1, #5 edge callus/blister PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146972 - left knee meniscus PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146973 - intermitant.  Took 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146974 - Took 4th Magnesium complex 300 mg pill for energy, and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146975 - reduces inflammation, evident today with increased feet pain, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146976 - magnesium is essential to raise HDL.  Since softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146977 - home has gotten warm the past 4 hours, Mod Pizza attendant provided a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146978 - cup and ice free of charge (...On the House...) using vending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146979 - dispenser.  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146980 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146981 - in water/Coca Cola/orange juice) for energy, and avocado for HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146982 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146983 - Since temperature is still below 90, sweating moderate that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146984 - electrolytes, did not take`another Nuun electrolyte pill (...save                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146985 - money...), per above. ref SDS 0 WQSV  Continued hiking 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146986 - around the block - turned right onto path parallel to Via Monte hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146987 - North .25 miles, turned right onto Shadelands hiking .25 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146988 - turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146989 - sun with temperature 80s.  Crossed Treat at Stop Light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146990 - East on flat grade concrete sidewalk.  At San Miguel hiked .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146991 - on Treat uphill 5% grade with wind 10 mph, temp 79.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146992 - well.  At summit, mile 23, hiked another mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146993 - Cuneo.  Ended hike mile 24 time 1710 temp 82, wind 08, feet PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146994 - foot #5 edge PL 1, #4 tip new blister PL 1, right foot blister #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146995 - bottom PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146996 - knee PL 1 (not swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146997 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146998 - elbow PL 0, when lifting.  EKG mostly uniform, with some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146999 - Kardia reported HR 134 Unclassified - see below. ref SDS 0 W59V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147013 -  ..
147014 - Kardia recorded HR 049 at 0758 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147015 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147016 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147017 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147018 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147019 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147022 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147023 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241023-ecg-075803_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147029 -  ..
147030 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147031 - hike 24 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147032 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147034 -  ..
147035 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147036 -                                                 x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147037 -       Date          241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 240804 24080  
147038 -       Miles            24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0      0   
147039 -       HR AVG          135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no     no   
147040 -         MAX           159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report report repor  
147041 -         Min            75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                                     
147042 -       El Climb Ft     450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation ------------------------------------------------  
147043 -       Temp Max         83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                                     
147044 -       Wind Max         12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                                     
147045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147048 -              https://flow.polar.com/training/analysis/7986206630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147052 -               ..
147054 -   
147055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147059 -  ..
147060 - EKG at mile 09 time 1231 HR 129 temp 73, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147061 - Atrial Fibrillation... may relate to Polar HR profile showing 1st 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147062 - miles repetitive HR dips despite steady pace and elevation... heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147063 - rate looks mostly uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147064 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147067 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147068 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241023-ecg-123113_mile_09_129_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147073 -  ..
147074 - EKG at mile 14 time 1407 HR 138 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147075 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147076 - since Kardia reports Tachycardia seems to indicate heart is working                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147077 - "well" - possibly initial irregular heart beats, continued walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147078 - restored regular heart function - medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147079 - 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147082 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147083 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241023-ecg-140754_mile_14_138_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147087 -  ..
147088 - EKG at mile 20 time 1547 HR 141 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147089 - Unclassified... heart rate looks mostly uniform with some artifact - -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147090 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147093 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147094 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241023-ecg-154739_mile_20_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147099 -  ..
147100 - End hike EKG at mile 24, time 1710 HR 134 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147101 - Unclassified... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147102 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147105 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147106 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241023-ecg-171045_mile_24_134_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147111 -  ..
147112 - Post hike HR profile beginning 0045, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147113 - hiking 24 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147114 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147115 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147116 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147119 -        ..
147120 -       Date      241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814  240813    
147121 -       Time       0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156    2007     
147122 -       Hours         9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9       9     
147123 -       HR AVG       61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61      60     
147124 -       HR MAX      137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117      99     
147125 -       HR Min       42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39      39     
147126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147129 -              https://flow.polar.com/training/analysis/7986597959                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147133 -               ..
147135 -   
147136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147139 -  ..
147140 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147141 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147142 - Dinner - tuna salmon broccoli cauliflower onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147145 -  ..
147146 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147171 -         ..
147172 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147173 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147174 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147175 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147176 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147177 -  298.  241024 0750............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147178 -               0750....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147179 -               0755....BP HR..................................................... 160  89  51  Kardia ECG reports HR status, see below. ref SDS 0 XSK1                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147180 -               0800....BP HR..................................................... 167  95  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147181 -               0805....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147182 -               0805....80 423000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147183 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147184 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147185 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147186 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147187 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147188 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
147189 -  ..
147190 -               1139....miles...........  25.0  49.0  403   782 minutes  temp  77 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147191 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147192 -               1321....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147193 -               1321....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147194 -               1321... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147195 -               1321... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
147196 -               1321....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147197 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
147198 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147199 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147200 -               1618....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147201 -               1618....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147202 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147203 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147204 -               1618... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
147205 -               1618... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
147206 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147207 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147208 -               1730... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                              
147209 -               1754....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147210 -               1754....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147211 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147212 -               1754... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
147213 -               1754... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
147214 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147215 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147216 -               1920... Hike ends mile 25... ref SDS 0 WXPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147217 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147218 -               1930....weight.................................... 172  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147219 -               1940....BP HR.....................................................  98  70 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147220 -               1945....BP HR.....................................................  87  62  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147221 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147222 -               2000... 40 116080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
147223 -               2040............ 10 20570  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
147224 -               2040............ 10 20920  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
147225 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147226 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147227 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147228 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147229 -               2200... 1000 2271000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147230 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147231 -               2330... 80 423080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147232 -               2340... 40 92580 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147236 -  ..
147237 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147238 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147240 -  ..
147241 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147242 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147244 -  ..
147245 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147248 -  ..
147249 - Today, hiked 25 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147250 - streets - Treat, Turtle Creek Road.  Oddly, entire 25 mile hike Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147251 - HR record shows series of 12 severe HR dips, despite steady pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147252 - terraine elevation routine, similar to HR profile last hike but today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147253 - HR dips occurred entire 25 miles, reported on 241019, above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147254 - ref SDS 0 JP3H, instead of 3 miles yesterday.  Continued on Ayers to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147255 - Clayton Road, mile 3; then South 1 mile Turned West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147256 - road 1 mile.  At mile 5, hiked East on Pine Hollow 2 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147257 - and hiked .25 mile North on Mitchel Canyon Road.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147258 - hiked back.  Turned left and hiked 1 mile to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147259 - Stopped at mile 9, but forgot to do Kardia EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147260 - nutrition.  Took 2 Tramadol and 1 Gabapentin for pain management.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147261 - Hiked back on Pine Hollow 2.5 miles and turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147262 - heading West 3% grade 1 mile that bends North.  At Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147263 - turned around hiking on Campus Road uphill .25 mile and reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147264 - Visitor Parking at the College.  Hiked a loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147265 - Student parking, then loop around main buildings.  Stopped at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147266 - for EKG, hydration, nutrition and CoQ10 for energy and HDL.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147267 - Tramadol but not Gabapentin in order to avoid seizure symptoms that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147268 - occurred during hike on 240924, per above. ref SDS 0 PYSX - then took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147269 - magneseum complex, with nutrition and hydration.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147270 - downhill on Campus Drive heading West .25 miles.  Turned ont Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147271 - Valley Road heading West uphill 3% grade on Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147272 - summit mile 16, crossed to South side of road.  Continued West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147273 - miles.  Crossed at Oak Grove.  Hiked 1 loop around 1 mile paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147274 - around the block at Safeway shopping complex.  At mile 20, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147275 - Mod Pizza for EKG, hydration and nutrition.  Continued hike another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147276 - loop around shopping complex, then took Oak Grove 1 mile North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147277 - Turned onto Treat and hiked 2 miles East.  This part of hike was more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147278 - difficult, because the asphalt road is being resurfaced.  At Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147279 - continued .25 mile and turned around at Cowell.  Hiked back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147280 - then home.  Barely loopy - actually fatigue - last 4 miles with only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147281 - dose Gabapentin, and no seizure symptoms, e.g. no loss motor control,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147282 - no hallucinations.  HR elevated today, reflecting mostly no hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147283 - past 3 months.  Need explanation for erratic HR dips with steady pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147284 - and elevation 1st 3 miles, but this has not caused noticable adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147285 - symptoms.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147291 -         ..
147292 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147293 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147294 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating recurred taking 2 doses magnesium, bloating noticable today; took Simethicone mile 18 time 173                                                                                                                                                                                                                                                                                                                                                
147295 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147296 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147297 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147298 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147299 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147300 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147301 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147302 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147303 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
147304 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147305 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
147306 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147307 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147308 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
147309 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147310 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147311 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147312 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
147313 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147314 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147315 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147316 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147317 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
147318 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147319 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147320 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
147321 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147322 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147323 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147324 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
147325 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147326 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147327 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 14 again at mile 20                                                                                                                                                                                                                                                                                                                                                    
147328 -  new   Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 00 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                          
147329 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147330 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147331 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
147332 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
147333 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
147334 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
147335 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147336 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
147337 -        Callus big toe left foot...PRP 210705........   1         30  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147338 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
147339 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147340 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
147341 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
147342 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
147343 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147344 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
147345 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
147346 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
147347 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
147348 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147349 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
147350 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 12 and again at mile 18 - no bandaging only mild issue today                                                                                                                                                                                                                                                                                                                                                                                      
147351 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
147352 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147353 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147354 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
147355 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147356 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
147357 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
147358 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147359 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147360 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147361 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147362 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147363 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147364 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147365 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147366 -        Wobbly disoriented staggering dizzy..........   1         20  took 1 Tramadol and 1 Gabapentin mile 09 and only 1 Tramadol mile 14 and again at mile 20 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
147367 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147371 -  ..
147372 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147373 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147374 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147375 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147377 -  ..
147378 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147379 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147380 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147381 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147382 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147383 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147384 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147385 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147387 -  ..
147388 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147389 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147391 -  ..
147392 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147393 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147394 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147395 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147396 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147397 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147398 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147399 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147400 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147401 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147403 -  ..
147404 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147405 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147406 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147407 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147408 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147411 -  ..
147412 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147413 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147414 - injection on 231121 0700. ref SDS 27 I48N  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147415 - because CoQ10 is a natural enzyme produced in the body to help the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147416 - heart produce energy and help the liver produce HDL, which is lowered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147417 - by statins, see research on 131125 0005. ref SDS 2 AT3J  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147418 - Naproxen for pain and inflammation management to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147419 - it can cause colitis.  Did not take Tramadol with Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147420 - management, because there is no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147421 - the hike.  Took Magnesium Complex that increases energy and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147422 - inflammation allowing HDL to increase - 300 mg 1 Pill Bioemblem Triple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147423 - Complex Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147424 - ref SDS 42 VY92...) - designed to swallow whole for gradual release as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147425 - plastic capsules breakdown and release magnesium complex over time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147426 - These capsules are much larger than most medication pills.  They                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147427 - become gradually more difficult to swallow as achalasia closes LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147428 - over weeks and months.  In August had to open the pills and empty the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147429 - magnesium powder onto food to swallow all at once, rather dispense the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147430 - magnesium over hours while hiking.  This reduced the prolonged effect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147431 - of increased energy, see an example on 240827, above. ref SDS 0 PXRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147432 - After EGD Dilation on 240910, have been able to swallow the pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147433 - whole.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147434 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147435 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147436 - disapating lactic acid that causes fatigue in muscles, and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147437 - also reduces inflammation, which then enables HDL to rise with hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147438 - Magnesium further improves general health in major organs.  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147439 - amount peanut butter and margarine and chia seeds for electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147440 - including energy, and avocado for HDL, per above. ref SDS 0 B3Q7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147441 - Soaking Chia seeds in water, Coca Cola, orange juice, etc., increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147442 - energy and aids hydration, shown in research on 240305 1256.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147443 - ref SDS 32 IZ4K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147444 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147445 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147446 - biopsy results on 200716 0800. ref SDS 20 N88N; Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147447 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147448 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147449 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147450 - 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147451 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147452 - Magnesium can also cause bloating, if too much is taken; can relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147453 - bloating in some cases.  Similar for Famitodine and PantopraZOL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147454 - reported in the record on 240507 0930. ref SDS 38 ZC5F  For some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147455 - reason felt bloated starting hike for about 5 miles.  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147456 - carry stuff - good to build conditioning for Half Dome.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147457 - .25 mile and turned left, onto Treat.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147458 - starting hike feeling swelled and like pins and needles calming down -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147459 - peripheral neuropathy caused by taking statins.  Bottom of both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147460 - not hurting yet, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147461 - per above. ref SDS 0 XVTR  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147462 - dyspnea, indicating good condition despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147463 - months.  Temperature started at 55, and reached 83.  West wind 10 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147464 - and mostly 04 mph.  Hiked East on Treat .5 miles.  Pavement on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147465 - has been scarrified pending resurface with new asphalt.  This required                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147466 - more concentration on where to step.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147467 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147468 - some places 2% uphill, and very light traffic.  Did not Hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147469 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147470 - uphill 4% grade.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147471 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147472 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147473 - parking lots of shopping
147474 - complex. <XW8F Oddly during this initial hike out to mile 3,
147475 - where Ayers intersects with Clayton, Polar shows HR dipped roughly 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147476 - points for 5 - 20 mninutes, then flipped back to normal HR for this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147477 - hike today, and irrespective of pace and elevation.  Paid closer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147478 - attention checking Polar wrist HR monitor, so was aware of HR dips.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147479 - Like AFL have no physical symptoms of HR dips and rises.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147480 - irregular HR during initial 3 miles of hike shows 4 dips and rises,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147481 - correlates to initial 8 miles of irregular HR with 9 dips, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147482 - for hike on 241019, per above. ref SDS 0 JP3H  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147483 - traffic light and continued on concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147484 - strong - aligns with taking magnesium.  At mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147485 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.  Begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147486 - feeling metatarsaltia PL 1 both feet, and left foot #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147487 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147488 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147489 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147490 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147491 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147492 - left hiked 2.00 miles East. <WP9N Made another unusual change in the
147493 - route.  Turned left hiking .25 miles North.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147494 - back.  Turned left heading East again to end of Pine Hollow.  Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147495 - Hollow ends at a home.  Stopped at mile 08 time 1358 temp 75 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147496 - 05 mph; EKG looks mostly uniform with considerable artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147497 - reported HR 112 Tachycardia - see below. ref SDS 0 WWVP  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147498 - 4 and bottom right foot 1" below metatarsal #4 PL 0, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147499 - PL 2, shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147500 - edge blister/callus PL 0 and #1 PL 0, right foot #4 top blister/callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147501 - PL 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147502 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147503 - 2 Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147504 - avoid seizure taking normal dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147505 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147506 - 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147507 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147508 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147509 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147510 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147511 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147512 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147513 - energy and electrolytes, and some avocado for HDL - few bites.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147514 - not take Ubiquinol CoQ10 for energy because no long hills pending yet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147515 - Since temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147516 - electrolytes, then to save money did not take Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147517 - per above. ref SDS 0 WRWT  Turned around and hiked back 1.0 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147518 - Pine Hollow.  Turned left onto Mitchell Canyon Road hiking South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147519 - mile to Cemex Clayton Aggregate, turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147520 - left hining 2 miles on Pine Hollow.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147521 - hiking West 1 mile uphill 3% - 4% grade against wind 12 mph.  Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147522 - bends North, tunred left heading West on Ygnacio Valley Road .5 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147523 - Turned around hiked uphill .25[mile 5% grade.  Mile 14, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147524 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147525 - Campus.  Hiked loop through Faculty and Student parking.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147526 - Visitor Parking hiked loop around main buildings, then stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147527 - Administration Building mile 16 time 1618 temp 77 and wind 06 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147528 - looks uniform with no artifact.  Kardia reported HR 127 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147529 - see below. ref SDS 0 E6WT  Since HR looks perfectly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147530 - artifact, and is elevated this presents common AF signals.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147531 - Kardia reports Tachycardia seems to indicate heart is working                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147532 - "perfectly" at this time, possibly resolving Polar GPS/HR monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147533 - showing 1st 8 miles that seem grossly "irregular." Both feet PL 3 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147534 - bottom right foot 1" below metatarsal #4 PL 0, burning sensation PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147535 - shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147536 - blister/callus PL 0 and #1 PL 2, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147537 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147538 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147539 - 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147540 - avoid seizure taking normal 2nd dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147541 - (3rd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147542 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147543 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147544 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147545 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147546 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147547 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147548 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147549 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147550 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147551 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147552 - electrolytes, then despite extending hike over summit Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147553 - Road, to save money did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147554 - ref SDS 0 WRWT  Exited college at heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147555 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147556 - grade .5 miles.  At mile 17, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147557 - 3% grade .5 miles against wind 10 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147558 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147559 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147560 - end of concrete barriar and break in rising afternoon commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147561 - about mile 18, crossed back to South side Ygnacio Valley Road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147562 - wider shoulder.  About time 1730 - feeling bloated - possible ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147563 - colitis - took 1 Simethicone.  Continued 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147564 - At break in traffic crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147565 - Crossed Oak Grove at traffic light.  At mile 20, hiked 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147566 - around block at Safeway shopping complex.  Today, stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147567 - mile 21, time 1754, temp 75 and wind 04 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147568 - with some artifact.  Kardia reported HR 126 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147569 - ref SDS 0 JRA9  Polar reported HR did not drop severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147570 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147571 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147572 - feet PL 3, burning sensation PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147573 - left foot #5 edge callus/blister PL 2, right foot #4 bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147574 - blister/callus PL 1, #5 edge callus/blister PL 0, left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147575 - PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Decided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147576 - take another Tramadol, but changed mind and took 1 Tramadol 50 mg and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147577 - 0 Gabapentin 300 mg for pain.  Took 4th Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147578 - for energy, and magnesium reduces inflammation, evident today with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147579 - increased feet pain, and magnesium is essential to raise HDL.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147580 - softdrink carried from home has gotten warm the past 4 hours, Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147581 - Pizza attendant provided a cup and ice free of charge (...On the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147582 - House...) using vending dispenser.  Esophagus feeling clogged - Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147583 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147584 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147585 - Cola/orange juice) for energy, and avocado for HDL.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147586 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147587 - is still below 80, sweating moderate that ejects electrolytes, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147588 - take`another Nuun electrolyte pill (...save money...), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147589 - ref SDS 0 WRWT  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147590 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147591 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147592 - Grove.  Hiked 1 mile North on asphalt shoulder in sun with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147593 - low 70s.  Crossed Treat at Stop Light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147594 - grade concrete sidewalk.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147595 - uphill 5% grade with against 08 mph, temp 65.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147596 - summit, mile 24, hiked another mile and turned left onto Cuneo.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147597 - hike mile 25 time 1920 temp 63, wind 04, feet PL 4, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147598 - PL 3, #4 tip new blister PL 3, right foot blister #4 bottom PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147599 - PL 0, burning sensation PL 2, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147600 - (swollen slightly), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147601 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147602 - elbow PL 0, when lifting.  EKG variable with considerable artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147603 - Kardia reported HR 115 Unclassified - see below. ref SDS 0 WXE8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147617 -  ..
147618 - Kardia recorded HR 051 at 0933 Unclassified, looks variable, heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147619 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147620 - 24 miles temp 83 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147621 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147622 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147623 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147626 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147627 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241024-ecg-093340_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147633 -  ..
147634 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147635 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147636 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147638 -  ..
147639 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147640 -                                                 x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147641 -       Date          241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 240805 24080  
147642 -       Miles            25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0      0   
147643 -       HR AVG          123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no     no   
147644 -         MAX           144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report report repor  
147645 -         Min            71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                              
147646 -       El Climb Ft     530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation -----------------------------------------  
147647 -       Temp Max         77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                              
147648 -       Wind Max         12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                              
147649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147652 -              https://flow.polar.com/training/analysis/7986834662                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147656 -               ..
147658 -   
147659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147663 -  ..
147664 - EKG at mile 08 time 1358 HR 112 temp 75, Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147665 - heart rate looks mostly uniform with considerable artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147666 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147669 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147670 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241024-ecg-135824_mile_08_112_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147675 -  ..
147676 - EKG at mile 16 time 1618 HR 127 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147677 - Tachycardia... heart rate looks perfectly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147678 - commonly signals AFL; since Kardia reports Tachycardia seems to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147679 - indicate heart is working "perfectly" - possibly initial irregular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147680 - heart beats, continued walking restored regular heart function -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147681 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147684 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147685 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241024-ecg-161845_mile_16_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147690 -  ..
147691 - EKG at mile 21 time 1754 HR 126 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147692 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147693 - since Kardia reports Tachycardia seems to indicate heart is working                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147694 - "well" - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147697 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147698 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241024-ecg-175408_mile_21_126_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147703 -  ..
147704 - End hike EKG at mile 25, time 1920 HR 115 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147705 - Unclassified... looks mostly variable with considerable artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147706 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147709 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147710 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241024-ecg-192015_mile_25_115_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147714 -  ..
147715 - Post hike HR profile beginning 2200, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147716 - hiking 25 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147717 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147718 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147719 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147722 -        ..
147723 -       Date      241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815  240814    
147724 -       Time       2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952    2156     
147725 -       Hours        10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11       9     
147726 -       HR AVG       62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61      61     
147727 -       HR MAX      159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     117     
147728 -       HR Min       43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41      39     
147729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147732 -              https://flow.polar.com/training/analysis/7987146135                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147736 -               ..
147738 -   
147739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147742 -  ..
147743 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147744 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147745 - Dinner - eggs macaroni cheese tuna salmon broccoli cauliflower onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147748 -  ..
147749 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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147768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147774 -         ..
147775 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147776 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147777 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147778 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147779 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147780 -  299.  241025 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147781 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147782 -               0705....BP HR..................................................... 149  90  52  Kardia ECG reports HR status, see below. ref SDS 0 XSPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147783 -               0710....BP HR..................................................... 167  95  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147784 -               0715....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147785 -               0715....80 423160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147786 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147787 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147788 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147789 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147790 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147791 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
147792 -  ..
147793 -               1055....miles...........  13.0  62.0  212   994 minutes  temp  78 wind 10  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147794 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147795 -               1320....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147796 -               1320....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147797 -               1320... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147798 -               1320... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
147799 -               1320....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147800 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
147801 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147802 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147803 -               0000....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147804 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147805 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147806 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147807 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
147808 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
147809 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147810 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147811 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
147812 -               0000....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147813 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147814 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147815 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
147816 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
147817 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147818 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147819 -               1452... Hike ends mile 13... ref SDS 0 XSYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147820 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147821 -               1530....weight.................................... 173  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147822 -               1540....BP HR.....................................................  98  70 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147823 -               1545....BP HR.....................................................  87  62  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147824 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147825 -               1700... 40 116120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
147826 -             1 0000............ 10 20570  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
147827 -             1 0000............ 10 20920  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
147828 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147829 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147830 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147831 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147832 -               2200... 1000 2272000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147833 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147834 -               2330... 80 423240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147835 -               2340... 40 92620 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147838 -  ..
147839 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147840 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147842 -  ..
147843 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147844 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147846 -  ..
147847 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147850 -  ..
147851 - Today, hiked 13 miles - short miles because persistent breakthrough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147852 - feet pain - need PRP treatment both feet, and bandaging for calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147853 - on edge of left foot.  Started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147854 - streets - Treat, Turtle Creek Road.  Good news!  Entire 13 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147855 - Polar HR record shows no severe HR dips, with steady pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147856 - generally flat elevation, that have occurred the last 5 days, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147857 - 241019, above. ref SDS 0 JP3H  Continued on Ayers to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147858 - mile 3; then South 1 mile Turned West on Ygnacio Valley road 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147859 - At mile 5, hiked East on Pine Hollow .5 mile.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147860 - back on Pine Hollow.  Took Campus Drive West 3% grade 1 mile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147861 - bends North.  At Ygnacio Valley Road turned around hiking back on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147862 - Campus Drive uphill .25 mile and reached Visitor Parking at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147863 - College.  Hiked 2 loops around main buildings.  Stopped at mile 09 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147864 - EKG, hydration, nutrition and CoQ10 for energy and HDL.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147865 - Tramadol and only 1 Gabapentin in order to avoid seizure symptoms that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147866 - occurred during hike on 240923, per above. ref SDS 0 PYSX - then took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147867 - magneseum complex, with nutrition and hydration.  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147868 - downhill on Campus Drive heading North .25 miles.  Turned onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147869 - Valley Road heading West.  Hiked 2 miles uphill 3% grade on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147870 - Valley Road.  At summit mile 16, feet hurting PL 6 despite pain meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147871 - Turned around hiked back .5 mile.  Turned left onto Cowell for 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147872 - to Treat - then home.  Barely loopy - only fatigue - last 4 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147873 - only 1 dose Gabapentin, and no seizure symptoms, e.g. no loss motor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147874 - control - speed, falling - no blackouts or hallucinations.  HR finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147875 - not elevated today, reflecting heart and blood vessels gaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147876 - strength and flexibility with continuous hiking that recovers from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147877 - reduced hiking past 5 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147883 -         ..
147884 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147885 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147886 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take Simethicone                                                                                                                                                                                                                                                                                                                                                    
147887 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147888 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147889 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147890 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147891 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147892 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147893 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147894 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147895 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
147896 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147897 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
147898 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147899 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147900 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
147901 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147902 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147903 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147904 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
147905 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147906 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147907 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147908 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147909 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
147910 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147911 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147912 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
147913 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147914 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147915 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147916 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
147917 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147918 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147919 -        Metatarsalgia left foot...PRP 210705.........   5         60  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
147920 -  new   Metatarsalgia right foot..PRP 210705.........   5         60  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 2 Tramadol and 1 Gabapentin at mile 09 and again at mile mile 00 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - worse today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                           
147921 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147922 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147923 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
147924 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
147925 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
147926 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
147927 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147928 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
147929 -        Callus big toe left foot...PRP 210705........   4         60  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - tried different damage - small ring below callus attempt keep lateral shoe pressure off of callus                                                                                                                                                                                                                                                                                                               
147930 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, after scraping callus Tuesday 240625 and after taking 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                   
147931 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147932 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
147933 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
147934 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 2 Tramadol and 0 Gabapentin mile 11                                                                                                                                                                                                                                                                                                                                           
147935 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147936 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
147937 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
147938 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
147939 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
147940 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147941 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
147942 -  new   Callus little toe #5 left foot...PRP 210705..   4         60  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 1 Gabapentin mile 09 and again at mile 00 - no bandaging today                                                                                                                                                                                                                                                                                                                                                                                                      
147943 -  new   Callus ring tip of #4 toe left foot..........   2         60  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
147944 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147945 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147946 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
147947 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147948 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
147949 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
147950 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147951 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147952 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147953 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147954 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147955 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147956 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147957 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147958 -        Wobbly disoriented staggering dizzy..........   1         20  took 2 Tramadol and 1 Gabapentin mile 09 and only 0 Tramadol mile 14 and again at mile 20 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
147959 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147963 -  ..
147964 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147965 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147966 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147967 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147969 -  ..
147970 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147971 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147972 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147973 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147974 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147975 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147976 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147977 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147979 -  ..
147980 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147981 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147983 -  ..
147984 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147985 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147986 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147987 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147988 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147989 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147990 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147991 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147992 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147993 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147995 -  ..
147996 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147997 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147998 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147999 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148000 - ref SDS 0 UW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148003 -  ..
148004 - Concord 13 mile route - before starting hike did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148005 - with Gabapentin for pain management, because there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148006 - pain in feet starting the hike, Did not take Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148007 - inflammation management to start hike, because it can cause colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148008 - Took Magnesium Complex that increases energy and reduces inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148009 - allowing HDL to increase - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148010 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148011 - ref SDS 42 VY92...) - these plastic capsules are designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148012 - whole for gradual release of magnesium as capsules breakdown over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148013 - hours from stomach acidity.  The capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148014 - medication pills.  They gradually become more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148015 - achalasia closes LESV over weeks and months.  In August had to open                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148016 - the pills and empty the magnesium powder onto food to swallow all at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148017 - once, rather dispense the magnesium over hours while hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148018 - reduces prolonged effect of increased energy, see an example on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148019 - 240827, above. ref SDS 0 PXRP  After EGD Dilation on 240910, have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148020 - able to swallow the magnesium capsules whole.  Research with Microsoft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148021 - AI indicates magnesium can be effective combined with avocado, peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148022 - butter and margarine, reported on 240519 1653. ref SDS 42 JH8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148023 - Magnesium increases energy by disapating lactic acid that causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148024 - fatigue in muscles, and magnesium also reduces inflammation, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148025 - then enables HDL to rise with hiking.  Magnesium further improves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148026 - general health in major organs.  After taking magnesium capsule, had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148027 - small amount peanut butter and margarine and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148028 - electrolytes, and avocado for HDL.  Soaking Chia seeds in water, Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148029 - Cola, orange juice, etc., increases energy and aids hydration, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148030 - in research on 240305 1256. ref SDS 32 IZ4K  Before leaving house,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148031 - took Glucosamine Chondroitin for OA protection, mainly left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148032 - treated with PRP intra articular injection on 231121 0700. ref SDS 27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148033 - I48N   Also Took Ubiquinol CoQ10 that is a natural enzyme produced in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148034 - the body for the heart to produce energy and helps the liver produce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148035 - HDL.  Since HDL is lowered by statins (see research on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148036 - ref SDS 2 AT3J) prescribed to take every other day, taking CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148037 - increases hiking energy, per above. ref SDS 0 TD8F  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148038 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148039 - taking statins and overuse of Naproxen, reported on 220503 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148040 - ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148041 - ref SDS 20 N88N  Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148042 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148043 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148044 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148045 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148046 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148047 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148048 - Similar for Famitodine and Pantoprazol reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148049 - 240507 0930. ref SDS 38 ZC5F  For some reason felt bloated starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148050 - hike for about 5 miles.  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148051 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148052 - onto Treat.  After about 1 mile feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148053 - needles calming down - peripheral neuropathy caused by taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148054 - Bottom of both feet not hurting yet, including left foot #5, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148055 - flared up on 240919, per above. ref SDS 0 XVTR  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148056 - entire hike with no dyspnea, indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148057 - hiking last few months.  Temperature started at 63, and reached 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148058 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148059 - Scarrified asphalt pavement on Treat has been mostly resurfaced with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148060 - new asphalt.  Much easier to hike today, except feet PL 3 due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148061 - metatqrsalgia and calluses.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148062 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148063 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148064 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148065 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148066 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148067 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148068 - of shopping complex.  This initial 3 miles where Ayers intersects with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148069 - Clayton, Polar shows HR did not dip roughly 30 points for 5 - 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148070 - mninutes, then flip back to normal HR for this hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148071 - irrespective of pace and elevation.  Seems to correct irregular HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148072 - past 3 hikes - may reflect heart and blood vessels responding to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148073 - exercise, which has been missing the past 3 months, reported for hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148074 - on 241019, per above. ref SDS 0 JP3H  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148075 - light and continued on concrete sidewalk .5 miles.  Feeling strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148076 - aligns with taking magnesium.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148077 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148078 - metatarsaltia PL 3 both feet, and left foot #5 PL 3.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148079 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148080 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148081 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148082 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148083 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 0.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148084 - miles East.  Turned around and hiked back.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148085 - Drive heading West uphill 3% grade.  The road bends North.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148086 - reaching Ygnacio Valley Road turned around and hiked uphill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148087 - 5% grade.  Mile 08, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148088 - University East Bay Concord Campus.  Hiked 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148089 - buildings, then stopped at Administration Building mile 09 time 1320                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148090 - temp 74 and wind 05 mph; EKG looks variable with some artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148091 - Kardia reported HR 108 Unclassified - see below. ref SDS 0 XF7G  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148092 - feet PL 4 and bottom right foot 1" below metatarsal #4 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148093 - sensation PL 0, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148094 - left foot #5 edge blister/callus PL 0 and #1 PL 2, right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148095 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148096 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148097 - intermitant.  Took 2 Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148098 - (...experiment test avoid seizure taking normal 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148099 - Gabapentin...).  Took another (2nd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148100 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148101 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148102 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148103 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148104 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148105 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148106 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148107 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148108 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148109 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148110 - ejects electrolytes, then despite extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148111 - Valley Road, to save money did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148112 - above. ref SDS 0 WXVX  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148113 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148114 - grade .5 miles.  At mile 10, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148115 - 3% grade .5 miles against wind 07 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148116 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148117 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148118 - end of concrete barriar turned around and hiked back to Cowell.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148119 - South 1 mile downhill 5% grade.  Turned left onto Treat, then onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148120 - Cunoe and home.  Ended hike mile 13 time 1452 temp 78, wind 04, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148121 - PL 4, left foot #5 edge PL 3, #4 tip new blister PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148122 - blister #4 bottom PL 0, #5 PL 0, burning sensation PL 2, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148123 - PL 0, left knee PL 1 (swollen slightly), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148124 - shoulder PL 0, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148125 - left side PL 0, left elbow PL 0, when lifting.  EKG variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148126 - artifact, Kardia reported HR 111 Possible Atrial Inflammation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148127 - below. ref SDS 0 XSYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148141 -  ..
148142 - Kardia recorded HR 056 at 0813 Normal Sinus Rhythm, looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148143 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148144 - hiking 25 miles temp 77 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148145 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148146 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148147 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148150 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148151 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241025-ecg-081327_mile_00_056_nsr_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148157 -  ..
148158 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148159 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148160 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148162 -  ..
148163 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148164 -                                                 x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148165 -       Date          241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 240811 240810 240809 240808 240807 240806 24080  
148166 -       Miles            13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0      0      0      0      0      0      0   
148167 -       HR AVG          115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no     no     no     no     no     no     no   
148168 -         MAX           137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report report report report report report report repor  
148169 -         Min            65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                                                                       
148170 -       El Climb Ft     450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac ablation ----------------------------------  
148171 -       Temp Max         78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                                                                       
148172 -       Wind Max         10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                                                                       
148173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148175 -              https://flow.polar.com/training/analysis/7987356384                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148179 -               ..
148181 -   
148182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148187 -  ..
148188 - EKG at mile 09 time 1320 HR 108 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148189 - Unclassified... heart rate shows irregular HR with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148190 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148193 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148194 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241025-ecg-132012_mile_09_108_ucl_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148199 -  ..
148200 - End hike EKG at mile 13, time 1452 HR 111 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148201 - Possible Atrial Fibrillation... looks variable with minimal artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148202 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148205 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148206 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241025-ecg-145201_mile_13_111_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148210 -  ..
148211 - Post hike HR profile beginning 1919, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148212 - hiking 13 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148213 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148214 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148215 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148218 -        ..
148219 -       Date      241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816  240815    
148220 -       Time       1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016    1952     
148221 -       Hours        14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9      11     
148222 -       HR AVG       61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64      61     
148223 -       HR MAX      136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     112     
148224 -       HR Min       41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41      41     
148225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148228 -              https://flow.polar.com/training/analysis/7987817002                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148232 -               ..
148234 -   
148235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148238 -  ..
148239 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148240 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148241 - Dinner - eggs macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148244 -  ..
148245 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148270 -         ..
148271 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148272 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148273 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148274 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148275 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148276 -  300.  241026 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148277 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148278 -               0725....BP HR..................................................... 141  82  50  Kardia ECG reports HR status, see below. ref SDS 0 XWPF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148279 -               0730....BP HR..................................................... 140  89  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148280 -               0735....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148281 -               0735....80 423320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148282 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148283 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148284 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148285 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148286 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148287 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148288 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148289 -               1700... 40 116160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
148290 -               1830............ 10 20580  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148291 -               1830............ 10 20930  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148292 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148293 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148294 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148295 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148296 -               2200... 1000 2273000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148297 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148298 -               2330... 80 423400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148299 -               2340... 40 92660 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148302 -  ..
148303 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148304 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148306 -  ..
148307 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148308 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148310 -  ..
148311 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148315 -  ..
148316 - Kardia recorded HR 063 at 0808 Unclassified, looks variable, heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148317 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148318 - 13 miles temp 78 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148319 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148320 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148321 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148324 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148325 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241026-ecg-080806_mile_00_063_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148329 -  ..
148330 - Post hike HR profile beginning 2021, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148331 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148332 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148333 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148334 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148337 -        ..
148338 -       Date      241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817  240816    
148339 -       Time       2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935    2016     
148340 -       Hours        12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11       9     
148341 -       HR AVG       62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62      64     
148342 -       HR MAX      115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     112     
148343 -       HR Min       42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41      41     
148344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148347 -              https://flow.polar.com/training/analysis/7989168804                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148351 -               ..
148353 -   
148354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148357 -  ..
148358 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148359 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148360 - Dinner - eggs macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148363 -  ..
148364 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148391 -         ..
148392 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148393 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148394 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148395 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148396 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148397 -  301.  241027 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148398 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148399 -               0705....BP HR..................................................... 137  82  57  Kardia ECG reports HR status, see below. ref SDS 0 CWPF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148400 -               0710....BP HR..................................................... 133  84  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148401 -               0715....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148402 -               0715....80 423480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148403 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148404 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148405 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148406 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148407 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148408 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148409 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148410 -               1700... 40 116200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
148411 -             1 0000............ 10 20580  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148412 -             1 0000............ 10 20930  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148413 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148414 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148415 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148416 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148417 -               2200... 1000 2274000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148418 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148419 -               2330... 80 423560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148420 -               2340... 40 92700 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148423 -  ..
148424 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148425 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148427 -  ..
148428 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148429 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148431 -  ..
148432 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148436 -  ..
148437 - Kardia recorded HR 050 at 0925 Unclassified, looks somewhat variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148438 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148439 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148440 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148441 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148442 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148445 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148446 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241027-ecg-092544_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148450 -  ..
148451 - Post hike HR profile Polar failed to record...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148454 -        ..
148455 -       Date      241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818  240817    
148456 -       Time         No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944    1935     
148457 -       Hours     Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11      11     
148458 -       HR AVG               62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58      62     
148459 -       HR MAX              115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     102     
148460 -       HR Min               42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40      41     
148461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148466 -  ..
148467 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148468 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148469 - Dinner - eggs macaroni cheese tuna broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148472 -  ..
148473 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148500 -         ..
148501 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148502 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148503 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148504 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148505 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148506 -  302.  241028 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148507 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148508 -               0725....BP HR..................................................... 144  89  59  Kardia ECG reports HR status, see below. ref SDS 0 YHAT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148509 -               0730....BP HR..................................................... 142  87  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148510 -               0735....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148511 -               0735....80 423640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148512 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148513 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148514 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148515 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148516 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148517 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148518 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148519 -               1700... 40 116240 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
148520 -               1830............ 10 20590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148521 -               1830............ 10 20940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148522 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148523 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148524 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148525 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148526 -               2200... 1000 2275000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148527 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148528 -               2330... 80 423720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148529 -               2340... 40 92740 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148532 -  ..
148533 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148534 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148536 -  ..
148537 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148538 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148540 -  ..
148541 - Reflux last night reflux slept in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148546 -  ..
148547 - Kardia recorded HR 048 at 0754 Bradycardia, looks uniform, heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148548 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148549 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148550 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148551 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148552 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148555 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148556 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241028-ecg-075440_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148562 -  ..
148563 - Post hike HR profile beginning 1942, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148564 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148565 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148566 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148567 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148569 -  ..
148570 - Polar reported battery low, so ended HR study about 0200...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148572 -        ..
148573 -       Date      241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819  240818    
148574 -       Time       1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341    1944     
148575 -       Hours         7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7      11     
148576 -       HR AVG       69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60      58     
148577 -       HR MAX      103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     106     
148578 -       HR Min       49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39      40     
148579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148581 -              https://flow.polar.com/training/analysis/7990673090                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148584 -               ..
148586 -   
148587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148590 -  ..
148591 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148592 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148593 - Dinner - eggs macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148596 -  ..
148597 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148624 -         ..
148625 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148626 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148627 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148628 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148629 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148630 -  303.  241029 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148631 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148632 -               0725....BP HR..................................................... 144  89  57  Kardia ECG reports HR status, see below. ref SDS 0 EYTS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148633 -               0730....BP HR..................................................... 143  92  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148634 -               0735....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148635 -               0735....80 423800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148636 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148637 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148638 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148639 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148640 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148641 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148642 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148643 -               1700... 40 116280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
148644 -             1 0000............ 10 20590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148645 -             1 0000............ 10 20940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148646 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148647 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148648 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148649 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148650 -               2200... 1000 2280000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148651 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148652 -               2330... 80 423880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148653 -               2340... 40 92780 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148656 -  ..
148657 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148658 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148660 -  ..
148661 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148662 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148664 -  ..
148665 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148669 -  ..
148670 - Kardia recorded HR 053 at 1023 Normal Sinus Rhythm, looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148671 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148672 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148673 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148674 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148675 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148678 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148679 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241029-ecg-102325_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148684 -  ..
148685 - Post hike HR profile beginning 1957, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148686 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148687 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148688 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148689 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148692 -        ..
148693 -       Date      241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820  240819    
148694 -       Time       1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951    2341     
148695 -       Hours        10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10       7     
148696 -       HR AVG       61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58      60     
148697 -       HR MAX      126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     117     
148698 -       HR Min       49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41      39     
148699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148701 -              https://flow.polar.com/training/analysis/7991264711                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148704 -               ..
148706 -   
148707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148710 -  ..
148711 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148712 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148713 - Dinner - eggs macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148716 -  ..
148717 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148742 -         ..
148743 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148744 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148745 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148746 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148747 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148748 -  304.  241030 0735............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148749 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148750 -               0745....BP HR..................................................... 160  88  53  Kardia ECG reports HR status, see below. ref SDS 0 F8AY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148751 -               0750....BP HR..................................................... 148  84  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148752 -               0755....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148753 -               0755....80 423800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148754 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148755 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148756 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148757 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148758 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148759 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148760 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148761 -               1700... 40 116280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
148762 -               1830............ 10 20590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148763 -               1830............ 10 20940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148764 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148765 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148766 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148767 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148768 -               2200... 1000 2280000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148769 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148770 -               2330... 80 423880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148771 -               2340... 40 92780 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148774 -  ..
148775 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148776 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148778 -  ..
148779 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148780 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148782 -  ..
148783 - Reflux last night slept in recliner chair to avoid reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148789 -  ..
148790 - Kardia recorded HR 058 at 0824 Unclassified, looks variable, heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148791 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148792 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148793 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148794 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148795 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148798 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148799 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241030-ecg-082418_mile_00_058_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148804 -  ..
148805 - Post hike HR profile beginning 1839, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148806 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148807 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148808 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148809 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148812 -        ..
148813 -       Date      241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821  240820    
148814 -       Time       1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953    1951     
148815 -       Hours         7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10      10     
148816 -       HR AVG       66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65      58     
148817 -       HR MAX      120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     105     
148818 -       HR Min       44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40      41     
148819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148821 -              https://flow.polar.com/training/analysis/7991684172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148824 -               ..
148826 -   
148827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148830 -  ..
148831 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148832 - Lunch - half sandwich tuna onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148833 - Dinner - eggs cheese broccoli cauliflower onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148836 -  ..
148837 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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148848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148863 -         ..
148864 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148865 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148866 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148867 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148868 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148869 -  305.  241031 0200............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148870 -               0210....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148871 -               0215....BP HR..................................................... 160  88  53  Kardia ECG reports HR status, see below. ref SDS 0 5PVU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148872 -               0220....BP HR..................................................... 149  83  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148873 -               0225....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148874 -               0225....80 423960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148875 -               0420... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148876 -               0420....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148877 -               0420....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148878 -               0420....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148879 -               0240....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148880 -               0420... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
148881 -  ..
148882 -               0435....miles...........  14.0  14.0  240   240 minutes  temp  57 wind 02  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148883 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148884 -               0625....mile 06 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148885 -               0625....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148886 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148887 -               0625... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
148888 -               0625....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148889 -               0625... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148890 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148891 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148892 -               0000....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148893 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148894 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148895 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148896 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
148897 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148898 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148899 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148900 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
148901 -               0000....mile 21 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148902 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148903 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148904 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
148905 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
148906 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148907 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148908 -               0832... Hike ends mile 14... ref SDS 0 7QRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148909 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148910 -               0840....weight.................................... 175  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148911 -               0845....BP HR..................................................... 114  78 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148912 -               0850....BP HR..................................................... 111  78 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148913 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148914 -               1700... 40 116320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
148915 -             1 0000............ 10 20590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148916 -             1 0000............ 10 20940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148917 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148918 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148919 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148920 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148921 -               2200... 1000 2281000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148922 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148923 -               2330... 80 424040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148924 -               2340... 40 92820 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148927 -  ..
148928 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148929 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148931 -  ..
148932 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148933 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148935 -  ..
148936 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148939 -  ..
148940 - Today, hiked 12 miles in San Francisco Golden Gate Park and then 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148941 - mile in VA hospital and another 1 mile at Costco - took Tramdol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148942 - Gabapentin for metatarsalgia feet pain; took Magnesium and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148943 - nutrition with CoQ10 -- begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148944 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148945 - Hike delayed calling 911 for Emergency Medical Service (EMS) to assist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148946 - a pedestrian who fell on Pointe Lobos at El Camino Del Mar; after EMS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148947 - arrived, continued hike South 1 mile on Great Highway.  Turn East onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148948 - JFK through Golden Gate Park past Buffalo compound, and Sprekles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148949 - At De Young museum mile 5, continue past Conservatory near Nancy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148950 - Pelosi Drive, turned around at mile 6.  Had nutrition and hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148951 - with no pain meds, and magnesium and CoQ10.  Hike back to hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148952 - Left foot #5 and left knee okay with pain meds.  Hiked much better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148953 - today uphill 5% grade on Great Highway from Ocean Beach to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148954 - then on Point Lobos to 42nd and the hospital breathing only through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148955 - nose indicating increased conditioning since doing same route on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148956 - 240829, per above. ref SDS 0 QRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148962 -         ..
148963 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148964 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148965 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take Simethicone                                                                                                                                                                                                                                                                                                                                                    
148966 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148967 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148968 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148969 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148970 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148971 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148972 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148973 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148974 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
148975 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148976 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
148977 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148978 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148979 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
148980 -        Hip right....................................   0        100  occurred about mile 3 and resoloved before taking Tramadol and Gabapentin at mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148981 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148982 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148983 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
148984 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148985 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148986 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148987 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148988 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
148989 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148990 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148991 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
148992 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148993 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148994 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148995 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
148996 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148997 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148998 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 1 Gabapentin at mile 06 and again at mile mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
148999 -  new   Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 240926 and switched to old orthotic inserts on 240724 - these helped - took 1 Tramadol and 0 Gabapentin at mile 06 and again at mile mile 00 again at mile 00 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - worse today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                           
149000 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149001 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149002 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
149003 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
149004 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
149005 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
149006 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149007 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
149008 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06                                                                                                                                                                                                                                                                                                                                                   
149009 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06                                                                                                                                                                                                                                                                                                                                                                                                                    
149010 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149011 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
149012 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
149013 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
149014 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149015 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
149016 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
149017 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
149018 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
149019 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149020 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
149021 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 00 and 1 Tramadol and 0 Gabapentin mile 06 - no bandaging today                                                                                                                                                                                                                                                                                                                                                                                   
149022 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
149023 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149024 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149025 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
149026 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149027 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
149028 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
149029 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149030 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149031 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149032 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149033 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149034 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149035 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149036 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149037 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 00 and only 1 Tramadol mile 06 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
149038 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149042 -  ..
149043 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149044 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149045 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149046 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149048 -  ..
149049 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149050 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149051 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149052 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149053 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149054 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149055 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149056 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149058 -  ..
149059 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149060 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149062 -  ..
149063 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149064 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149065 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149066 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149067 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149068 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149069 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149070 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149071 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149072 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149074 -  ..
149075 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149076 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149077 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149078 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149079 - ref SDS 0 L26G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149082 -  ..
149083 - San Francisco 14 mile route, reported on 170519, ref SDS 6 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149084 - Before leaving house in Concord, took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149085 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149086 - injection on 231121 0700. ref SDS 27 I48N  At VA time 0420, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149087 - starting hike, took Tramadol and Gabapentin for pain management.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149088 - not take Naproxen for pain and inflammation management to start hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149089 - because it can cause colitis.  Took Magnesium Complex that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149090 - energy and reduces inflammation allowing HDL to increase with hiking -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149091 - 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149092 - (...see research on 240519 1653. ref SDS 42 VY92...) - these plastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149093 - capsules are designed to swallow whole for gradual release of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149094 - magnesium as capsules breakdown over hours from stomach acidity.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149095 - capsules are much larger than most medication pills.  They gradually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149096 - become more difficult to swallow as achalasia closes LESV over weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149097 - and months.  In August had to open the pills and empty the magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149098 - powder onto food to swallow all at once, rather dispense the magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149099 - over hours while hiking.  This reduces prolonged effect of increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149100 - energy, see an example on 240827, above. ref SDS 0 PXRP  After EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149101 - Dilation on 240910, have been able to swallow the magnesium capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149102 - whole.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149103 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149104 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149105 - disapating lactic acid that causes fatigue in muscles, and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149106 - also reduces inflammation, which then enables HDL to rise with hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149107 - Magnesium further improves general health in major organs.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149108 - taking magnesium capsule, had small amount peanut butter and margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149109 - and chia seeds for electrolytes, and avocado for HDL.  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149110 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149111 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149112 - Before leaving house, took Glucosamine Chondroitin for OA protection,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149113 - mainly left knee treated with PRP intra articular injection on 231121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149114 - 0700. ref SDS 27 I48N   Also Took Ubiquinol CoQ10 that is a natural                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149115 - enzyme produced in the body for the heart to produce energy and helps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149116 - the liver produce HDL.  Since HDL is lowered by statins (see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149117 - on 131125 0005, ref SDS 2 AT3J) prescribed to take every other day,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149118 - taking CoQ10 increases hiking energy, per above. ref SDS 0 L26G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149119 - Carried backpack to carry stuff - build conditioning for Half Dome.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149120 - Weather - light rain from Concord to San Francisco, but sky cleared at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149121 - the hospital with temperature 59, wind 2 mph, no mist - streets wet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149122 - Departed VAMCSF in dark at 0435.  Hiked slowly downhill on 42nd Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149123 - to warm up.  Turned corner heading downhill West on Point Lobos to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149124 - Cliff House at mile 1.  About 300 yards before reaching Cliff House,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149125 - at El Camino Del Mar heard voices.  Looked left and saw people                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149126 - removing or stowing things in trunk of a car - kept going.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149127 - another voice was more distinctive saying "ambulance." Looked again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149128 - and saw a man across the street standing next to a traffic light pole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149129 - I asked if he needed assistance.  The man said: "Call an ambulance."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149130 - Called 911.  The call center agent asked a series of questions,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149131 - including was the man standing?  Just then the man fell to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149132 - sidewalk.  He had moved downhill from the pole about 30'.  Reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149133 - the fall.  The agent said to ensure the man is laying on his side, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149134 - avoid aspiration.  Reported he was laying his side, but seemed inert.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149135 - Asked the man to move his foot.  There was no movement.  I asked him                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149136 - to clinch his hand.  Reported there was movement in his hand.  The 911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149137 - agent said an EMS team was on the way.  After 15 minutes, called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149138 - again.  The same agent answered and said the EMS team is on Lincoln                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149139 - Avenue headed for Great Highway.  After another 10 minutes called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149140 - again.  The same lady answered and said EMS was nearing the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149141 - House.  I then saw the vehicle rounding the curve.  Thanked the agent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149142 - and moved into the center of the street waving to signal where to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149143 - stop, since the man was laying the dark.  There were 3 or 4 medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149144 - assistants.  They began examining the man, and helped him sit up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149145 - Wasn't clear how well the patient was responding.  They said I could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149146 - leave.  Continued hike downhill to Cliff House.  Road bends and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149147 - changes to "Great Highway" going South along ocean beach.  Pace picked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149148 - up as magnesium triggered rising strength.  At mile 2 turned onto John                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149149 - F Kennedy (JFK) Drive entering Golden Gate Park.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149150 - going slightly uphill into the park for .5 miles.  Said hello to early                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149151 - morning jogger going West - normally this pass occurs nearer to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149152 - Highway 1 bridge, but today was delayed 40 minutes by the man falling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149153 - on Point Lobos.  Turned corner and continued East on JFK.  Dark and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149154 - with few widely spaced street lights, cannot see the road.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149155 - Buffalo compound, then Spreckles Lake.  Hiked past Lindley Meadow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149156 - then past Helman Hollow.  Both feet pain level 1.  Hiked under bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149157 - at Crossover Drive (part of highway 1 that goes to Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149158 - Bridge). - JFK is blocked to vehicle traffic the rest of the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149159 - through the park to Stanyon, limiting attendance to keep people                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149160 - separated that minimizes spreading coronavirus.  Now that the epidemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149161 - has been delcared over, the park continues to deny access to drivers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149162 - on JFK.  At mile 5, hiked past De Young Museum.  Encountering hikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149163 - and bikers heading in both directions.  Past Conservatory near Stanyon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149164 - stopped mile 6, time 0625, temp 51, wind 02; EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149165 - minor artifact.  Kardia reported HR 102 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149166 - ref SDS 0 PQ2V  Both feet PL 2, burning sensation PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149167 - Tailor's bunions PL 0, bottom forefoot below #4 PL 2, left foot #5 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149168 - blister/callus PL 0, right foot #4 top blister/callus PL 0, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149169 - pediplasti spacer, left knee PL 0, and left hamstring PL 0.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149170 - feel bloated.  Softddrink carried from home to help swallow Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149171 - pain pill, and swallow magnesium complex for energy, HDL, and to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149172 - dissipate inflammation, and swallow peanut butter, avocado, margarine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149173 - Took CoQ10 for energy and HDL, per above. ref SDS 0 YWPY  A large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149174 - group of bikers - seemed like 50 to 100 - formed up in the 5 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149175 - for EKG stop.  Someone was giving guidance for a group ride and saying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149176 - this was not a race.  On continuing the hike, asked one of the bikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149177 - for name of the group - seemed to say "FatCake Cycling Club." Sounded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149178 - like they all bike to a restaurant and have a cupcake.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149179 - hiking West back to ocean.  Stayed on South side against traffic (no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149180 - actual vehicle traffic in park) going Eest.  Increased pace with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149181 - endorphins rising.  Waterfall not running at 0730 this morning, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149182 - hiking under Crossover Road bridge at highway 1.  More traffic in park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149183 - this morning, because of 40 minute delay for emergency issue starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149184 - out on Point Lobos.  Hiked past Hellman Hollow then Lindley Meadow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149185 - where 9 years ago, a truck backed up because missed a turn, and struck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149186 - Kathy's car; this got her a new car, reported on 150729 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149187 - ref SDS 4 0001  Continued hiking past Spreckles Lake, then saw 4 or 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149188 - Buffalo grazing in the compound.  Crossed to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149189 - with traffic.  Turned corner and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149190 - North onto Great Highway.  Hiked parallel to ocean toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149191 - House and hospital.  Halfway to Cliff House drank rest of liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149192 - for energy.  Maintained pace hiking up steep hill - 5% - 6% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149193 - Maintained breathing without dyspnea for 1.5 miles uphill all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149194 - to the hospital, noticable improvement compared to prior hiking this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149195 - route on 240829, per above. ref SDS 0 QTSP  Indicates condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149196 - recovering after not hiking to recover from cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149197 - - see Polar GPS/HR report on daily hiking in the record today, below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149198 - ref SDS 0 UVYY  At the Cliff House, turned onto Point Lobos Avenue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149199 - going East; hiked uphill for 1 mile.  Turned onto 42nd street and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149200 - maintained pace going up final hill to the VA campus, continued around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149201 - the parking lot.  Ended hike mile 12, time 0832, temp 62 wind 01, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149202 - PL 2, left foot #1 callus PL 1, #5 callus PL 2, right foot bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149203 - forefoot below #4 Pl 3, left hamstring PL 0, left knee PL 1, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149204 - right shoulder PL 0 (only when turning head or lifting right arm),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149205 - left shoulder PL 0 - getting better.  EKG looks uniform with p-wave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149206 - and no artifact, reported HR 099 Normal Sinus Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149207 - ref SDS 0 7QRS  Hiked another mile at hospital to the cafeteria, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149208 - Podiatry and through halls testing new orthotic inserts.  Later at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149209 - Costco hiked another mile from parking lots into store and through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149210 - aisles - total 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149224 -  ..
149225 - Kardia recorded HR 065 at 0218 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149226 - variable, heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149227 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149228 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149229 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149230 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149233 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149234 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241031-ecg-021807_mile_00_065_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149240 -  ..
149241 - Polar HR GPS study in San Francisco, Concord, California ***low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149242 - accuracy GPS used*** hike 14 miles (including after GGP hike 1 mile in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149243 - VA and 1 mile in aisles of Costco) - Medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149244 - 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149246 -  ..
149247 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149248 -                                                               x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149249 -       Date          241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 240814 240813 240812 24081  
149250 -       Miles            14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0     0      0      0   
149251 -       HR AVG          117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no     o     no     no   
149252 -         MAX           141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report report reort report repor  
149253 -         Min            87                                        65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                                             
149254 -       El Climb Ft     350                                       450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic colitis after 6th cardiac a  
149255 -       Temp Max         61                                        78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                                             
149256 -       Wind Max         02                                        10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                                             
149257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149260 -              https://flow.polar.com/training/analysis/7991888614                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149264 -               ..
149266 -   
149267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149271 -  ..
149272 - EKG at mile 06 time 0625 HR 117 temp 51, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149273 - Tachycardia... heart rate shows uniform HR with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149274 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149277 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149278 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241031-ecg-062517_mile_06_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149283 -  ..
149284 - End hike EKG at mile 12, time 0832 HR 099 temp 62 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149285 - Normal Sinus Rhythm... looks variable with minimal artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149286 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149288 -  ..
149289 - Hiked another 2 miles at hospital and later at Costco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149292 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149293 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241031-ecg-083204_mile_12_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149297 -  ..
149298 - Post hike HR profile beginning 2021, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149299 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149300 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149301 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149302 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149305 -        ..
149306 -       Date      241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822  240821    
149307 -       Time       2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931    1953     
149308 -       Hours        12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11      10     
149309 -       HR AVG       60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62      65     
149310 -       HR MAX      142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     116     
149311 -       HR Min       42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41      40     
149312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149314 -              https://flow.polar.com/training/analysis/7992507384                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149317 -               ..
149319 -   
149320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149323 -  ..
149324 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149325 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149326 - Dinner - steak cheese broccoli cauliflower onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149329 -  ..
149330 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149357 -         ..
149358 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149359 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149360 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149361 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149362 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149363 -  306.  241101 0620............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149364 -               0610....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149365 -               0615....BP HR..................................................... 151  87  46  Kardia ECG reports HR status, see below. ref SDS 0 YN2U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149366 -               0620....BP HR..................................................... 153  89  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149367 -               0625....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149368 -               0625....80 423960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149369 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149370 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149371 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149372 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149373 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149374 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
149375 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149376 -               1700... 40 116320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
149377 -               1830............ 10 20590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
149378 -               1830............ 10 20940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
149379 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149380 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149381 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149382 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149383 -               2200... 1000 2281000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149384 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149385 -               2330... 80 424040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149386 -               2340... 40 92820 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149389 -  ..
149390 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149391 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149393 -  ..
149394 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149395 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149397 -  ..
149398 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149403 -  ..
149404 - Kardia recorded HR 051 at 0916 Normal Sinus Rhythm, looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149405 - heart beat lengths with p-waves and initial artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149406 - after hiking 00 miles temp 61 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149407 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149408 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149409 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149412 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149413 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241101-ecg-091653_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149417 -  ..
149418 - Post hike HR profile beginning 2054, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149419 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149420 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149421 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149422 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149425 -        ..
149426 -       Date      241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823  240822    
149427 -       Time       2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101    1931     
149428 -       Hours        12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10      11     
149429 -       HR AVG       62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69      62     
149430 -       HR MAX      118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     111     
149431 -       HR Min       43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40      41     
149432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149434 -              https://flow.polar.com/training/analysis/7993070199                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149437 -               ..
149439 -   
149440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149443 -  ..
149444 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149445 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149446 - Dinner - steak cheese broccoli cauliflower onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149449 -  ..
149450 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149476 -         ..
149477 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149478 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149479 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149480 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149481 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149482 -  307.  241102 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149483 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149484 -               0715....BP HR..................................................... 151  85  54  Kardia ECG reports HR status, see below. ref SDS 0 PRYX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149485 -               0720....BP HR..................................................... 162  87  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149486 -               0725....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149487 -               0725....80 424120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149488 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149489 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149490 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149491 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149492 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149493 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
149494 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149495 -               1700... 40 116360 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
149496 -             1 0000............ 10 20590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
149497 -             1 0000............ 10 20940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
149498 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149499 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149500 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149501 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149502 -               2200... 1000 2282000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149503 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149504 -               2330... 80 424200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149505 -               2340... 40 92860 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149508 -  ..
149509 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149510 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149512 -  ..
149513 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149514 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149516 -  ..
149517 - Reflux last night slept in chair to avoid reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149522 -  ..
149523 - Kardia recorded HR 062 at 0939 Unclassified, looks variable, heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149524 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149525 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149526 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149527 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149528 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149531 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149532 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241102-ecg-093900_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149536 -  ..
149537 - Post hike HR profile beginning 1934, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149538 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149539 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149540 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149541 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149544 -        ..
149545 -       Date      241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824  240823    
149546 -       Time       1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813    2101     
149547 -       Hours        12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13      10     
149548 -       HR AVG       67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75      69     
149549 -       HR MAX      119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     108     
149550 -       HR Min       43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45      40     
149551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149553 -              https://flow.polar.com/training/analysis2/7993661540                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149556 -               ..
149558 -   
149559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149562 -  ..
149563 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149564 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149565 - Dinner - eggs steak cheese broccoli cauliflower onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149568 -  ..
149569 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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149581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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149583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149596 -         ..
149597 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149598 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149599 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149600 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149601 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149602 -  308.  241103 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149603 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149604 -               0715....BP HR..................................................... 146  88  51  Kardia ECG reports HR status, see below. ref SDS 0 P4QX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149605 -               0720....BP HR..................................................... 149  83  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149606 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149607 -               0725....80 424280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149608 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149609 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149610 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149611 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149612 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149613 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
149614 -  ..
149615 -         * cr  1008....miles...........  30.0  45.0  494   734 minutes  temp  71 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149616 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149617 -               1223....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149618 -               1223....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149619 -               1223... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149620 -               1223... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
149621 -               1223....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149622 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
149623 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149624 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149625 -               1454....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149626 -               1454....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149627 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149628 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149629 -               1454... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                    
149630 -               1454... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                         
149631 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149632 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149633 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
149634 -               1653....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149635 -               1653....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149636 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149637 -               1653... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
149638 -               1653... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
149639 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149640 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149641 -               1918... Hike ends mile 30... ref SDS 0 PTW1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149642 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149643 -               0830....weight.................................... 175  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149644 -               1940....BP HR..................................................... 101  72  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149645 -               1945....BP HR.....................................................  97  70  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149646 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149647 -               1700... 40 116400 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
149648 -               1830............ 10 20600  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
149649 -               1830............ 10 20950  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
149650 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149651 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149652 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149653 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149654 -               2200... 1000 2283000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149655 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149656 -               2330... 80 424360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149657 -               2340... 40 92900 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149660 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149661 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149662 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149663 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149664 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149665 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149666 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149667 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149670 -  ..
149671 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149672 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149674 -  ..
149675 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149676 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149678 -  ..
149679 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149682 -  ..
149683 - Today, hiked 30 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149684 - streets - Treat, Turtle Creek Road, Ayers to Clayton Road, mile 3;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149685 - then South 1 mile and turned West on Ygnacio Valley road 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149686 - mile 5, hiked East on Pine Hollow 2.5 miles.  At mile 08 end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149687 - Hollow stopped for EKG, hydration, nutrition and pain meds.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149688 - magnesium for energy and inflammation.  Hiked back 2.5 miles on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149689 - Hollow.  Turned left onto Campus Drive heading West uphill 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149690 - mile that bends North.  At Ygnacio Valley Road turned around hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149691 - Campus Road uphill .40 mile to Visitor Parking at the College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149692 - loops around main buildings and through Faculty and Student parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149693 - Stopped at mile 16 for EKG, hydration, nutrition and CoQ10 for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149694 - and HDL.  Took 1 Tramadol and no Gabapentin in order to avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149695 - symptoms that occurred during hike on 240923, per above. ref SDS 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149696 - PYSX - then took magneseum complex.  Hiked through parking lots again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149697 - and left college heading West uphill 3% grade on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149698 - At summit mile 19, crossed to South side of road.  Continued West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149699 - miles.  Crossed at Oak Grove.  Hiked 2 1-mile loops on paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149700 - around the block at Safeway shopping complex.  Stopped mile 21, at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149701 - Pizza for EKG, nutrition and hydration, and pain meds.  Took magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149702 - for energy and inflammation, took CoQ10 for energy.  Continued another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149703 - loop around shopping complex, then hiked Oak Grove North 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149704 - Turned onto Treat and hiked 2 miles East back to Cuneo.  Hiked 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149705 - through residential streets then home mile 31.  Barely loopy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149706 - actually fatigue - last 4 miles with only 1 dose Gabapentin, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149707 - seizure symptoms, e.g. no loss motor control, no hallucinations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149708 - Severe breakthrough PL 6 bottom feet and lateral pressures wearing new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149709 - orthotic inserts received from VA on 241031, despite taking 4 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149710 - and 1 Gabapentin during 3 medical stops on hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149712 -             ..
149713 -            [On 241101 1812 bought 1 pair Hoka Bondi 8 size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149714 -            extra-wide (EEEE) shoes to hopefully reduce feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149715 -            ref SDS 56 KK7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149720 -         ..
149721 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149722 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149723 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication - bloating did not recur taking 2 doses magnesium, bloating very mild today; did not take Simethicone                                                                                                                                                                                                                                                                                                                                                    
149724 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149725 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149726 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149727 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149728 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149729 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149730 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149731 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149732 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
149733 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149734 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
149735 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149736 -        Hip left.....................................   1         20  noticed on Treat to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149737 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
149738 -        Hip right....................................   1         20  noticed on Treat to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149739 -        Shin splint pain both legs...................   0        100  last few miles - continued after hike into evening - right leg worse                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149740 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149741 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
149742 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149743 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149744 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149745 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149746 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
149747 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149748 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149749 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
149750 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149751 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149752 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149753 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
149754 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149755 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149756 -        Metatarsalgia left foot...PRP 210705.........   6         20  Doctor Tang shaved calluses 241031 and switched to new orthotic inserts on 241031 - took 2 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 21                                                                                                                                                                                                                                                                                                                                                                   
149757 -        Metatarsalgia right foot..PRP 210705.........   6         20  Doctor Tang shaved calluses 241031 and switched to new orthotic inserts on 241031 - took 2 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 21                                                                                                                                                                                                                                                                                                                                                                   
149758 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   7         30  Doctor Tang shaved calluses 241031 and switched to new orthotic inserts on 241031 - took 2 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 21 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - worse today - tried stepping more on heel with forefoot raised to reduce pressure                                                                                                                                                                                          
149759 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149760 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149761 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
149762 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
149763 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
149764 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
149765 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149766 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
149767 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06                                                                                                                                                                                                                                                                                                                                                   
149768 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06                                                                                                                                                                                                                                                                                                                                                                                                                    
149769 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149770 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
149771 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
149772 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
149773 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149774 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
149775 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
149776 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
149777 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
149778 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149779 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
149780 -  new   Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 00 and 1 Tramadol and 0 Gabapentin mile 06 - no bandaging today                                                                                                                                                                                                                                                                                                                                                                                   
149781 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
149782 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149783 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149784 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
149785 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149786 -        Burning sensation both feet..................   2         40  subsided some after taking 1 Tramadol and 1 Gababenin mile 12 and again at mile 18 - worse at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                    
149787 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
149788 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149789 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149790 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149791 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149792 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149793 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149794 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149795 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149796 -        Wobbly disoriented staggering dizzy..........   3         30  took 2 Tramadol and 1 Gabapentin mile 08 and only 1 Tramadol mile 16 and again at mile 21 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
149797 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149801 -  ..
149802 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149803 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149804 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149805 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149807 -  ..
149808 - Orthotic inserts - wore new Powerestep Protech Classic Thin inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149809 - customized with padding, and received from Doctor Tang on 241031 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149810 - ref SDS 55 TX4O  Switched from Stable Elite inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149811 - Mark Whacter at On-The-Run, reported on 240724, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149812 - 240101 0712. ref SDS 30 UQXQ   Metatarsalgia breakthrough pain PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149813 - occurred by end of hike, indicating will have to switch back to Stable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149814 - Elite and report results to the doctor planned in the meeting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149815 - 241031 0900. ref SDS 55 GZ4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149817 -  ..
149818 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149819 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149821 -  ..
149822 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149823 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149824 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149825 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149826 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149827 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149828 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149829 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149830 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149831 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149833 -  ..
149834 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149835 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149836 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149837 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149838 - ref SDS 0 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149841 -  ..
149842 - Concord 30 mile route - before starting hike did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149843 - with Gabapentin for pain management, because there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149844 - pain in feet starting the hike, Did not take Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149845 - inflammation management to start hike, because it can cause colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149846 - Took Magnesium Complex that increases energy and reduces inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149847 - allowing HDL to increase - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149848 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149849 - ref SDS 42 VY92...) - these plastic capsules are designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149850 - whole for gradual release of magnesium as capsules breakdown over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149851 - hours from stomach acidity.  The capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149852 - medication pills.  They gradually become more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149853 - achalasia closes LESV over weeks and months after dilation.  In August                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149854 - had to open the pills and empty the magnesium powder onto food to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149855 - swallow all at once, rather dispense the magnesium over hours while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149856 - hiking.  This reduces prolonged effect of increased energy, see an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149857 - example on 240827, above. ref SDS 0 PXRP  After EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149858 - 240910, have been able to swallow the magnesium capsules whole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149859 - Research with Microsoft AI indicates magnesium can be effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149860 - combined with avocado, peanut butter and margarine, reported on 240519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149861 - 1653. ref SDS 42 JH8L  Magnesium increases energy by disapating lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149862 - acid that causes fatigue in muscles, and magnesium also reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149863 - inflammation, which then enables HDL to rise with hiking.  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149864 - further improves general health in major organs.  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149865 - magnesium capsule, had small amount peanut butter and margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149866 - chia seeds for electrolytes, and avocado for HDL.  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149867 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149868 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  Before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149869 - leaving house, took Glucosamine Chondroitin for OA protection, mainly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149870 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149871 - ref SDS 27 I48N   Also took Ubiquinol CoQ10 that is a natural enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149872 - produced in the body for the heart to produce energy and helps the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149873 - liver produce HDL.  Since HDL is lowered by statins (see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149874 - 131125 0005, ref SDS 2 AT3J) prescribed to take every other day,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149875 - taking CoQ10 increases hiking energy, per above. ref SDS 0 TD8F  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149876 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149877 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149878 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149879 - ref SDS 20 N88N  Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149880 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149881 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149882 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149883 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149884 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149885 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149886 - Similar for Famitodine and Pantoprazol reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149887 - 240507 0930. ref SDS 38 ZC5F  For some reason felt bloated starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149888 - hike for about 5 miles.  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149889 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149890 - onto Treat.  After about 1 mile feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149891 - needles calming down - peripheral neuropathy caused by taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149892 - Bottom of both feet not hurting yet, including left foot #5, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149893 - flared up on 240919, per above. ref SDS 0 XVTR  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149894 - entire hike with no dyspnea, indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149895 - hiking last few months.  Temperature started at 63, and reached 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149896 - West wind 10 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149897 - Scarrified asphalt pavement on Treat has been mostly resurfaced with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149898 - new asphalt.  Much easier to hike today, except feet PL 3 due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149899 - metatqrsalgia and calluses.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149900 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149901 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149902 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149903 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149904 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149905 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149906 - of shopping complex.  This initial 3 miles where Ayers intersects with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149907 - Clayton, Polar shows HR did not dip roughly 30 points for 5 - 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149908 - mninutes, then flip back to normal HR for this hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149909 - irrespective of pace and elevation.  Seems to correct irregular HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149910 - past 3 hikes - may reflect heart and blood vessels responding to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149911 - exercise, which has been missing the past 3 months, reported for hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149912 - on 241019, per above. ref SDS 0 JP3H  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149913 - light and continued on concrete sidewalk .5 miles.  Feeling strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149914 - aligns with taking magnesium.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149915 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149916 - metatarsaltia PL 3 both feet, and left foot #5 PL 3.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149917 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149918 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149919 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149920 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149921 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149922 - miles to end of Pine Hollow.  Stopped at mile 08 time 1223 temp 69 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149923 - wind 17 mph; EKG looks mostly uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149924 - reported HR 117 Tachycardia - see below. ref SDS 0 PTVU  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149925 - 1 and bottom right foot .5" below metatarsal #4 PL 6, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149926 - sensation PL 0, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149927 - left foot #5 edge blister/callus PL 0 and #1 PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149928 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149929 - intermitant.  Took 2 Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149930 - (...experiment test avoid seizure taking normal dose Gabapentin...).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149931 - Took another Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149932 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149933 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149934 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149935 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149936 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149937 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149938 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149939 - Cola/orange juice) for energy and electrolytes, and some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149940 - HDL - few bites.  Did not take Ubiquinol CoQ10 for energy because no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149941 - long hills pending yet.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149942 - sweating that ejects electrolytes, then to save money did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149943 - Nuun electrolyte pill, per above. ref SDS 0 PPVV  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149944 - hiked back 2.5 miles on Pine Hollow.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149945 - hiking West 1 mile uphill 3% - 4% grade against with 09 mph.  Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149946 - bends North, tunred around at Ygnacio Valley Road.  Hiked South back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149947 - uphill .25 mile 5% grade.  Mile 11, reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149948 - California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149949 - main buildings.  Hiked 3 loops through Faculty and Student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149950 - Back at Visitor Parking Stopped at Administration Building mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149951 - time 1454 temp 70 and wind 15 mph; EKG looks mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149952 - initial artifact.  Kardia reported HR 130 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149953 - ref SDS 0 YT3D  Both feet metatarsalgia PL 0 and bottom right foot .5"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149954 - below metatarsal #4 PL 6, burning sensation PL 0, shin plints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149955 - right foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149956 - 0 and #1 PL 0, right foot #4 top blister/callus PL 0, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149957 - callus/blister PL 0.  Left knee meniscus PL 0, left hamstring PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149958 - left shoulder PL 0, left elbow PL 0 intermitant.  Took 1 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149959 - mg and 0 Gabapentin 300 mg for pain (...experiment test avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149960 - taking no 2nd dose Gabapentin...).  Took another (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149961 - complex 300 mg pill - swallowed whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149962 - avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149963 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149964 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149965 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149966 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149967 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149968 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149969 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149970 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149971 - 80, reduced sweating that ejects electrolytes, then despite extending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149972 - hike over summit Ygnacio Valley Road, to save money did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149973 - electrolyte pill, per above. ref SDS 0 PPVV  Hiked through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149974 - lots again.  Exited college at South end Student Parking taking Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149975 - Drive downhill that bends North.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149976 - Road.  Hiked West on flat grade .5 miles.  At mile 18, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149977 - uphill 3% grade .5 miles against wind 08 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149978 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149979 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149980 - end of concrete barriar and break in rising afternoon commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149981 - - very heavy today - about mile 19, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149982 - Valley Road to use wider shoulder.  Continued 2 miles downhill 3-4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149983 - grade.  At break in traffic crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149984 - Road.  Crossed Oak Grove at traffic light.  At mile 21, hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149985 - loops around block at Safeway shopping complex.  Today, stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149986 - Pizza mile 23, time 1653, temp 68 and wind 08 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149987 - with no artifact.  Kardia reported HR 125 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149988 - ref SDS 0 K2G6  Polar reported HR did not drop severely today, during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149989 - pause for EKG, hydration and nutrition, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149990 - ref SDS 16 PY3I, and research on 240416 0942. ref SDS 34 RU6M  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149991 - feet PL 3, and bottom right foot .5" below metatarsal #4 PL 6, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149992 - sensation PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149993 - callus/blister PL 0, #4 top callus/blister PL 0, right foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149994 - callus/blister PL 0, left knee meniscus PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149995 - elbow PL 0 intermitant.  Took 1 Tramadol 50 mg and 0 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149996 - for pain.  Took 4th Magnesium complex 300 mg pill for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149997 - magnesium reduces inflammation, evident today with increased feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149998 - pain, and magnesium is essential to raise HDL.  Felt like magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149999 - capsule did not pass through LESV.  Since softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150000 - has gotten warm the past 4 hours, Mod Pizza attendant provided a cup                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150001 - and ice free of charge (...On the House...) using vending dispenser.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150002 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150003 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150004 - water/Coca Cola/orange juice) for energy, and avocado for HDL.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150005 - like this nutrition did not pass through LESV - see vomiting below 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150006 - hours later. ref SDS 0 PURS  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150007 - energy to complete hike.  Since temperature is still below 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150008 - sweating moderate that ejects electrolytes, did not take`another Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150009 - electrolyte pill (...save money...), per above. ref SDS 0 PPVV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150010 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150011 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150012 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150013 - feet metatarsalgia PL 4, after not taking more pain meds at MOd Pizza.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150014 - Hiked 1 mile North on asphalt shoulder after sunset with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150015 - mid 60s.  Crossed Treat at Stop Light.  Now dark after return to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150016 - Pacific Standard Time.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150017 - sidewalk.  At San Miguel hiked .75 miles on Treat uphill 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150018 - against 06 mph, temp 67.  Handled this well.  At summit, mile 26,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150019 - hiked another mile and turned left onto Cuneo.  Hiked another 4 miles
150020 - through residential streets.  Ended hike mile 30 time 1918 temp 62,
150021 - wind 08, feet PL 6, right foot bottom below #4 PL 7, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150022 - PL 0, #4 tip new blister PL 0, right foot blister #4 bottom PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150023 - PL 0, burning sensation PL 0, shin splints PL 0, left knee PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150024 - (swollen slightly), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150025 - right shoulder PL 0 intermittantly, lower back left side PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150026 - elbow PL 0, when lifting.  EKG mostly variable, with some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150027 - Kardia reported HR 110 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150028 - ref SDS 0 PTW1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150031 -             ..
150032 -            [On 241101 1812 bought 1 pair Hoka Bondi 8 size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150033 -            extra-wide (EEEE) shoes to hopefully reduce feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150034 -            ref SDS 56 KK7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150049 -  ..
150050 - Kardia recorded HR 050 at 0713 Normal Sinus Rhythm, looks uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150051 - heart beat lengths with p-waves and minor initial artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150052 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150053 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150054 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150055 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150058 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150059 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241103-ecg-071337_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150065 -  ..
150066 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150067 - hike 31 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150068 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150072 -  ..
150073 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150074 -                                          x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150075 -       Date          241103 241102 241101 241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 240817 240816 240815 24081  
150076 -       Miles            30      0      0     14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0      0      0      0  
150077 -       HR AVG          127     no     no    117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no     no     no     no  
150078 -         MAX           152   report report  141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report report report report repo  
150079 -         Min            58                   87                                        65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                                        
150080 -       El Climb Ft     490                  350                                       450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike recover ischemic coliti  
150081 -       Temp Max         71                   61                                        78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                                        
150082 -       Wind Max         15                   02                                        10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                                        
150083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150086 -              https://flow.polar.com/training/analysis/7993954297                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150089 -               ..
150091 -   
150092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150096 -  ..
150097 - EKG at mile 08 time 1223 HR 126 temp 69, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150098 - Tachycardia... heart rate shows uniform HR with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150099 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150102 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150103 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241103-ecg-122324_mile_08_126_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150108 -  ..
150109 - EKG at mile 16 time 1454 HR 130 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150110 - Tachycardia... heart rate shows mostly uniform HR with some initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150111 - artifact - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150114 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150115 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241103-ecg-145424_mile_16_130_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150121 -  ..
150122 - EKG at mile 23 time 1653 HR 125 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150123 - Tachycardia... tracing te shows uniform HR with some initial artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150124 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150127 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150128 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241103-ecg-165306_mile_23_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150133 -  ..
150134 - End hike EKG at mile 30, time 1918 HR 110 temp 61 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150135 - Possible Atrial Fibrillation... looks variable with minimal artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150136 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150139 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150140 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241103-ecg-191814_mile_30_110_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150144 -  ..
150145 - Post hike HR profile beginning 2029, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150146 - hiking 31 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150147 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150148 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150149 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150152 -        ..
150153 -       Date      241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825  240824    
150154 -       Time       2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942    1813     
150155 -       Hours        11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11      13     
150156 -       HR AVG       66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70      75     
150157 -       HR MAX      133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     147     
150158 -       HR Min       43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40      45     
150159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150161 -              https://flow.polar.com/training/analysis/7994250257                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150164 -               ..
150166 -   
150167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150170 -  ..
150171 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150172 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150173 - Dinner - macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150176 -  ..
150177 - Vomiting: 100%  lunch and dinner, seems like magnesium capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150178 - clogged LESV at mile 23 - everything after that came up 4 hours later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150202 -         ..
150203 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150204 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150205 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150206 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150207 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150208 -  309.  241104 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150209 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150210 -               0725....BP HR..................................................... 127  77  61  Kardia ECG reports HR status, see below. ref SDS 0 PVYU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150211 -               0730....BP HR..................................................... 136  75  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150212 -               0735....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150213 -               0735....80 424440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150214 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150215 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150216 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150217 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150218 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150219 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
150220 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150221 -               1700... 40 116440 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
150222 -             1 0000............ 10 20600  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
150223 -             1 0000............ 10 20950  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
150224 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150225 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150226 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150227 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150228 -               2200... 1000 2284000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150229 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150230 -               2330... 80 424520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150231 -               2340... 40 92940 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150234 -  ..
150235 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150236 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150238 -  ..
150239 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150240 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150242 -  ..
150243 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150247 -  ..
150248 - Kardia recorded HR 050 at 0903 Unclassified, looks variable, heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150249 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150250 - 31 miles temp 74 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150251 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150252 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150253 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150256 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150257 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241104-ecg-090338_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150261 -  ..
150262 - Post hike HR profile beginning 1929, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150263 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150264 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150265 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150266 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150269 -        ..
150270 -       Date      241109  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826  240825    
150271 -       Time       1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914    1942     
150272 -       Hours        12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8      11     
150273 -       HR AVG       63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68      70     
150274 -       HR MAX      141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     121     
150275 -       HR Min       39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43      40     
150276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150278 -              https://flow.polar.com/training/analysis/7994896763                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150281 -               ..
150283 -   
150284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150286 -  ..
150287 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150288 - Lunch - sandwich peanut butter jam milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150289 - Dinner - eggs macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150292 -  ..
150293 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150318 -         ..
150319 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150320 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150321 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150322 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150323 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150324 -  310.  241105 0735............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150325 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150326 -               0745....BP HR..................................................... 156  89  57  Kardia ECG reports HR status, see below. ref SDS 0 QJ3C                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150327 -               0750....BP HR..................................................... 139  79  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150328 -               0755....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150329 -               0755....80 424600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150330 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150331 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150332 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150333 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150334 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150335 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
150336 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150337 -               1700... 40 116480 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
150338 -               1830............ 10 20610  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
150339 -               1830............ 10 20960  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
150340 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150341 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150342 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150343 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150344 -               2200... 1000 2285000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150345 -               2230... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150346 -               2330... 80 424680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150347 -               2340... 40 92980 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150350 -  ..
150351 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150352 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150354 -  ..
150355 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150356 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150358 -  ..
150359 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150363 -  ..
150364 - Kardia recorded HR 053 at 0758 Normal Sinus Rhythm, looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150365 - heart beat lengths with p-waves and minor artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150366 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150367 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150368 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150369 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150372 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150373 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241105-ecg-075838_mile_00_053_nsr_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150377 -  ..
150378 - Post hike HR profile beginning 1940, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150379 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150380 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150381 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150382 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150385 -        ..
150386 -       Date      241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827  240826    
150387 -       Time       1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902    1914     
150388 -       Hours        13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11       8     
150389 -       HR AVG       63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59      68     
150390 -       HR MAX      111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128      99     
150391 -       HR Min       43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41      43     
150392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150394 -              https://flow.polar.com/training/analysis/7995559285                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150397 -               ..
150399 -   
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150401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150403 -  ..
150404 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150405 - Lunch - sandwich ham cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150406 - Dinner - eggs macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150409 -  ..
150410 - Vomiting: 5%  reflux slept in recliner chair to say verticle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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150435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150437 -         ..
150438 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150439 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150440 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150441 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150442 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150443 -  311.  241106 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150444 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150445 -               0725....BP HR..................................................... 155 104  58  Kardia ECG reports HR status, see below. ref SDS 0 Q4MX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150446 -               0730....BP HR..................................................... 154  86  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150447 -               0735....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150448 -               0735....80 424760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150449 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150450 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150451 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150452 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150453 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150454 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
150455 -  ..
150456 -               1130....miles...........  20.0  20.0  321   321 minutes  temp  69 wind 20  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150457 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150458 -               1358....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150459 -               1348....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150460 -               1348... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150461 -               1348... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
150462 -               1348....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150463 -               1348... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
150464 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150465 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150466 -               1551....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150467 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150468 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150469 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150470 -               1551... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                    
150471 -               1551... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                         
150472 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150473 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150474 -               1700... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
150475 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150476 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150477 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150478 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
150479 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
150480 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150481 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150482 -               1728... Hike ends mile 20... ref SDS 0 QUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150483 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150484 -               1740....weight.................................... 173  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150485 -               1745....BP HR..................................................... 100  71 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150486 -               1750....BP HR..................................................... 114  79 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150487 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150488 -               1830... 40 116520 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
150489 -             1 0000............ 10 20610  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
150490 -             1 0000............ 10 20960  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
150491 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150492 -               2045... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150493 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150494 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150495 -               2200... 1000 2286000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150496 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150497 -               2330... 80 424840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150498 -               2340... 40 91020 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150501 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150502 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150503 - daily hike. ref SDS 10 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150504 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150505 - Ranch Road at top of mountain, ref SDS 11 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150506 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150507 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150508 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150511 -  ..
150512 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150513 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150515 -  ..
150516 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150517 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150519 -  ..
150520 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150523 -  ..
150524 - Today, hiked 20 miles - started 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150525 - streets - Treat, Turtle Creek Road, Ayers to Clayton Road, mile 3;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150526 - then South 1 mile and turned West on Ygnacio Valley road 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150527 - mile 5, hiked East on Pine Hollow 2.5 miles.  At mile 08 end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150528 - Hollow stopped for EKG, hydration, nutrition and pain meds.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150529 - magnesium for energy and inflammation.  Hiked back 2.5 miles on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150530 - Hollow.  Turned left onto Campus Drive heading West uphill 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150531 - mile that bends North.  At Ygnacio Valley Road turned around hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150532 - Campus Road uphill .40 mile to Visitor Parking at the College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150533 - loops around main buildings and through Faculty and Student parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150534 - Stopped at mile 15 for EKG, hydration, nutrition and CoQ10 for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150535 - and HDL.  Feet PL 1 - took no Tramadol and no Gabapentin in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150536 - avoid seizure symptoms that occurred during hike on 240923, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150537 - ref SDS 30 PYSX - then took magneseum complex.  Hiked through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150538 - lots again and left college heading West uphill 3% grade on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150539 - Valley Road.  At summit end of concrete traffic barriar mile 17, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150540 - hurting PL 3 after not taking pain meds at mile 15, turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150541 - hiked back .5 mile.  turned left onto Cowell for 1 mile to Treat -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150542 - then continued 1 mile through residential streets and home.  Feet held                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150543 - up well wearing new Hoka Bondi 8 x-wide shoes, especially right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150544 - bottom callus beneath skin 1" below #4.  Took only 1 Tramadal and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150545 - Gabapentin.  Very windy - gusting to 30 mph!!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150549 -         ..
150550 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150551 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150552 -        Stomach pain ischemic colitis bloating.......   2         15  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medicatio  - bloating very mildy recurred mile 17 took 1 Simethicone                                                                                                                                                                                                                                                                                                                                                                                                
150553 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150554 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150555 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150556 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150557 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150558 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150559 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150560 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150561 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
150562 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150563 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
150564 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150565 -        Hip left.....................................   1         20  noticed on Ygnacio Valley Road mile 16 to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150566 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
150567 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150568 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150569 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150570 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
150571 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150572 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150573 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150574 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150575 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
150576 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150577 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150578 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
150579 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150580 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150581 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150582 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
150583 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150584 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150585 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21                                                                                                                                                                                                                                                                                                                                                    
150586 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21                                                                                                                                                                                                                                                                                                                                                    
150587 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   3         40  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21 - seems like new issue bottom right foot metatarsal #4, could be callus beneath skin - better today - wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                          
150588 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150589 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150590 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
150591 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
150592 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
150593 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
150594 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150595 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
150596 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 06 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                               
150597 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 00 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                
150598 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150599 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
150600 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
150601 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
150602 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150603 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
150604 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
150605 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
150606 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
150607 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150608 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
150609 -  new   Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Tramadol and 0 Gabapentin mile 06 - no bandaging today wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                               
150610 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
150611 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150612 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150613 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
150614 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150615 -        Burning sensation both feet..................   2         20  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 00 - wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                                                     
150616 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
150617 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
150618 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150619 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150620 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150621 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150622 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150623 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150624 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150625 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 08 and only 0 Tramadol mile 16 and again at mile 21 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
150626 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150630 -  ..
150631 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150632 - wearing Hoka Bondi 8 size 10.5 extra wide.  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150633 - and first laces very loose.  Did not use new Pediplasti Interdigital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150634 - Spacer to protect #4-#5 on both feet.  Shoes worked very well - great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150635 - rebound energy.  Reduced lateral pressure across toe line reduced pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150636 - on #1s and #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150638 -  ..
150639 - Orthotic inserts - switched back to Stable Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150640 - explained in case study record on 200101 0701. ref SDS 16 PR6F and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150641 - pending Doctor Tang replacing customized Powerestep Protech Classic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150642 - "Thin" inserts that caused metatarsalgia PL 6 by end of hike 2 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150643 - ago on 241104, see above. ref SDS 0 PRTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150645 -  ..
150646 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150647 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150649 -  ..
150650 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150651 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150652 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150653 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150654 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150655 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150656 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150657 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150658 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150659 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150661 -  ..
150662 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150663 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150664 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150665 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150666 - ref SDS 0 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150669 -  ..
150670 - Concord 20 mile route - before starting hike did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150671 - with Gabapentin for pain management, because there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150672 - pain in feet starting the hike, Did not take Naproxen for pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150673 - inflammation management to start hike, because it can cause colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150674 - Took Magnesium Complex that increases energy and reduces inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150675 - allowing HDL to increase - 300 mg 1 Pill Bioemblem Triple Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150676 - Glycinate, Malate, & Citrate (...see research on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150677 - ref SDS 42 VY92...) - these plastic capsules are designed to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150678 - whole for gradual release of magnesium as capsules breakdown over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150679 - hours from stomach acidity.  These capsules are much larger than most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150680 - medication pills.  They gradually become more difficult to swallow as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150681 - achalasia closes LESV over weeks and months after dilation.  In August                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150682 - had to open the pills and empty the magnesium powder onto food to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150683 - swallow all at once, rather dispense the magnesium over hours while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150684 - hiking.  This reduces prolonged effect of increased energy, see an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150685 - example on 240827, above. ref SDS 0 PXRP  After EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150686 - 240910, have been able to swallow the magnesium capsules whole.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150687 - Another EGD dilation is scheduled in 3 weeks on 241126.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150688 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150689 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150690 - ref SDS 42 JH8L  Magnesium increases energy by disapating lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150691 - that causes fatigue in muscles, and magnesium also reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150692 - inflammation, which then enables HDL to rise with hiking.  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150693 - further improves general health in major organs.  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150694 - magnesium capsule, had small amount peanut butter and margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150695 - chia seeds for electrolytes, and avocado for HDL.  Soaking Chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150696 - in water, Coca Cola, orange juice, etc., increases energy and aids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150697 - hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  Before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150698 - leaving house, took Glucosamine Chondroitin for OA protection, mainly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150699 - left knee treated with PRP intra articular injection on 231121 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150700 - ref SDS 27 I48N   Also Took Ubiquinol CoQ10 that is a natural enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150701 - produced in the body for the to energize the heart, magnesium helps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150702 - the liver produce HDL.  Since HDL is lowered by statins (see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150703 - on 131125 0005, ref SDS 2 AT3J) prescribed to take every other day,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150704 - taking CoQ10 increases hiking energy, per above. ref SDS 0 5YXG  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150705 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150706 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150707 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150708 - ref SDS 20 N88N  Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150709 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150710 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150711 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150712 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150713 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150714 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150715 - Similar for Famitodine and Pantoprazol reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150716 - 240507 0930. ref SDS 38 ZC5F  Did not feel bloated starting hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150717 - about 5 miles.  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150718 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150719 - onto Treat.  After about 1 mile feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150720 - needles calming down - peripheral neuropathy caused by taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150721 - Bottom of both feet not hurting yet, including left foot #5, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150722 - flared up on 240919, per above. ref SDS 0 XVTR  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150723 - entire hike with no dyspnea, indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150724 - hiking last few months.  Temperature started at 61, and reached 69.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150725 - West wind 20 mph and mostly 15 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150726 - New asphalt pavement on Treat much easier hiking - feet PL 0 due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150727 - metatqrsalgia and calluses.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150728 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150729 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150730 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150731 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150732 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150733 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150734 - of shopping complex.  This initial 3 miles where Ayers intersects with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150735 - Clayton, Polar shows HR did not dip roughly 30 points for 5 - 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150736 - mninutes, then flip back to normal HR for this hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150737 - irrespective of pace and elevation.  Seems to correct irregular HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150738 - past 3 hikes - may reflect heart and blood vessels responding to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150739 - exercise, which has been missing the past 3 months, reported for hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150740 - on 241019, per above. ref SDS 0 JP3H  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150741 - light and continued on concrete sidewalk .5 miles.  Feeling strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150742 - aligns with taking magnesium.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150743 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150744 - metatarsaltia PL 3 both feet, and left foot #5 PL 3.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150745 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150746 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150747 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150748 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150749 - time ____.  Continued on Ygnacio Valley Road; turned left hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150750 - miles to end of Pine Hollow.  Stopped at mile 08 time 1348 temp 68 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150751 - wind 17 mph (gusting to 30 mph).  EKG looks variable with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150752 - Kardia reported HR 119 Tachycardia - see below. ref SDS 0 QTVU  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150753 - feet PL 2 and bottom right foot .5" below metatarsal #4 PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150754 - sensation PL 0, shin plints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150755 - left foot #5 edge blister/callus PL 0 and #1 PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150756 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150757 - intermitant.  Reduced feet pain correlates with wearing new Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150758 - 8 shoes size 10.5 extra-wide (EEEE), per above. ref SDS 0 QQWW  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150759 - Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150760 - avoid seizure taking normal dose Gabapentin...).  Then took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150761 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150762 - 240910, avoids capsule clogging LESV, as occurred on 240824, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150763 - ref SDS 0 PPTU; magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150764 - inflammation, essential to raise HDL - might be "secret" source that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150765 - stimulates liver to increase HDL 64 on 240806 1104. ref SDS 52 XK7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150766 - from HDL 61 on 240611 0700. ref SDS 46 XK7M  Today, magnesium capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150767 - had difficulty swallowing, so subsequent ingestion may have backed up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150768 - in esophagus.  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150769 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150770 - in water/Coca Cola/orange juice) for energy and electrolytes, and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150771 - avocado for HDL - few bites.  Took Ubiquinol CoQ10 for energy hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150772 - long hills pending.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150773 - sweating that ejects electrolytes, then to save money did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150774 - Nuun electrolyte pill, per above. ref SDS 0 PYYX  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150775 - hiked back 2.5 miles on Pine Hollow.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150776 - hiking West 1 mile uphill 3% - 4% grade with wind 15 mph.  Road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150777 - North, tunred around at Ygnacio Valley Road.  Hiked South back uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150778 - .25 mile 5% grade.  Mile 11, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150779 - State University East Bay Concord Campus.  Hiked around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150780 - buildings.  Hiked 2 loops through Faculty and Student parking.  Back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150781 - at Visitor Parking Stopped at Administration Building mile 15 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150782 - 1551 temp 67 and wind 09 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150783 - Kardia reported HR 131 Tachycardia - see below. ref SDS 0 QT7W  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150784 - feet metatarsalgia PL 2 and bottom right foot .5" below metatarsal #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150785 - PL 2 (much better wearing Hoka Bondi 8 x-wide, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150786 - QQWW), burning sensation PL 0, shin plints PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150787 - bunions PL 0, left foot #5 edge blister/callus PL 0 and #1 PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150788 - foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150789 - knee meniscus PL 0, left hamstring PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150790 - elbow PL 0 intermitant.  Took 0 Tramadol 50 mg and 0 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150791 - for pain (...experiment test avoid seizure taking no 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150792 - Gabapentin...).  Took another (3rd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150793 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150794 - LESV, as occurred on 240824, above. ref SDS 0 745N; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150795 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150796 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150797 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150798 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150799 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150800 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150801 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150802 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150803 - ejects electrolytes, then since not extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150804 - Valley Road, to save money did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150805 - above. ref SDS 0 PYYX  Hiked through parking lots again.  Left hip PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150806 - 1 rest of hike.  Exited college at South end Student Parking taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150807 - Campus Drive downhill that bends North.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150808 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150809 - continued uphill 3% grade .5 miles against wind 08 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150810 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150811 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150812 - grade to summit.  At end of concrete barriar turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150813 - back.  Turned left onto Cowell heading North .25 miles downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150814 - grade - feeling hips PL 2 - then flat grade .25 miles, then .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150815 - with narrow shoulder against oncoming commute traffic.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150816 - onto Treat hiking West .25 miles back to Cuneo.  Mile 18 about 1700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150817 - feeling bloated took Simethicone, per above. ref SDS 0 PYYX  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150818 - mile through residential streets then home.  Ended hike mile 20 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150819 - 1728 temp 65, wind 11, feet PL 2, burning sensation PL 3, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150820 - PL 0, #1 PL 0, right foot #4 top blister/callus PL 0; right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150821 - callus bottom foot below #4 PL 3, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150822 - shin splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150823 - shoulder PL 0, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150824 - left side PL 0, left elbow PL 0, when lifting.  EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150825 - with no artifact, Kardia reported HR 110 Possible Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150826 - - see below. ref SDS 0 QUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150841 -  ..
150842 - Kardia recorded HR 063 at 0956 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150843 - variable, heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150844 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150845 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150846 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150847 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150850 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150851 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241106-ecg-095625_mile_00_063_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150857 -  ..
150858 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150859 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150860 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150864 -  ..
150865 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150866 -                                          x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150867 -       Date          241106 241105 241104 241103 241102 241101 241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 240819 240818 24081  
150868 -       Miles            20      0      0     31      0      0     14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0      0      0  
150869 -       HR AVG          126     no     no    127     no     no    117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no     no     no  
150870 -         MAX           149   report report  152   report report  141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report report report repo  
150871 -         Min            66                   58                   87                                        65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                                   
150872 -       El Climb Ft     450                  490                  350                                       450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------------- can't hike re  
150873 -       Temp Max         69                   71                   61                                        78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                                   
150874 -       Wind Max         20                   15                   02                                        10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                                   
150875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150878 -              https://flow.polar.com/training/analysis/7993954297                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150881 -               ..
150883 -   
150884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150888 -  ..
150889 - EKG at mile 08 time 1348 HR 119 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150890 - Tachycardia... tracing shows variable HR with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150891 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150894 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150895 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241106-ecg-134809_mile_08_119_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150900 -  ..
150901 - EKG at mile 15 time 1551 HR 131 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150902 - Tachycardia... tracing shows uniform HR with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150903 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150906 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150907 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241106-ecg-155145_mile_15_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150911 -  ..
150912 - End hike EKG at mile 20, time 1728 HR 110 temp 65 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150913 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150914 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150917 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150918 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241106-ecg-172823_mile_20_110_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150922 -  ..
150923 - Post hike HR profile beginning 2344, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150924 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150925 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150926 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150927 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150930 -        ..
150931 -       Date      241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828  240827    
150932 -       Time       2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759    1902     
150933 -       Hours         9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8      11     
150934 -       HR AVG       66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72      59     
150935 -       HR MAX      153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     128     
150936 -       HR Min       46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43      41     
150937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150939 -              https://flow.polar.com/training/analysis/7996157082                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150942 -               ..
150944 -   
150945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150948 -  ..
150949 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150950 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150951 - Dinner - eggs macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150954 -  ..
150955 - Vomiting: 1%  reflux slept in recliner chair to say verticle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150981 -         ..
150982 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150983 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150984 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150985 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150986 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150987 -  312.  241107 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150988 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150989 -               0735....BP HR..................................................... 149  79  52  Kardia ECG reports HR status, see below. ref SDS 0 9TEP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150990 -               0740....BP HR..................................................... 138  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150991 -               0745....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150992 -               0745....80 424820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150993 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150994 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150995 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150996 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150997 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150998 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
150999 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151000 -               1830... 40 116560 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
151001 -               1830............ 10 20620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151002 -               1830............ 10 20970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151003 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151004 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151005 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151006 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151007 -               2200... 1000 2287000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151008 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151009 -               2330... 80 424900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151010 -               2340... 40 91060 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151013 -  ..
151014 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151015 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151017 -  ..
151018 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151019 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151021 -  ..
151022 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151029 -  ..
151030 - Kardia recorded HR 050 at 0922 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151031 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151032 - hiking 20 miles temp 69 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151033 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151034 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151035 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151038 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151039 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241107-ecg-092254_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151043 -  ..
151044 - Post hike HR profile beginning 2320, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151045 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151046 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151047 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151048 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151051 -        ..
151052 -       Date      241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829  240828    
151053 -       Time       2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053    1759     
151054 -       Hours         9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7       8     
151055 -       HR AVG       66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68      72     
151056 -       HR MAX      153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     101     
151057 -       HR Min       46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41      43     
151058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151060 -              https://flow.polar.com/training/analysis/7996712420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151063 -               ..
151065 -   
151066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151069 -  ..
151070 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151071 - Lunch - half hamburger few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151072 - Dinner - eggs macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151075 -  ..
151076 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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151080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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151088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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151090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151103 -         ..
151104 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151105 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151106 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151107 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151108 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151109 -  313.  241108 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151110 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151111 -               0715....BP HR..................................................... 147  82  54  Kardia ECG reports HR status, see below. ref SDS 0 RPPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151112 -               0720....BP HR..................................................... 138  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151113 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151114 -               0725....80 424980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151115 -               1035....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151116 -               1035... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151117 -               1035... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151118 -               1035....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151119 -               1035....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151120 -               1035....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151121 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151122 -               1035... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
151123 -  ..
151124 -               1043....miles...........  08.0  28.0  175   496 minutes  temp  61 wind  2  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151125 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151126 -               1242....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151127 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151128 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151129 -               1242... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
151130 -               1242....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151131 -               1242... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
151132 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151133 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151134 -               0000....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151135 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151136 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151137 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151138 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                    
151139 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                         
151140 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151141 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151142 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
151143 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151144 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151145 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151146 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
151147 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
151148 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151149 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151150 -               1728... Hike ends mile 20... ref SDS 0 QUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151151 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151152 -               1740....weight.................................... 173  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151153 -               1745....BP HR..................................................... 100  71 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151154 -               1750....BP HR..................................................... 114  79 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151155 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151156 -               1700... 40 116600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
151157 -             1 0000............ 10 20620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151158 -             1 0000............ 10 20970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151159 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151160 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151161 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151162 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151163 -               2200... 1000 2288000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151164 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151165 -               2330... 80 425060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151166 -               2340... 40 91100 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151169 -  ..
151170 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151171 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151173 -  ..
151174 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151175 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151177 -  ..
151178 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151181 -  ..
151182 - Today, hiked 08 miles - 5 Lakes hiking trial in Siera mountains near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151183 - Squaw Valley Valley, California - rated moderately challenging route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151184 - Hiked 4 miles uphill 1250' with 70% difficult, disruptive terraine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151185 - boulders, rocks, tree trunks, snow and mud dominating trail.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151186 - 04 turned around and hiked back downhill.  Feet held up well wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151187 - Brooks Ghost x-wide shoes, especially right foot bottom callus beneath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151188 - skin 1" below #4.  Starting hike took 2 Tramadal and 1 Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151189 - magnesium complex, took CoQ10.  At summit took no pain meds, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151190 - another magnesium and some peanut butter avocado margarine.  Fell 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151191 - times - 1 on way up, and 3 coming down loss of balance - dizzy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151192 - inconsistent terraine - feet slipped.  No serious injury, just scrapes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151193 - on both knees.  One fall jammed right foot #1, causing PL 2.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151194 - hamper continuing hike due to adrenalin and endorphins.  After hike #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151195 - PL 2 walking around and PL 0 sitting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151199 -         ..
151200 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151201 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151202 -        Stomach pain ischemic colitis bloating.......   2         15  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medicatio  - bloating very mildy recurred mile 17 took 1 Simethicone                                                                                                                                                                                                                                                                                                                                                                                                
151203 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151204 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151205 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151206 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151207 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151208 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151209 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151210 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151211 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
151212 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151213 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
151214 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151215 -        Hip left.....................................   0         20  noticed on Ygnacio Valley Road mile 16 to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151216 -        Back.........................................   0        100  mp back spine at hip line stinging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
151217 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151218 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151219 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151220 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
151221 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151222 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151223 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151224 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151225 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
151226 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151227 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151228 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
151229 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151230 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151231 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151232 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
151233 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151234 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151235 -        Metatarsalgia left foot...PRP 210705.........   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 21 - hiking off road on various terraine rocky, sandy, snow - hiking slow due to uphill grade 7% 30% of route                                                                                                                                                                                                                                         
151236 -        Metatarsalgia right foot..PRP 210705.........   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21   hiking off road on various terraine rocky, sandy, snow - hiking slow due to uphill grade 7% 30% of route                                                                                                                                                                                                                                         
151237 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21 - hiking off road on various terraine rocky, sandy, snow - hiking slow due to uphill grade 7% 30% of route                                                                                                                                                                                                                                         
151238 -  new   Right foot #1 jammed on boulder due to fall..   4         60  On 241108 fell hiking 5 Lakes trail in mountains - may need xray - was able to continue hiking with PL 2 due to adrenalin and endorphins  had taken 2 Tramadol and 1 Gabapentin 90 minutes before injury                                                                                                                                                                                                                                                                                                                                     
151239 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151240 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151241 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
151242 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
151243 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
151244 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
151245 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151246 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
151247 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 06 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                               
151248 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 00 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                
151249 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151250 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
151251 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
151252 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
151253 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151254 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
151255 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
151256 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
151257 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
151258 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151259 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
151260 -  new   Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Tramadol and 0 Gabapentin mile 06 - no bandaging today wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                               
151261 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
151262 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151263 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151264 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
151265 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151266 -        Burning sensation both feet..................   2         20  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 00 - wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                                                     
151267 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
151268 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
151269 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151270 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151271 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151272 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151273 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151274 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151275 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151276 -        Wobbly disoriented staggering dizzy..........   1        100  took 2 Tramadol and 1 Gabapentin mile 00 and only 0 Tramadol mile 16 and again at mile 21 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
151277 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151281 -  ..
151282 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151283 - wearing Brooks Ghost size 10.5 extra wide hiking on native mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151284 - soil on steep grades with significant disruptions.  These shoes have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151285 - 30% of cushioning of Hoka Bondi shoes.  This redues chances of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151286 - twisting feet and ankles hiking complex terraine in mountain trails.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151287 - First eyelets not laced, and first laces very loose.  Did not use new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151288 - Pediplasti Interdigital Spacer to protect #4-#5 on both feet.  Shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151289 - worked very well - great rebound energy.  Reduced lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151290 - across toe line reduced pain on #1s and #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151292 -  ..
151293 - Orthotic inserts - wore Stable Elite orthotic inserts, explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151294 - case study record on 200101 0701. ref SDS 16 PR6F and pending Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151295 - Tang replacing customized Powerestep Protech Classic "Thin" inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151296 - that caused metatarsalgia PL 6 by end of hike on 241104, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151297 - ref SDS 0 PRTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151300 -  ..
151301 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151302 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151304 -  ..
151305 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151306 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151307 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151308 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151309 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151310 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151311 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151312 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151313 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151314 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151316 -  ..
151317 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151318 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151319 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151320 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151321 - ref SDS 0 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151324 -  ..
151325 - Five Lakes Trail near Squaw Valley 08 mile route starting at Alpine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151326 - Meadows Road - before starting hike took 2 Tramadol with 1 Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151327 - for pain management.  There was no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151328 - the hike, but mountain trail is uphill 100% and grade 7% 30% of way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151329 - with snow 30% of route has high potential to injure feet.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151330 - take Naproxen for pain and inflammation management to start hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151331 - because it can cause colitis.  Took Magnesium Complex that increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151332 - energy and reduces inflammation allowing HDL to increase - 300 mg 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151333 - Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate (...see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151334 - research on 240519 1653. ref SDS 42 VY92...) - these plastic capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151335 - are designed to swallow whole for gradual release of magnesium as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151336 - capsules breakdown over hours from stomach acidity.  These capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151337 - are much larger than most medication pills.  They gradually become                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151338 - more difficult to swallow as achalasia closes LESV over weeks and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151339 - months after dilation.  In August had to open the pills and empty the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151340 - magnesium powder onto food to swallow all at once, rather dispense the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151341 - magnesium over hours while hiking.  This reduces prolonged effect of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151342 - increased energy, see an example on 240827, above. ref SDS 0 PXRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151343 - After EGD Dilation on 240910, have been able to swallow the magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151344 - capsules whole.  Another EGD dilation is scheduled in 3 weeks on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151345 - 241126.  Research with Microsoft AI indicates magnesium can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151346 - effective combined with avocado, peanut butter and margarine, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151347 - on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151348 - disapating lactic acid that causes fatigue in muscles, and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151349 - also reduces inflammation, which then enables HDL to rise with hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151350 - Magnesium further improves general health in major organs.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151351 - taking magnesium capsule, had small amount peanut butter and margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151352 - and chia seeds for electrolytes, and avocado for HDL.  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151353 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151354 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151355 - Before leaving house in Sparks forgot to take Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151356 - for OA protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151357 - injection on 231121 0700. ref SDS 27 I48N  Also Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151358 - that is a natural enzyme produced in the body for the to energize the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151359 - heart, magnesium helps the liver produce HDL.  Since HDL is lowered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151360 - statins (see research on 131125 0005, ref SDS 2 AT3J) prescribed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151361 - take every other day, taking CoQ10 increases hiking energy, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151362 - ref SDS 0 PG3S  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151363 - from ischemic colitis caused by taking statins and overuse of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151364 - Naproxen, reported on 220503 0900, ref SDS 22 TL6I, and reviewing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151365 - biopsy results on 200716 0800. ref SDS 20 N88N  Bloating and stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151366 - pain can also result from ablation procedures cited in letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151367 - Doctor Pellegrini on 200508 0916, ref SDS 18 OS49, diagnosed on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151368 - 0700, ref SDS 19 2U4O, and reviewed in meeting with VA medical team on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151369 - 220503 0900. ref SDS 22 TL6I  Bloating can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151370 - Pantoprazole and Famotidine reported on 240910 1300. ref SDS 53 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151371 - Magnesium can also cause bloating, if too much is taken; can relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151372 - bloating in some cases.  Similar for Famitodine and Pantoprazol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151373 - reported in the record on 240507 0930. ref SDS 38 ZC5F  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151374 - bloated starting hike for about 5 miles.  Took backpack to carry stuff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151375 - - good to build conditioning for Half Dome.  Hiked up 5 Lakes mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151376 - trail starting at Alpine Meadows Road in Squaw Valley, California.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151377 - Trail is mostly narrow and grade varies 3% - 8%.  Steep grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151378 - difficult surface conditions of twisting, steep steps with gravely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151379 - surface and significant slippery snow required careful steps
151380 -  ..
151381 - hiking to elevation 1250 feet uphill.  Fell 1 time navigating around a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151382 - large tree trunk blocking the trail.  Stepped on ground covered with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151383 - thick tree bark.  Foot twisted and unable to adjust body to recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151384 - balance.  Caused minor scratch on left leg below knee.  Bled very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151385 - slightly.  Continued hike.  At mile 3.5 reached 1st of 5 Lakes.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151386 - another .5 mile to 5th Lake.  Breathed through mouth much of hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151387 - dyspnea, indicating steep mountain route and minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151388 - months.  Temperature started at 58, and reached 61.  West wind 02 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151389 - and mostly 01 mph.  Actually handled hike better than exepcted for no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151390 - experience on conditions of steep, narrow, disruptive surface trail,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151391 - covered with snow and ice most of the way.  Stopped at Lake 5, mile 04                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151392 - time 1242 temp 62 and wind 17 mph (gusting to 30 mph).  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151393 - uniform with artifact.  Kardia reported HR 122 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151394 - below. ref SDS 0 RPU5  Both feet PL 0 and bottom right foot .5" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151395 - metatarsal #4 PL 0, burning sensation PL 0, shin plints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151396 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151397 - #1 PL 0.  Left knee meniscus PL 0, left hamstring PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151398 - PL 0, left elbow PL 0 intermitant.  Reduced feet pain correlates with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151399 - hiking on mountain trail instead of concrete or asphalt surface, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151400 - wearing Brooks Ghost shoes size 10.5 extra-wide (EEEE), per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151401 - ref SDS 0 QWYT  Did not take Tramadol 50 mg and 1 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151402 - for pain (...experiment test avoid seizure taking normal dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151403 - Gabapentin...).  Took another Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151404 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151405 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151406 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151407 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151408 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151409 - XK7M Today, magnesium capsule had difficulty swallowing, so subsequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151410 - ingestion may have backed up in esophagus.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151411 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151412 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151413 - energy and electrolytes, and some avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151414 - Ubiquinol CoQ10 for energy hiking long hills pending.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151415 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151416 - electrolytes, then to save money did not take Nuun electrolyte pill,
151417 -  ..
151418 - per above. ref SDS 0 QVQY  Turned around and hiked back 4 miles.  Fell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151419 - 3 times coming down due to complex, slippery trail.  No injuries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151420 - except very mild scratches that did not require bandaging.  1st fall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151421 - on way down was at same tree trunk across the trail.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151422 - 08 time 1412 temp 60, wind 02, feet PL 0, burning sensation PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151423 - foot #5 PL 0, #1 PL 0, right foot #1 PL 3, #4 top blister/callus PL 0;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151424 - right foot callus bottom foot below #4 PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151425 - bunions PL 0, shin splints PL 0, left knee PL 0 (not swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151426 - knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151427 - intermittantly, lower back left side PL 0, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151428 - lifting.  EKG looks uniform with no artifact, Kardia reported HR 127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151429 - Tachycardia - see below. ref SDS 0 RPWX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151444 -  ..
151445 - Kardia recorded HR 068 at 0803 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151446 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151447 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151448 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151449 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151450 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151453 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151454 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241108-ecg-080301_mile_00_068_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151460 -  ..
151461 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151462 - hike 08 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151463 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151467 -  ..
151468 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151469 -                                          x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151470 -       Date          241108 241107 241106 241105 241104 241103 241102 241101 241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 240820 24081  
151471 -       Miles             8      0     20      0      0     31      0      0     14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0      0  
151472 -       HR AVG          131     no    126     no     no    127     no     no    117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no     no  
151473 -         MAX           157   report  149   report report  152   report report  141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report report repo  
151474 -         Min            80            66                   58                   87                                        65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                                     
151475 -       El Climb Ft    1243           450                  490                  350                                       450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <-------------------------------  
151476 -       Temp Max         61            69                   71                   61                                        78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                                     
151477 -       Wind Max          2            20                   15                   02                                        10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                                     
151478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151481 -              https://flow.polar.com/training/analysis/7996914457                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151484 -               ..
151486 -   
151487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151491 -  ..
151492 - EKG at mile 04 time 1242 HR 122 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151493 - Tachycardia... tracing shows mostly uniform HR with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151494 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151497 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151498 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241108-ecg-124250_mile_04_122_tcy_artf.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151501 -  ..
151502 - End hike EKG at mile 08, time 1412 HR 127 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151503 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151504 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151507 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151508 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241108-ecg-141237_mile_08_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151512 -  ..
151513 - Post hike HR profile beginning 2134, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151514 - hiking 08 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151515 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151516 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151517 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151520 -        ..
151521 -       Date      241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830  240829    
151522 -       Time       2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120    2053     
151523 -       Hours        10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8       7     
151524 -       HR AVG       82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60      68     
151525 -       HR MAX      136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     124     
151526 -       HR Min       53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42      41     
151527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151529 -              https://flow.polar.com/training/analysis/7997291036                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151532 -               ..
151534 -   
151535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151538 -  ..
151539 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151540 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151541 - Dinner - steak potato asparagus - 2 drinks alcohol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151544 -  ..
151545 - Vomiting: 10%  dinner sat up in chair to sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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151554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151572 -         ..
151573 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151574 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151575 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151576 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151577 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151578 -  314.  241109 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151579 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151580 -               0715....BP HR..................................................... 142  79  49  Kardia ECG reports HR status, see below. ref SDS 0 R3ST                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151581 -               0720....BP HR..................................................... 145  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151582 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151583 -               0725....80 424980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151584 -               1150....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151585 -               1150... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151586 -               1150... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151587 -               1150....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151588 -               1150....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151589 -               1150....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151590 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151591 -               1150... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
151592 -  ..
151593 -               1207....miles...........  08.0  36.0  135   641 minutes  temp  66 wind  3  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151594 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151595 -               0000....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151596 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151597 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151598 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
151599 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151600 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
151601 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151602 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151603 -               0000....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151604 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151605 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151606 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151607 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                    
151608 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                         
151609 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151610 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151611 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
151612 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151613 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151614 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151615 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
151616 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
151617 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151618 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151619 -               1350... Hike ends mile 08... ref SDS 0 RPVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151620 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151621 -               1420....weight.................................... 176  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151622 -               1435....BP HR..................................................... 114  73 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151623 -               1440....BP HR..................................................... 109  74  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151624 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151625 -               1920... 40 116600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
151626 -               2010............ 10 20620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151627 -               2010............ 10 20970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151628 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151629 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151630 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151631 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151632 -               2200... 1000 2288000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151633 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151634 -               2330... 80 425060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151635 -               2340... 40 91100 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151637 -  ..
151638 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151639 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151641 -  ..
151642 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151643 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151645 -  ..
151646 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151649 -  ..
151650 - Today, hiked 08 miles - residential conditinos asphalt streets Sparks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151651 - Nevada at elevation 4000, in Siera mountains - Before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151652 - took 1 Tramadal and 1 Gabapentin, and magnesium complex, took CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151653 - Had some peanut butter, avocado and margerine with sips softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151654 - Hiked loop on Old Waverly Road.  Did not stop for EKG/Nutrition/                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151655 - hydration/magnesium.  Feet held up well wearing Hoka Bondi 8 size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151656 - extra-wide hiking on asphalt, concrete surfaces.  PL 0 everything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151657 - during hike due to adrenalin and endorphins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151661 -         ..
151662 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151663 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151664 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medicatio                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151665 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151666 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151667 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151668 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151669 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151670 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151671 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151672 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151673 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
151674 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151675 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
151676 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151677 -        Hip left.....................................   2         15  noticed on Winfield Hills Road about mile 3 heading home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151678 -        Back.........................................   0        100  mp back spine at hip line stiRging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
151679 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151680 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151681 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151682 -        Knee left meniscus...PRP 231121..............   0        100  knee not hurting beginning of hike, increased later took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
151683 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151684 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151685 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151686 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151687 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
151688 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151689 -        Quadraceps both legs.........................   2         20  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151690 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151691 -        Hamstring left leg...........................   0        100  got better as hike progressed, declined more after taking 2 Tramadol and 0 Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                        
151692 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151693 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151694 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151695 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
151696 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151697 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151698 -        Metatarsalgia left foot...PRP 210705.........   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 21 - hiking off road on various terraine rocky, sandy, snow - hiking slow due to uphill grade 7% 30% of route                                                                                                                                                                                                                                         
151699 -        Metatarsalgia right foot..PRP 210705.........   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21   hiking off road on various terraine rocky, sandy, snow - hiking slow due to uphill grade 7% 30% of route                                                                                                                                                                                                                                         
151700 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 21 - hiking off road on various terraine rocky, sandy, snow - hiking slow due to uphill grade 7% 30% of route                                                                                                                                                                                                                                         
151701 -  new   Right foot #1 jammed fell coming downstairs..   1        100  On 241108 fell hiking 5 Lakes trail in mountains - may need xray - was able to continue hiking with PL 2 due to adrenalin and endorphins  had taken 2 Tramadol and 1 Gabapentin 90 minutes before injury - today on 241109 in evening fell coming downstairs misjudged last step lost balance jammed same right foot #1 vertically on tiled floor compounding injury day before                                                                                                                                                              
151702 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151703 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151704 -        Ankle left twisted in fall on 200319.........   0        100  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
151705 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
151706 -        Ankle right pain on 200407 and 231203........   0        100  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
151707 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
151708 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151709 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
151710 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 06 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                               
151711 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 00 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                
151712 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151713 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
151714 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
151715 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
151716 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151717 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
151718 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
151719 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
151720 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
151721 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151722 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
151723 -  new   Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Tramadol and 0 Gabapentin mile 06 - no bandaging today wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                               
151724 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
151725 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151726 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151727 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
151728 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151729 -        Burning sensation both feet..................   2         20  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 00 - wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                                                     
151730 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
151731 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
151732 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151733 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151734 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151735 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151736 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151737 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151738 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151739 -        Wobbly disoriented staggering dizzy..........   1        100  took 2 Tramadol and 1 Gabapentin mile 00 and only 0 Tramadol mile 16 and again at mile 21 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
151740 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151744 -  ..
151745 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Switched today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151746 - wearing Hoka Bondi 8 size 10.5 extra-wide hiking on asphalt, concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151747 - surfaces.  First eyelets not laced, and first laces very loose.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151748 - not use new Pediplasti Interdigital Spacer to protect #4-#5 on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151749 - feet.  Shoes worked very well - great rebound energy.  Reduced lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151750 - pressure across toe line reduced pain on #1s and #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151753 -  ..
151754 - Orthotic inserts - wore Stable Elite orthotic inserts, explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151755 - case study record on 200101 0701. ref SDS 16 PR6F and pending Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151756 - Tang replacing customized Powerestep Protech Classic "Thin" inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151757 - that caused metatarsalgia PL 6 by end of hike on 241104, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151758 - ref SDS 0 PRTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151761 -  ..
151762 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151763 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151765 -  ..
151766 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151767 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151768 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151769 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151770 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151771 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151772 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151773 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151774 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151775 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151777 -  ..
151778 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151779 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151780 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151781 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151782 - ref SDS 0 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151785 -  ..
151786 - Sparks, Nevada at elevation 4400 08 mile route - same hike with Ross                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151787 - and Claudia on 200101 0702. ref SDS 17 VTYR  Today, hiked with Ross.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151788 - Starting energy 80% good with quadraceps PL 3, feet PL 1 Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151789 - Bondi 8 shoes received on 241105 1627, ref SDS 57 EQ7K, which prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151790 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151791 - on 191010 1344, ref SDS 15 SM4M, to prevent blisters.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151792 - Silver King Drive to Winfield Springs Road, hiked 1 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151793 - left onto South Wingfield Parkway, crossed Vista and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151794 - South Wingfield Parkway, turned right and hiked uphill grade 5% at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151795 - places on Winfield Hills Road, then turned left onto Old Waveryly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151796 - Drive.  Hiked uphill grade 6% about 1 mile to summit at mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151797 - Turned left onto Pala Messa Drive to Singing Hille Drive, turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151798 - Wingfield Hills Road to Vista Boulevard, turned onto Vista and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151799 - back to Wingfield Parkway, turned right to Wingfield Springs Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151800 - hiked back to Silver King Drive.  On hills breating with effort                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151801 - (dyspnea) through mouth.  Temperature reached 71.  Did not stop for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151802 - EKG, hydration and nutritino, nor pain meds.  Ended hike mile 08 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151803 - 1350 temp 63, wind 04, feet PL 0, right foot bottom below #4 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151804 - left foot #5 edge PL 0, #4 tip new blister PL 0, right foot blister #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151805 - bottom PL 0, #5 PL 0, burning sensation PL 0, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151806 - knee PL 0 (swollen slightly), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151807 - neck and right shoulder PL 0 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151808 - 0, left elbow PL 0, when lifting.  EKG mostly variable, with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151809 - artifact, Kardia reported HR 124 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151810 - RPVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151822 -  ..
151823 - Kardia recorded HR 074 at 0815 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151824 - lengths with p-waves and sone artifact; likely no AFL after hiking 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151825 - miles temp 62 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151826 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151827 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151828 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151831 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151832 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241109-ecg-081508_mile_00_074_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151838 -  ..
151839 - Polar HR GPS study in Squaw Valley, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151840 - used*** hike 08 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151841 - ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151845 -  ..
151846 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151847 -                                          x                    x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151848 -       Date          241109 241108 241107 241106 241105 241104 241103 241102 241101 241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 240829 240828 240827 240826 240825 240824 240823 240822 240821 24082  
151849 -       Miles             8      8      0     20      0      0     31      0      0     14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16     14     17      0      0     16      0      0      0      0  
151850 -       HR AVG          129    131     no    126     no     no    127     no     no    117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119    134    121     no     no    134     no     no     no     no  
151851 -         MAX           149    157   report  149   report report  152   report report  141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150    188    149   report report  158   report report report repo  
151852 -         Min            93     80            66                   58                   87                                        65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89     48     89                   56                              
151853 -       El Climb Ft     246   1243           450                  490                  350                                       450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340    305    305                  305   <------------------------  
151854 -       Temp Max         66     61            69                   71                   61                                        78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56     90     74                   77                              
151855 -       Wind Max          3      2            20                   15                   02                                        10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12     12      1                   10                              
151856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151858 -              https://flow.polar.com/training/analysis/7997462741                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151861 -               ..
151863 -   
151864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151867 -  ..
151868 - End hike EKG at mile 08, time 1350 HR 124 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151869 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151870 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151873 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151874 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241109-ecg-135023_mile_08_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151878 -  ..
151879 - Post hike HR profile beginning 2049, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151880 - hiking 08 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151881 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151882 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151883 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151886 -        ..
151887 -       Date      241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831  240830    
151888 -       Time       2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901    2120     
151889 -       Hours        10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11       8     
151890 -       HR AVG       79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67      60     
151891 -       HR MAX      113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133      87     
151892 -       HR Min       58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41      42     
151893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151895 -              https://flow.polar.com/training/analysis/7997848435                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151898 -               ..
151900 -   
151901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151904 -  ..
151905 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151906 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151907 - Dinner - short ribs potato salad asparagus - 1 drink alcholol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151910 -  ..
151911 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151937 -         ..
151938 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151939 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151940 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151941 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151942 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151943 -  315.  241110 0655............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151944 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151945 -               0705....BP HR..................................................... 157  82  53  Kardia ECG reports HR status, see below. ref SDS 0 RSYP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151946 -               0710....BP HR..................................................... 152  77  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151947 -               0715....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151948 -               0715....80 425140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151949 -               1150....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151950 -               1150... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151951 -               1150... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151952 -               1150....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151953 -               1150....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151954 -               1150....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151955 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151956 -               1150... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
151957 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151958 -               1700... 40 116640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
151959 -             1 0000............ 10 20620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151960 -             1 0000............ 10 20970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151961 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151962 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151963 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151964 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151965 -               2200... 1000 2289000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151966 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151967 -               2330... 80 425220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151968 -               2340... 40 91140 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151971 -  ..
151972 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151973 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151975 -  ..
151976 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151977 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151979 -  ..
151980 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151985 -  ..
151986 - Kardia recorded HR 058 at 0734 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151987 - lengths with p-waves and sone artifact; likely no AFL after hiking 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151988 - miles temp 61 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151989 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151990 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151991 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151994 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151995 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241110-ecg-073427_mile_00_058_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151999 -  ..
152000 - Post hike HR profile beginning 2057, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152001 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152002 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152003 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152004 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152007 -        ..
152008 -       Date      241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901  240831    
152009 -       Time       2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839    1901     
152010 -       Hours         9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10      11     
152011 -       HR AVG       62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66      67     
152012 -       HR MAX      111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     133     
152013 -       HR Min       42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41      41     
152014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152016 -              https://flow.polar.com/training/analysis/7998403269                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152019 -               ..
152021 -   
152022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152025 -  ..
152026 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152027 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152028 - Dinner - spaghetti - 1 drink alcholol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152031 -  ..
152032 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152058 -         ..
152059 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152060 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152061 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152062 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152063 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152064 -  316.  241111 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152065 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152066 -               0645....BP HR..................................................... 153  81  50  Kardia ECG reports HR status, see below. ref SDS 0 RVUW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152067 -               0650....BP HR..................................................... 155  87  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152068 -               0655....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152069 -               0655....80 425140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152070 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152071 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152072 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152073 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152074 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152075 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152076 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152077 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152078 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152079 -               1700... 40 116640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152080 -               1830............ 10 20620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152081 -               1830............ 10 20970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152082 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152083 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152084 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152085 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152086 -               2200... 1000 2289000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152087 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152088 -               2330... 80 425220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152089 -               2340... 40 91140 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152092 -  ..
152093 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152094 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152096 -  ..
152097 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152098 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152100 -  ..
152101 - Reflux last night had to sleep in recliner chair until 0315, then bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152105 -  ..
152106 - Kardia recorded HR 048 at 0642 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152107 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152108 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152109 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152110 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152111 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152114 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152115 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241111-ecg-064220_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152120 -  ..
152121 - Post hike HR profile beginning 1839, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152122 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152123 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152124 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152125 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152128 -        ..
152129 -       Date      241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902  240901    
152130 -       Time       1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857    1839     
152131 -       Hours        12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9      10     
152132 -       HR AVG       58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68      66     
152133 -       HR MAX      121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     114     
152134 -       HR Min       40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44      41     
152135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152137 -              https://flow.polar.com/training/analysis/7999021399                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152140 -               ..
152142 -   
152143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152146 -  ..
152147 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152148 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152149 - Dinner - macaroni cheese hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152152 -  ..
152153 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152179 -         ..
152180 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152181 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152182 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152183 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152184 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152185 -  317.  241112 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152186 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152187 -               0725....BP HR..................................................... 145  88  51  Kardia ECG reports HR status, see below. ref SDS 0 SP27                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152188 -               0730....BP HR..................................................... 149  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152189 -               0735....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152190 -               0735....80 425300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152191 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152192 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152193 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152194 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152195 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152196 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152197 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152198 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152199 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152200 -               1700... 40 116680 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152201 -             1 0000............ 10 20620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152202 -             1 0000............ 10 20970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152203 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152204 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152205 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152206 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152207 -               2200... 1000 2290000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152208 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152209 -               2330... 80 425380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152210 -               2340... 40 91180 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152213 -  ..
152214 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152215 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152217 -  ..
152218 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152219 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152221 -  ..
152222 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152226 -  ..
152227 - Kardia recorded HR 048 at 0720 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152228 - lengths with p-waves and no artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152229 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152230 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152231 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152232 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152235 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152236 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241112-ecg-072050_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152241 -  ..
152242 - Post hike HR profile beginning 2019, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152243 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152244 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152245 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152246 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152249 -        ..
152250 -       Date      241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903  240902    
152251 -       Time       2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938    1857     
152252 -       Hours        10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8       9     
152253 -       HR AVG       69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65      68     
152254 -       HR MAX      118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     137     
152255 -       HR Min       45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41      44     
152256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152258 -              https://flow.polar.com/training/analysis/7999618833                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152261 -               ..
152263 -   
152264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152267 -  ..
152268 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152269 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152270 - Dinner - steak broccoli cauliflower potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152273 -  ..
152274 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152299 -         ..
152300 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152301 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152302 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152303 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152304 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152305 -  318.  241113 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152306 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152307 -               0725....BP HR..................................................... 149  99  77  Kardia ECG reports HR status, see below. ref SDS 0 SE3U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152308 -               0730....BP HR..................................................... 150  87  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152309 -               0735....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152310 -               0735....80 425460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152311 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152312 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152313 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152314 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152315 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152316 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152317 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152318 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152319 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152320 -               1700... 40 116720 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152321 -               1830............ 10 20630  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152322 -               1830............ 10 20980  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152323 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152324 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152325 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152326 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152327 -               2200... 1000 2291000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152328 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152329 -               2330... 80 425540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152330 -               2340... 40 91220 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152333 -  ..
152334 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152335 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152337 -  ..
152338 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152339 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152341 -  ..
152342 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152347 -  ..
152348 - Kardia recorded HR 052 at 0716 Normal Sinus Rhytm, looks uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152349 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152350 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152351 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152352 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152353 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152356 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152357 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241113-ecg-071618_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152361 -  ..
152362 - Post hike HR profile beginning 1918, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152363 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152364 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152365 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152366 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152369 -        ..
152370 -       Date      241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904  240903    
152371 -       Time       1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931    1938     
152372 -       Hours        11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6       8     
152373 -       HR AVG       68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61      65     
152374 -       HR MAX      120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     111     
152375 -       HR Min       44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41      41     
152376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152378 -              https://flow.polar.com/training/analysis/8000373117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152381 -               ..
152383 -   
152384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152387 -  ..
152388 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152389 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152390 - Dinner - macaroni cheese ham broccoli cauliflower onion, pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152393 -  ..
152394 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152420 -         ..
152421 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152422 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152423 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152424 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152425 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152426 -  319.  241114 0630............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152427 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152428 -               0635....BP HR..................................................... 143  88  83  Kardia ECG reports HR status, see below. ref SDS 0 SRWX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152429 -               0640....BP HR..................................................... 152 100  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152430 -               0645....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152431 -               0645....80 425620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152432 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152433 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152434 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152435 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152436 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152437 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152438 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152439 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152440 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152441 -               1700... 40 116760 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152442 -             1 0000............ 10 20630  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152443 -             1 0000............ 10 20980  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152444 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152445 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152446 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152447 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152448 -               2200... 1000 2292000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152449 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152450 -               2330... 80 425700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152451 -               2340... 40 91260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152454 -  ..
152455 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152456 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152458 -  ..
152459 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152460 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152462 -  ..
152463 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152469 -  ..
152470 - Kardia recorded HR 052 at 0632 Normal Sinus Rhytm, looks uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152471 - beat lengths with p-waves and minor artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152472 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152473 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152474 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152475 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152478 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152479 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241114-ecg-063250_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152484 -  ..
152485 - Post hike HR profile beginning 1957, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152486 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152487 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152488 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152489 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152492 -        ..
152493 -       Date      241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905  240904    
152494 -       Time       1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004    1931     
152495 -       Hours        11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9       6     
152496 -       HR AVG       71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61      61     
152497 -       HR MAX      154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99      91     
152498 -       HR Min       43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37      41     
152499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152501 -              https://flow.polar.com/training/analysis/8000805361                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152504 -               ..
152506 -   
152507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152510 -  ..
152511 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152512 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152513 - Dinner - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152516 -  ..
152517 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152543 -         ..
152544 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152545 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152546 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152547 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152548 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152549 -  320.  241115 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152550 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152551 -               0725....BP HR..................................................... 152 102  52  Kardia ECG reports HR status, see below. ref SDS 0 8SQY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152552 -               0730....BP HR..................................................... 160 106  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152553 -               0735....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152554 -               0735....80 425780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152555 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152556 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152557 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152558 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152559 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152560 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152561 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152562 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152563 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152564 -               1700... 40 116800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152565 -               1830............ 10 20640  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152566 -               1830............ 10 20990  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152567 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152568 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152569 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152570 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152571 -               2200... 1000 2293000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152572 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152573 -               2330... 80 425860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152574 -               2340... 40 91300 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152577 -  ..
152578 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152579 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152581 -  ..
152582 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152583 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152585 -  ..
152586 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152590 -  ..
152591 - Kardia recorded HR 052 at 0800 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152592 - variable heart beat lengths with p-waves and minor artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152593 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152594 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152595 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152596 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152599 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152600 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241115-ecg-080008_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152605 -  ..
152606 - Post hike HR profile beginning 1918, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152607 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152608 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152609 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152610 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152613 -        ..
152614 -       Date      241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906  240905    
152615 -       Time       1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919    2004     
152616 -       Hours        12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11       9     
152617 -       HR AVG       73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59      61     
152618 -       HR MAX      113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108      99     
152619 -       HR Min       52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41      37     
152620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152622 -              https://flow.polar.com/training/analysis/8001505105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152625 -               ..
152627 -   
152628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152631 -  ..
152632 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152633 - Lunch - eggs hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152634 - Dinner - eggs macaroni cheese hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152637 -  ..
152638 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152662 -         ..
152663 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152664 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152665 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152666 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152667 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152668 -  321.  241116 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152669 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152670 -               0725....BP HR..................................................... 138  88  56  Kardia ECG reports HR status, see below. ref SDS 0 S3RP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152671 -               0730....BP HR..................................................... 152  89  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152672 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152673 -               0735....80 425940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152674 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152675 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152676 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152677 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152678 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152679 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152680 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152681 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152682 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152683 -               1700... 40 116840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152684 -             1 0000............ 10 20640  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152685 -             1 0000............ 10 20990  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152686 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152687 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152688 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152689 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152690 -               2200... 1000 2294000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152691 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152692 -               2330... 80 426020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152693 -               2340... 40 91340 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152696 -  ..
152697 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152698 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152700 -  ..
152701 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152702 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152704 -  ..
152705 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152709 -  ..
152710 - Kardia recorded HR 056 at 0751 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152711 - lengths with p-waves and minor artifact; likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152712 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152713 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152714 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152715 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152718 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152719 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241116-ecg-075153_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152723 -  ..
152724 - Post hike HR profile beginning 2033, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152725 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152726 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152727 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152728 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152731 -        ..
152732 -       Date      241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907  240906    
152733 -       Time       2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344    1919     
152734 -       Hours        10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6      11     
152735 -       HR AVG       68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67      59     
152736 -       HR MAX       97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     108     
152737 -       HR Min       49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44      41     
152738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152740 -              https://flow.polar.com/training/analysis/8001946150                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152743 -               ..
152745 -   
152746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152749 -  ..
152750 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152751 - Lunch - eggs ham                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152752 - Dinner - tuna avocado cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152755 -  ..
152756 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152783 -         ..
152784 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152785 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152786 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152787 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152788 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152789 -  322.  241117 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152790 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152791 -               0725....BP HR..................................................... 163 107  56  Kardia ECG reports HR status, see below. ref SDS 0 SVT3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152792 -               0730....BP HR..................................................... 161 104  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152793 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152794 -               0735....80 426100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152795 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152796 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152797 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152798 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152799 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152800 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152801 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152802 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152803 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152804 -               1700... 40 116880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152805 -               1830............ 10 20650  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152806 -               1830............ 10 21000  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152807 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152808 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152809 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152810 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152811 -               2200... 1000 2295000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152812 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152813 -               2330... 80 426180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152814 -               2340... 40 91380 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152817 -  ..
152818 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152819 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152821 -  ..
152822 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152823 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152825 -  ..
152826 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152830 -  ..
152831 - Kardia recorded HR 061 at 0731 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152832 - uniform heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152833 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152834 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152835 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152836 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152839 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152840 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241117-ecg-073139_mile_00_061_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152844 -  ..
152845 - Post hike HR profile beginning 1923, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152846 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152847 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152848 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152849 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152852 -        ..
152853 -       Date      241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908  240907    
152854 -       Time       1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947    2344     
152855 -       Hours        11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8       6     
152856 -       HR AVG       71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66      67     
152857 -       HR MAX      112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99      90     
152858 -       HR Min       49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38      44     
152859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152861 -              https://flow.polar.com/training/analysis/8002476139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152864 -               ..
152866 -   
152867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152870 -  ..
152871 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152872 - Lunch - half sandwich peanut butter margarine jam milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152873 - Dinner - macaroni cheese hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152876 -  ..
152877 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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152900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152903 -         ..
152904 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152905 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152906 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152907 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152908 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152909 -  323.  241118 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152910 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152911 -               0655....BP HR..................................................... 163  91  50  Kardia ECG reports HR status, see below. ref SDS 0 6RM2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152912 -               0700....BP HR..................................................... 146  90  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152913 -               0705....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152914 -               0705....80 426260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152915 -               1028....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152916 -               1028... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152917 -               1020... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152918 -               1020....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152919 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152920 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152921 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152922 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
152923 -  ..
152924 -               1029....miles...........  25.0  25.0  418   418 minutes  temp  59 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152925 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152926 -               1256....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152927 -               1256....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152928 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152929 -               1256... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
152930 -               1256....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152931 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152932 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152933 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152934 -               1508....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152935 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152936 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152937 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152938 -               1508... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                    
152939 -               1508... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                         
152940 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152941 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152942 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
152943 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152944 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152945 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152946 -               0000... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
152947 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
152948 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152949 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152950 -               1820... Hike ends mile 25... ref SDS 0 SX4Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152951 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152952 -               1830....weight.................................... 178  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152953 -               1835....BP HR..................................................... 112  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152954 -               1840....BP HR.....................................................  97  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152955 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152956 -               1900... 40 116920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
152957 -             1 0000............ 10 20650  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152958 -             1 0000............ 10 21000  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152959 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152960 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152961 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152962 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152963 -               2200... 1000 2296000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152964 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152965 -               2330... 80 426340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152966 -               2340... 40 91420 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152968 -  ..
152969 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152970 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152972 -  ..
152973 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152974 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152976 -  ..
152977 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152980 -  ..
152981 - Today, hiked 25 miles - because of injury right foot #1 still hurting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152982 - took 2 Tramadol and 1 Gabapentin before starting hike.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152983 - semi-loop through South Concord streets recently re-paved and striped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152984 - completed 241115 - Treat, Turtle Creek Road.  [...  Oddly, entire 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152985 - mile hike Polar HR record shows series of 12 severe HR dips, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152986 - steady pace and terraine elevation routine, similar to HR profile last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152987 - hike but today HR dips occurred entire 25 miles, reported on 241019,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152988 - above, ref SDS 0 JP3H, instead of 3 miles yesterday.....] Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152989 - Ayers to Clayton Road, then South on Ygnacio Valley road 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152990 - Turned East to end of Pine Hollow.  Stopped at mile 8.  Kardia EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152991 - showed good HR dianostics - no AFL.  Did hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152992 - Took 1 Tramadol and 0 Gabapentin for pain management.  Took magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152993 - Hiked back on Pine Hollow.  About mile 9, Polar monitor showed HR 165,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152994 - hiking on flat grade - possible AFL.  Few minutes later Polar reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152995 - HR 127, indicating no AFL.  About mile 11 turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152996 - Drive heading West 1 mile.  At Ygnacio Valley Road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152997 - hiked uphill to Visitor Parking at the College.  Hiked a loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152998 - main buildings then through Faculty and Student parking, did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152999 - loop around main buildings.  Stopped at mile 15 for EKG, hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153000 - nutrition and CoQ10 for energy and HDL.  Took 0 Tramadol and 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153001 - Gabapentin in order to avoid seizure symptoms that occurred during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153002 - hike on 240924, per above. ref SDS 0 PYSX - then took magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153003 - complex, with nutrition and hydration.  Hiked through parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153004 - again.  Left college at North entrance to student parking.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153005 - Campus Drive to Ygnacio Valley Road.  Turned left heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153006 - 3% grade on Ygnacio Valley Road.  At summit mile 18, continued West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153007 - miles.  At Oak Grove hiked 2 loops around the block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153008 - shopping complex.  At mile 20, did not stop at Mod Pizza for EKG, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153009 - meds, hydration and nutrition.  Took Oak Grove 1 mile North.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153010 - onto Treat and hiked 2 miles East.  At Cuneo then home.  Barely loopy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153011 - - actually fatigue - last 4 miles with only 1 dose Gabapentin, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153012 - seizure symptoms, e.g. no loss motor control, no hallucinations.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153013 - elevated today, reflecting mostly no hiking past 3 months.  Need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153014 - explanation for erratic HR dips with steady pace and elevation 1st 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153015 - miles, but this has not caused noticable adverse symptoms.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153020 -         ..
153021 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153022 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153023 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153024 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153025 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153026 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153027 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153028 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153029 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153030 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153031 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153032 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
153033 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153034 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
153035 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153036 -        Hip left.....................................   2         20  noticed on Ygnacio Valley Road about mile 19 comong downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153037 -        Back.........................................   0        100  mp back spine at hip line stiRging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
153038 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153039 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153040 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153041 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 2 Tramadol and 1 Gabapentin mile 00 and again at mile 08  knee PL 2 and swelled after hike slightly                                                                                                                                                                                                                                                                                                                                                                                 
153042 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153043 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153044 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153045 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153046 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
153047 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153048 -        Quadraceps both legs.........................   2         20  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153049 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153050 -        Hamstring left leg...........................   2          5  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153051 -        Hamstring right leg..........................   2          5  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153052 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153053 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153054 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
153055 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153056 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153057 -        Metatarsalgia left foot...PRP 210705.........   3         25  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 00 and 1 Tramadol at mile 15 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
153058 -        Metatarsalgia right foot..PRP 210705.........   3         25  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 00 and 1 Tramadol at mile 15 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
153059 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   1         50  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
153060 -  new   Right foot #1 jammed fell coming downstairs..   5        100  On 241108 fell hiking 5 Lakes trail in mountains - may need xray - was able to continue hiking with PL 2 due to adrenalin and endorphins  had taken 2 Tramadol and 1 Gabapentin 90 minutes before injury - today on 241109 in evening fell coming downstairs misjudged last step lost balance jammed same right foot #1 vertically on tiled floor compounding injury day before                                                                                                                                                              
153061 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153062 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153063 -        Ankle left twisted in fall on 200319.........   3         50  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
153064 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
153065 -        Ankle right pain on 200407 and 231203........   3         25  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
153066 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
153067 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153068 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
153069 -        Callus big toe left foot...PRP 210705........   2         15  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 06 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                               
153070 -        Callus big toe right foot...PRP 210705.......   1         15  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 00 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                
153071 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153072 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
153073 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
153074 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
153075 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153076 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
153077 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
153078 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
153079 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
153080 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153081 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
153082 -  new   Callus little toe #5 left foot...PRP 210705..   2         15  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Tramadol and 0 Gabapentin mile 06 - no bandaging today wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                               
153083 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
153084 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153085 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153086 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
153087 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153088 -        Burning sensation both feet..................   2         20  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 00 - wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                                                     
153089 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
153090 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
153091 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153092 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153093 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153094 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153095 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153096 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153097 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153098 -        Wobbly disoriented staggering dizzy..........   2         20  took 2 Tramadol and 1 Gabapentin mile 00 and only 1 Tramadol mile 08 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
153099 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153103 -  ..
153104 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153105 - Bondi 8 size 10.5 extra-wide hiking on asphalt, concrete surfaces.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153106 - First eyelets not laced, and first laces very loose.  Did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153107 - Pediplasti Interdigital Spacer to protect #4-#5 on both feet.  Shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153108 - worked very well - great rebound energy.  Reduced lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153109 - across toe line reduced pain on #1s and #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153112 -  ..
153113 - Orthotic inserts - wore Stable Elite orthotic inserts, explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153114 - case study record on 200101 0701. ref SDS 16 PR6F and pending Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153115 - Tang replacing customized Powerestep Protech Classic "Thin" inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153116 - that caused metatarsalgia PL 6 by end of hike on 241104, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153117 - ref SDS 0 PRTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153120 -  ..
153121 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153122 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153124 -  ..
153125 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153126 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153127 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153128 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153129 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153130 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153131 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153132 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153133 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153134 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153136 -  ..
153137 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153138 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153139 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153140 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153141 - ref SDS 0 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153144 -  ..
153145 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153146 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153147 - injection on 231121 0700. ref SDS 27 I48N  Did not take Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153148 - pain and inflammation management to start hike, because it can cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153149 - colitis.  Took 2 Tramadol and took 1 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153150 - because there is no metatarsalgia pain in feet starting the hike, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153151 - right foot #1 PL 2, after falling on 241109 and next day on 241110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153152 - shown in case study on 200101 0701. ref SDS 16 I37L  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153153 - Complex that increases energy and reduces inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153154 - increase - 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153155 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153156 - designed to swallow whole for gradual release as plastic capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153157 - breakdown and release magnesium complex over time.  These capsules are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153158 - much larger than most medication pills.  They become gradually more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153159 - difficult to swallow as achalasia closes LESV over weeks and months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153160 - In August had to open the pills and empty the magnesium powder onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153161 - food to swallow all at once, rather dispense the magnesium over hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153162 - while hiking.  This reduced the prolonged effect of increased energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153163 - see an example on 240827, above. ref SDS 0 PXRP  After EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153164 - 240910, have been able to swallow the pills whole.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153165 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153166 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153167 - ref SDS 42 JH8L  Magnesium increases energy endurance by disssipating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153168 - lactic acid that causes muscle fatigue, and magnesium reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153169 - inflammation from repetitive stress injuries, e.g., knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153170 - that lowers production of HDL in the liver. which then enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153171 - rise with hiking.  Magnesium further improves general health in major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153172 - organs.  Had small amount peanut butter and margarine, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153173 - for electrolytes and energy, and had some avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153174 - before starting hike took Ubiquinol CoQ10 per above. ref SDS 0 B3Q7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153175 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153176 - transport chain (ETC) giving human cells energy. ref SDS 3 5N7X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153177 - Taking statins lowers CoQ10, reported by Doctor Stewart on 150526                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153178 - 1300. ref SDS 3 8M58  Physical activity hiking consumes CoQ10.  Adding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153179 - CoQ10 maintains heart function for energy hiking at therapeutic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153180 - levels, cited by Doctor Stewart in a letter received on 151124 1357.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153181 - ref SDS 5 4X5I  CoQ10 also improves liver production of HDL, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153182 - on 150526 1300. ref SDS 3 5N8M  Increasing HDL, together with higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153183 - EPCs, both from hiking, regresses plaque in blood vessels, see 131125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153184 - 0005, ref SDS 2 RA7K  CoQ10 further reduces shoulder myopathy caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153185 - by statins (see research on 131125 0005, ref SDS 2 AT3J).  Soaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153186 - Chia seeds in water, Coca Cola, orange juice, etc., increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153187 - and aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153188 - No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153189 - colitis caused by taking statins and overuse of Naproxen, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153190 - 220503 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153191 - 0800. ref SDS 20 N88N  Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153192 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153193 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153194 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153195 - TL6I Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153196 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153197 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153198 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153199 - 240507 0930. ref SDS 38 ZC5F  Did not feel bloated starting hike this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153200 - morning.  Took backpack to carry stuff - good to build conditioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153201 - for Half Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153202 - Starting hike feet feeling swelled and like pins and needles due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153203 - peripheral neuropathy caused by taking statins, and by diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153204 - symptoms.  After about 1 mile feet calming down.  Bottom of both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153205 - not hurting yet with metatarsalgia pain, including left foot #5, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153206 - flared up on 240919, per above. ref SDS 0 XVTR  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153207 - entire hike with no dyspnea, indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153208 - hiking last few months.  Temperature started at 52, and reached 59.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153209 - West wind 15 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153210 - Pavement on Treat has been restored with new asphalt after completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153211 - resurfacing the past 2 weeks.  Much easier on feet.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153212 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153213 - mostly flat grade, some places 2% uphill, and very light traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153214 - Hiked across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153215 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153216 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153217 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153218 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153219 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153220 - Feeling strong - aligns with taking magnesium and CoQ10.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153221 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153222 - sidewalk .5 miles.  Since took 2 Tramadol and 1 Gabapentin not feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153223 - metatarsaltia pain in feet, and since wearing wider shoes (Bondi 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153224 - extra-wide, per above, ref SDS 0 SVXV), no pain on edges of feet #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153225 - and #5.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153226 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153227 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153228 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153229 - Station store mile 5, time ____.  Continued on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153230 - turned left hiked 2.50 miles East to end of Pine Hollow.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153231 - mile 08 time 1256 temp 57 and wind 07 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153232 - with minor artifact.  Kardia reported HR 117 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153233 - ref SDS 0 J69F  Both feet PL 1 and bottom right foot 1" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153234 - metatarsal #4 PL 0, burning sensation PL 0, shin plints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153235 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153236 - #1 PL 0, right foot #1 injured by falls on 241108 and 09 PL 3, #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153237 - blister/callus PL 0, #5 edge callus/blister PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153238 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153239 - intermitant.  Took 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153240 - (...experiment test avoid seizure taking low dose Gabapentin...).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153241 - Took another Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153242 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153243 - 240824, above. ref SDS 0 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153244 - and reduces inflammation, essential to raise HDL - might be "secret"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153245 - source that stimulates liver to increase HDL 64 on 240806 1104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153246 - ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46 XK7M  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153247 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153248 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153249 - Cola/orange juice) for energy and electrolytes, and some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153250 - HDL - few bites.  Did not take Ubiquinol CoQ10 for energy because no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153251 - long hills pending yet.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153252 - sweating that ejects electrolytes, then to save money did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153253 - Nuun electrolyte pill, per above. ref SDS 0 SURS  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153254 - hiked back 2.5 miles West on Pine Hollow.  About mile 8.5, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153255 - turn left onto Mitchell Canyon Road hiking South 1 mile to Cemex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153256 - Clayton Aggregate.  Checked Polar GPS/HR monitor on left wrist showing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153257 - HR 165 - conflicted with hiking flat grade slightly downhill 1% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153258 - signaling possible AFL.  Checked again in 10 minutes, Polar showed HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153259 - 115, which established did not flip into AFL.  Polar HR continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153260 - graph suggests may have in atrial fibrillation for 10 minutes.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153261 - did not occur again for next 3 hours of hike.  May indicate cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153262 - vascular system is vulnerable to AF, and ablation on 240611, changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153263 - to left atrial resettle the heart.  About mile 10, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153264 - Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153265 - mph.  Road bends North.  On reaching Ygnacio Valley Road, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153266 - around hiked uphill .25 mile 5% grade.  Mile 12, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153267 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153268 - loops through Faculty and Student parking.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153269 - hiked loop around main buildings, then stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153270 - Building mile 15 time 1508 temp 59 and wind 15 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153271 - uniform with artifact.  Kardia reported HR 122 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153272 - below. ref SDS 0 T6HV  Both feet metatarsalgia PL 2 and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153273 - callus underneath skin and 1" below metatarsal #4 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153274 - sensation PL 0, shin splints PL 0, right foot Tailor's bunions PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153275 - left foot #5 edge blister/callus PL 0 and #1 PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153276 - injured by falls on 241108 and 09 PL 3, #4 top right foot #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153277 - blister/callus PL 0, #5 edge callus/blister PL 0.  Both ankles PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153278 - Left knee meniscus PL 0, left hamstring PL 0, left shoulder PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153279 - elbow PL 0 intermitant.  Took 0 Tramadol 50 mg and 0 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153280 - for pain (...experiment test avoid seizure reduce Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153281 - Gabapentin...).  Took another (3rd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153282 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153283 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153284 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153285 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153286 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153287 - XK7M Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153288 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153289 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153290 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153291 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153292 - ejects electrolytes, then despite extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153293 - Valley Road, to save money, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153294 - above. ref SDS 0 SURS  Hiked another loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153295 - Exited college at North end Student parking heading West on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153296 - Drive uphill over summit.  Road bends North downhill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153297 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153298 - 17, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153299 - wind 08 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153300 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153301 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153302 - barriar about mile 18, when break occurred during afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153303 - traffic, crossed back to South side Ygnacio Valley Road to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153304 - shoulder.  Hiked 2 miles downhill 3-4% grade.  At break in traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153305 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153306 - traffic light.  At mile 20, hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153307 - shopping complex.  Today, did not stop at Mod Pizza mile 22, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153308 - ____, for EKG.  Did another 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153309 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153310 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153311 - Grove.  Hiked 1 mile North on asphalt shoulder in sun with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153312 - low 60s.  Crossed Treat at Stop Light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153313 - grade concrete sidewalk.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153314 - uphill 5% grade with wind 10 mph, temp 61.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153315 - summit, mile 24, hiked another mile and turned left onto Cuneo then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153316 - home.  Ended hike mile 25 time 1820 temp 57, wind 11, Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153317 - metatarsalgia PL 4 and right foot callus underneath skin and 1" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153318 - metatarsal #4 PL 0, burning sensation PL 0, shin splints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153319 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153320 - #1 PL 2, right foot #1 injured by falls on 241108 and 09 PL 5, #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153321 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153322 - Both ankles PL 3.  Left knee meniscus PL 0, left hamstring PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153323 - shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153324 - right shoulder PL 0 intermittantly, lower back left side PL 0, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153325 - variable with considerable artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153326 - Unclassified - see below. ref SDS 0 SX4Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153338 -  ..
153339 - Kardia recorded HR 051 at 0659 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153340 - uniform heart beat lengths with p-waves and minor artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153341 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153342 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153343 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153344 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153347 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153348 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241118-ecg-065908_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153354 -  ..
153355 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153356 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153357 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153359 -  ..
153360 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153361 -                                          x                    x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153362 -       Date          241118 241117 241116 241115 241114 241113 241112 241111 241110 241109 241108 241107 241106 241105 241104 241103 241102 241101 241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 241008 241007 241006 241005 241004 241003 241002 241001 240930 240929 240928 240927 240926 240925 240924 240923 240922 240921 240920 240919 240918 240917 240916 240915 240914 240913 240912 240911 240910 240909 240908 240907 240906 240905 240904 240903 240902 240901 240831 240830 24082  
153363 -       Miles            25      0      0      0      0      0      0      0      0      0      8      0     20      0      0     31      0      0     14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0      0      0     13     18      0      0     21     21     25      0      0      0      0     15     18      0      0     21     21     25      0      0      0      0     21     21      0      0     11     21     21      0     13      0     20     17     19     16      0     16  
153364 -       HR AVG          122     no     no     no     no     no     no     no     no     no    131     no    126     no     no    127     no     no    117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no     no     no    138    122     no     no    121    114    126     no     no     no     no    107    122     no     no    121    114    126     no     no     no     no    122    130     no     no    109    119    127     no    109     no    113    123    127    130     no    119  
153365 -         MAX           172   report report report report report report report report report  157   report  149   report report  152   report report  141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report report report report  164    163   report report  170    137    153   report report report report  130    163   report report  170    137    153   report report report report  142    153   report report  126    141    158   report  133   report  170    140    150    154   report  150  
153366 -         Min            61                                                                    80            66                   58                   87                                        65     71     75                          82            76                                 70     76                                        89     66                   51     53     72                                 71     66                   51     53     72                                 67     87                   73     71     50            79            56     70     82    101            89  
153367 -       El Climb Ft     530                                                                  1243           450                  490                  350                                       450    530    450                         450           450                                450    450                                       450    660                  500    600    660                                450    660                  500    600    660                                482    482                  428    660    660           355           450    482    519    340           340  
153368 -       Temp Max         59                                                                    61            69                   71                   61                                        78     77     83                          79            76                                 78     78                                        97     98                   84     81     75                                 59     98                   84     81     75                                 92     86                   91     91     89            58            84     82     83     84            56  
153369 -       Wind Max         15                                                                     2            20                   15                   02                                        10     12     12                          12            12                                 12     10                                         6     14                   14     14     14                                  5     14                   14     14     14                                 14     09                   15     15     12             4             4     15     14     12            12  
153370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153372 -              https://flow.polar.com/training/analysis/8002813854                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153375 -               ..
153377 -   
153378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153380 -  ..
153381 - EKG at mile 08 time 1256 HR 117 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153382 - Tachycardia... heart rate shows mostly uniform HR with minor artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153383 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153386 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153387 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241118-ecg-125618_mile_08_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153391 -  ..
153392 - EKG at mile 15 time 1508 HR 122 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153393 - Tachycardia... heart rate shows mostly uniform HR with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153394 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153397 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153398 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241118-ecg-150842_mile_15_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153402 -  ..
153403 - End hike EKG at mile 25, time 1820 HR 110 temp 57 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153404 - Unclassified... looks variable with significant artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153405 - history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153408 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153409 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241118-ecg-182029_mile_25_110_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153413 -  ..
153414 - Post hike HR profile beginning 0025, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153415 - hiking 18 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153416 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153417 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153418 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153421 -        ..
153422 -       Date      241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909  240908    
153423 -       Time       0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808    1947     
153424 -       Hours         8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12       8     
153425 -       HR AVG       52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65      66     
153426 -       HR MAX      126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107      99     
153427 -       HR Min       42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40      38     
153428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153430 -              https://flow.polar.com/training/analysis/8003136866                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153433 -               ..
153435 -   
153436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153439 -  ..
153440 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153441 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153442 - Dinner - macaroni cheese ham broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153445 -  ..
153446 - Vomiting: 2%  reflux slept in recliner chair until 0330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153471 -         ..
153472 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153473 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153474 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153475 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153476 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153477 -  324.  241119 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153478 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153479 -               0735....BP HR..................................................... 157  86  55  Kardia ECG reports HR status, see below. ref SDS 0 6RM2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153480 -               0740....BP HR..................................................... 152  86  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153481 -               0745....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153482 -               0745....80 426420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153483 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153484 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153485 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153486 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153487 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153488 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153489 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153490 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
153491 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153492 -               1700... 40 116960 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
153493 -               1830............ 10 20660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153494 -               1830............ 10 21010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153495 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153496 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153497 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153498 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153499 -               2200... 1000 2297000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153500 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153501 -               2330... 80 426500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153502 -               2340... 40 91460 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153505 -  ..
153506 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153507 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153509 -  ..
153510 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153511 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153513 -  ..
153514 - Reflux last night slept in recliner chair until 0400                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153519 -  ..
153520 - Kardia recorded HR 056 at 0854 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153521 - uniform heart beat lengths with p-waves and minor artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153522 - AFL after hiking 25 miles temp 59 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153523 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153524 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153525 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153528 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153529 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241119-ecg-085406_mile_00_056_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153534 -  ..
153535 - Post hike HR profile beginning 1853, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153536 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153537 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153538 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153539 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153542 -        ..
153543 -       Date      241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910  240909    
153544 -       Time       1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no    1808     
153545 -       Hours        12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report    12     
153546 -       HR AVG       65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55              65     
153547 -       HR MAX      112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             107     
153548 -       HR Min       43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40              40     
153549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153551 -              https://flow.polar.com/training/analysis/8003711084                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153554 -               ..
153556 -   
153557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153560 -  ..
153561 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153562 - Lunch - half sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153563 - Dinner - eggs broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153566 -  ..
153567 - Vomiting: 2%  reflux slept in recliner chair until 0330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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153584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153592 -         ..
153593 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153594 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153595 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153596 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153597 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153598 -  325.  241120 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153599 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153600 -               0735....BP HR..................................................... 157 100  56  Kardia ECG reports HR status, see below. ref SDS 0 TX7S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153601 -               0740....BP HR..................................................... 161  98  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153602 -               0745....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153603 -               0745....80 426580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153604 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153605 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153606 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153607 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153608 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153609 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153610 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153611 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
153612 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153613 -               1700... 40 117000 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
153614 -             1 0000............ 10 20660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153615 -             1 0000............ 10 21010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153616 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153617 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153618 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153619 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153620 -               2200... 1000 2298000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153621 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153622 -               2330... 80 426660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153623 -               2340... 40 91500 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153626 -  ..
153627 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153628 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153630 -  ..
153631 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153632 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153634 -  ..
153635 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153639 -  ..
153640 - Kardia EKG not recorded this morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153644 -  ..
153645 - Post hike HR profile beginning 1937, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153646 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153647 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153648 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153649 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153652 -        ..
153653 -       Date      241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911    
153654 -       Time       1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151     
153655 -       Hours        13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7     
153656 -       HR AVG       69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55     
153657 -       HR MAX      115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115     
153658 -       HR Min       46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40     
153659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153661 -              https://flow.polar.com/training/analysis/8004789715                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153664 -               ..
153666 -   
153667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153670 -  ..
153671 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153672 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153673 - Dinner - macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153676 -  ..
153677 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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153690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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153698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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153700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153705 -         ..
153706 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153707 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153708 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153709 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153710 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153711 -  326.  241121 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153712 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153713 -               0715....BP HR..................................................... 162  95  49  Kardia ECG reports HR status, see below. ref SDS 0 ZYWX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153714 -               0720....BP HR..................................................... 161 101  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153715 -               0725....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153716 -               0725....80 426740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153717 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153718 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153719 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153720 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153721 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153722 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153723 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153724 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
153725 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153726 -               1700... 40 117040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
153727 -               1830............ 10 20670  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153728 -               1830............ 10 21020  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153729 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153730 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153731 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153732 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153733 -               2200... 1000 2299000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153734 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153735 -               2330... 80 426820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153736 -               2340... 40 91540 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153739 -  ..
153740 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153741 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153743 -  ..
153744 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153745 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153747 -  ..
153748 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153752 -  ..
153753 - Kardia recorded HR 056 at 0854 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153754 - uniform heart beat lengths with p-waves and minor artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153755 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153756 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153757 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153758 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153761 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153762 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241121-ecg-074636_mile_00_063_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153766 -  ..
153767 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153768 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153769 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153770 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153771 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153774 -        ..
153775 -       Date      241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912  240911  240910    
153776 -       Time       2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102    2151      no     
153777 -       Hours        11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11       7    report   
153778 -       HR AVG       68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67      55             
153779 -       HR MAX      109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     115             
153780 -       HR Min       47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39      40             
153781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153783 -              https://flow.polar.com/training/analysis/8004202736                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153786 -               ..
153788 -   
153789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153792 -  ..
153793 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153794 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153795 - Dinner - macaroni cheese steak broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153798 -  ..
153799 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153826 -         ..
153827 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153828 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153829 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153830 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153831 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153832 -  327.  241122 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153833 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153834 -               0720....BP HR..................................................... 157  84  56  Kardia ECG reports HR status, see below. ref SDS 0 UP4Y                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153835 -               0725....BP HR..................................................... 157  89  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153836 -               0730....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153837 -               0730....80 426900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153838 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153839 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153840 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153841 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153842 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153843 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153844 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153845 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
153846 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153847 -               1700... 40 117080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
153848 -             1 0000............ 10 20670  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153849 -             1 0000............ 10 21020  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153850 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153851 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153852 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153853 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153854 -               2200... 1000 2300000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153855 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153856 -               2330... 80 426980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153857 -               2340... 40 91580 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153860 -  ..
153861 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153862 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153864 -  ..
153865 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153866 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153868 -  ..
153869 - Reflux last night had to sleep in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153873 -  ..
153874 - Kardia recorded HR 055 at 1035 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153875 - like variable heart beat lengths with p-waves and no artifact; likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153876 - no AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153877 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153878 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153879 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153882 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153883 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241122-ecg-103507_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153888 -  ..
153889 - Post hike HR profile beginning 1935, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153890 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153891 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153892 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153893 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153896 -        ..
153897 -       Date      241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913  240912    
153898 -       Time       1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954    2102     
153899 -       Hours        12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11      11     
153900 -       HR AVG       69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66      67     
153901 -       HR MAX      120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     130     
153902 -       HR Min       47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40      39     
153903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153905 -              https://flow.polar.com/training/analysis/8005276385                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153908 -               ..
153910 -   
153911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153914 -  ..
153915 - Breakfast - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153916 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153917 - Dinner - tuna broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153920 -  ..
153921 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153947 -         ..
153948 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153949 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153950 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153951 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153952 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153953 -  328.  241123 0605............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153954 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153955 -               0730....BP HR..................................................... 160  87  48  Kardia ECG reports HR status, see below. ref SDS 0 URWA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153956 -               0735....BP HR..................................................... 162  91  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153957 -               0740....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153958 -               0740....80 427060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153959 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153960 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153961 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153962 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153963 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153964 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153965 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153966 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
153967 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153968 -               1700... 40 117120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
153969 -               1830............ 10 20680  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153970 -               1830............ 10 21030  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153971 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153972 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153973 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153974 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153975 -               2200... 1000 2301000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153976 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153977 -               2330... 80 427140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153978 -               2340... 40 91620 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153980 -  ..
153981 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153982 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153984 -  ..
153985 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153986 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153988 -  ..
153989 - Reflux vomiting dinner about 0100 slept in recliner chair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153994 -  ..
153995 - Kardia recorded HR 056 at 0800 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153996 - like variable heart beat lengths with p-waves and no artifact; likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153997 - no AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153998 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153999 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154000 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154003 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154004 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241123-ecg-080012_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154008 -  ..
154009 - Post hike HR profile beginning 2008, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154010 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154011 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154012 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154013 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154016 -        ..
154017 -       Date      241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914  240913    
154018 -       Time       2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903    1954     
154019 -       Hours        12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13      11     
154020 -       HR AVG       65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64      66     
154021 -       HR MAX      130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     115     
154022 -       HR Min       44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39      40     
154023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154025 -              https://flow.polar.com/training/analysis/8006378789                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154028 -               ..
154030 -   
154031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154034 -  ..
154035 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154036 - Lunch - half sandwich balony cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154037 - Dinner - eggs macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154040 -  ..
154041 - Vomiting: 3%   slept in recliner chair overnight due to reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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154050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154066 -         ..
154067 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154068 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154069 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154070 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154071 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154072 -  329.  241124 0722............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154073 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154074 -               0735....BP HR..................................................... 152  88  54  Kardia ECG reports HR status, see below. ref SDS 0 USRY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154075 -               0740....BP HR..................................................... 152  91  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154076 -               0745....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154077 -               0745....80 427220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154078 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154079 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154080 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154081 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154082 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154083 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154084 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154085 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154086 -               1700... 40 117160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154087 -             1 0000............ 10 20680  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154088 -             1 0000............ 10 21030  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154089 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154090 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154091 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154092 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154093 -               2200... 1000 2302000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154094 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154095 -               2330... 80 427300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154096 -               2340... 40 91660 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154098 -  ..
154099 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154100 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154102 -  ..
154103 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154104 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154106 -  ..
154107 - Reflux last night was better after EGD dilation procedure on 240910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154111 -  ..
154112 - Kardia recorded HR 052 at 0922 Normal Sinus Rhythm, looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154113 - variable heart beat lengths with p-waves and no artifact; likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154114 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154115 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154116 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154117 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154120 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154121 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241124-ecg-092259_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154125 -  ..
154126 - Post hike HR profile beginning 2046, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154127 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154128 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154129 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154130 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154133 -        ..
154134 -       Date      241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915  240914    
154135 -       Time       2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321    1903     
154136 -       Hours        11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8      13     
154137 -       HR AVG       63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63      64     
154138 -       HR MAX      119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     123     
154139 -       HR Min       45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41      39     
154140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154142 -              https://flow.polar.com/training/analysis/8006378832                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154145 -               ..
154147 -   
154148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154151 -  ..
154152 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154153 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154154 - Dinner - hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154157 -  ..
154158 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154183 -         ..
154184 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154185 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154186 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154187 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154188 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154189 -  330.  241125 0707............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154190 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154191 -               0715....BP HR..................................................... 160  86  51  Kardia ECG reports HR status, see below. ref SDS 0 HP8Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154192 -               0720....BP HR..................................................... 157  83  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154193 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154194 -               0725....80 427380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154195 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154196 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154197 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154198 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154199 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154200 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154201 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154202 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154203 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154204 -               1830....weight.................................... 178  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154205 -               1835....BP HR..................................................... 112  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154206 -               1840....BP HR.....................................................  97  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154207 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154208 -               1700... 40 117200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154209 -               1830............ 10 20690  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154210 -               1830............ 10 21040  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154211 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154212 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154213 -               2050....Tramadol 50 mg took 1 pill - relieve restless legs to sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154214 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154215 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154216 -               2200... 1000 2303000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154217 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154218 -               2330... 80 427460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154219 -               2340... 40 91700 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154222 -  ..
154223 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154224 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154226 -  ..
154227 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154228 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154230 -  ..
154231 - Reflux last night slept in chair to avoid reflux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154236 -  ..
154237 - Kardia recorded HR 049 at 0836 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154238 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154239 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154240 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154241 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154242 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154245 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154246 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241125-ecg-083619_mile_00_049_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154250 -  ..
154251 - Post hike HR profile beginning 1924, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154252 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154253 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154254 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154255 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154258 -        ..
154259 -       Date      241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915    
154260 -       Time       2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321     
154261 -       Hours         9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8     
154262 -       HR AVG       66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63     
154263 -       HR MAX      157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     
154264 -       HR Min       44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41     
154265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154267 -              https://flow.polar.com/training/analysis/8006864808                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154270 -               ..
154272 -   
154273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154276 -  ..
154277 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154278 - Lunch - half sandwich balony cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154279 - Dinner - eggs macaroni cheese broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154282 -  ..
154283 - Vomiting: 1%   slept in recliner chair until 0300, up early                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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154291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154310 -         ..
154311 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154312 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154313 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154314 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154315 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154316 -  331.  241126 0527............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154317 -               0530....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154318 -               0535....BP HR..................................................... 150  89  51  Kardia ECG reports HR status, see below. ref SDS 0 NV2S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154319 -               0540....BP HR..................................................... 148  90  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154320 -               0545....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154321 -               0545....80 427540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154322 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154323 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154324 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154325 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154326 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154327 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154328 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154329 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154330 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154331 -               1700... 40 117240 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154332 -             1 0000............ 10 20690  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154333 -             1 0000............ 10 21040  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154334 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154335 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154336 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154337 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154338 -               2200... 1000 2304000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154339 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154340 -               2330... 80 427620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154341 -               2340... 40 91740 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154344 -  ..
154345 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154346 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154348 -  ..
154349 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154350 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154352 -  ..
154353 - Reflux last night was better after EGD dilation today on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154357 -  ..
154358 - Kardia recorded HR 063 at 0504 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154359 - beat lengths with p-waves and no artifact; likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154360 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154361 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154362 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154363 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154366 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154367 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241126-ecg-050421_mile_00_063_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154371 -  ..
154372 - Polar failed to upload overnight HR diagnostics...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154373 - Post hike HR profile beginning 2012, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154374 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154375 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154376 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154377 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154380 -        ..
154381 -       Date      241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917  240916  240915    
154382 -       Time       2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254    1346    2321     
154383 -       Hours         9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8       9       8     
154384 -       HR AVG       66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64      59      63     
154385 -       HR MAX      157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     121      98     
154386 -       HR Min       44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41      39      41     
154387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154389 -              https://flow.polar.com/training/analysis/8006864808                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154392 -               ..
154394 -   
154395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154398 -  ..
154399 - Breakfast - NPO for EGD dilation today at 1300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154400 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154401 - Dinner - half hamburger (Arby's) and few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154404 -  ..
154405 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154430 -         ..
154431 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154432 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154433 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154434 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154435 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154436 -  332.  241127 0800............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154437 -               0800....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154438 -               0805....BP HR..................................................... 148  81  56  Kardia ECG reports HR status, see below. ref SDS 0 8VSU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154439 -               0810....BP HR..................................................... 143  77  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154440 -               0815....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154441 -               0815....80 427700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154442 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154443 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154444 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154445 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154446 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154447 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154448 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154449 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154450 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154451 -               1700... 40 117280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154452 -               1830............ 10 20700  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154453 -               1830............ 10 21050  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154454 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154455 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154456 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154457 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154458 -               2200... 1000 2305000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154459 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154460 -               2330... 80 427780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154461 -               2340... 40 91780 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154464 -  ..
154465 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154466 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154468 -  ..
154469 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154470 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154472 -  ..
154473 - Reflux last night was better after EGD dilation at VA on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154477 -  ..
154478 - Kardia EKG not recorded today on 141127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154482 -  ..
154483 - Post hike HR profile beginning 1924, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154484 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154485 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154486 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154487 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154490 -        ..
154491 -       Date      241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918  240917    
154492 -       Time       1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018    2254     
154493 -       Hours        12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5       8     
154494 -       HR AVG       67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64      64     
154495 -       HR MAX      116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     124     
154496 -       HR Min       43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42      41     
154497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154499 -              https://flow.polar.com/training/analysis/8008080846                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154502 -               ..
154504 -   
154505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154508 -  ..
154509 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154510 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154511 - Dinner - hamburger potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154514 -  ..
154515 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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154522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154540 -         ..
154541 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154542 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154543 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154544 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154545 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154546 -  333.  241128 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154547 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154548 -               0735....BP HR..................................................... 147  82  51  Kardia ECG reports HR status, see below. ref SDS 0 QD3M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154549 -               0740....BP HR..................................................... 150  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154550 -               0745....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154551 -               0745....80 427700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154552 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154553 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154554 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154555 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154556 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154557 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154558 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154559 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154560 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154561 -               1700... 40 117280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154562 -             1 0000............ 10 20700  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154563 -             1 0000............ 10 21050  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154564 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154565 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154566 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154567 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154568 -               2200... 1000 2305000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154569 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154570 -               2330... 80 427780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154571 -               2340... 40 91780 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154574 -  ..
154575 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154576 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154578 -  ..
154579 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154580 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154582 -  ..
154583 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154588 -  ..
154589 - Kardia recorded HR 050 at 0813 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154590 - heart beat lengths with p-waves and minor artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154591 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154592 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154593 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154594 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154597 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154598 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241128-ecg-081324_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154602 -  ..
154603 - Post hike HR profile beginning 1921, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154604 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154605 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154606 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154607 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154610 -        ..
154611 -       Date      241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919  240918    
154612 -       Time       1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913    0018     
154613 -       Hours        12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12       5     
154614 -       HR AVG       61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64      64     
154615 -       HR MAX      114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104      90     
154616 -       HR Min       33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39      42     
154617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154619 -              https://flow.polar.com/training/analysis/8008598695                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154622 -               ..
154624 -   
154625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154628 -  ..
154629 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154630 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154631 - Dinner - hamburger potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154634 -  ..
154635 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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154642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154660 -         ..
154661 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154662 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154663 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154664 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154665 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154666 -  334.  241129 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154667 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154668 -               0715....BP HR..................................................... 154  82  49  Kardia ECG reports HR status, see below. ref SDS 0 DYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154669 -               0720....BP HR..................................................... 157  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154670 -               0725....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154671 -               0725....80 427860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154672 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154673 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154674 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154675 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154676 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154677 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154678 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154679 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154680 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154681 -               1700... 40 117320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154682 -               1830............ 10 20710  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154683 -               1830............ 10 21060  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154684 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154685 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154686 -               2130... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154687 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154688 -               2200... 1000 2306000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154689 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154690 -               2330... 80 427940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154691 -               2340... 40 91820 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154693 -  ..
154694 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154695 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154697 -  ..
154698 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154699 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154701 -  ..
154702 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154708 -  ..
154709 - Kardia recorded HR 049 at 0709 Bradycardia, looks like uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154710 - beat lengths with p-waves and minor artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154711 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154712 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154713 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154714 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154717 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154718 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241129-ecg-070912_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154722 -  ..
154723 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154724 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154725 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154726 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154727 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154730 -        ..
154731 -       Date      241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920  240919    
154732 -       Time       1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932    1913     
154733 -       Hours        12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10      12     
154734 -       HR AVG       65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66      64     
154735 -       HR MAX      129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     104     
154736 -       HR Min       40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38      39     
154737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154739 -              https://flow.polar.com/training/analysis/8009125835                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154742 -               ..
154744 -   
154745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154748 -  ..
154749 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154750 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154751 - Dinner - hamburger potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154754 -  ..
154755 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154781 -         ..
154782 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154783 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154784 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154785 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154786 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154787 -  335.  241130 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154788 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154789 -               0725....BP HR..................................................... 161  89  62  Kardia ECG reports HR status, see below. ref SDS 0 VPUS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154790 -               0730....BP HR..................................................... 164  93  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154791 -               0735....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154792 -               0735....80 428020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154793 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154794 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154795 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154796 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154797 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154798 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154799 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154800 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154801 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154802 -               1700... 40 117360 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154803 -             1 0000............ 10 20710  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154804 -             1 0000............ 10 21060  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154805 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154806 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154807 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154808 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154809 -               2200... 1000 2307000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154810 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154811 -               2330... 80 428100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154812 -               2340... 40 91860 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154815 -  ..
154816 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154817 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154819 -  ..
154820 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154821 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154823 -  ..
154824 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154829 -  ..
154830 - Kardia recorded HR 063 at 0738 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154831 - heart beat lengths with p-waves and minor artifact; likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154832 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154833 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154834 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154835 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154838 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154839 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241130-ecg-073855_mile_00_063_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154843 -  ..
154844 - Post hike HR profile beginning 2048, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154845 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154846 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154847 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154848 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154851 -        ..
154852 -       Date      241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921  240920    
154853 -       Time       2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no    1932     
154854 -       Hours        12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report    10     
154855 -       HR AVG       71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65              66     
154856 -       HR MAX      146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             103     
154857 -       HR Min       46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38              38     
154858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154860 -              https://flow.polar.com/training/analysis/8010371291                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154863 -               ..
154865 -   
154866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154869 -  ..
154870 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154871 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154872 - Dinner - hamburger broccoli cauliflower potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154875 -  ..
154876 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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154883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154903 -         ..
154904 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154905 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154906 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154907 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154908 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154909 -  336.  241201 0740............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154910 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154911 -               0745....BP HR..................................................... 142  96  64  Kardia ECG reports HR status, see below. ref SDS 0 VQWU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154912 -               0750....BP HR..................................................... 164  93  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154913 -               0755....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154914 -               0755....80 428180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154915 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154916 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154917 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154918 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154919 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154920 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154921 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154922 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
154923 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154924 -               1700... 40 117400 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
154925 -               1830............ 10 20720  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154926 -               1830............ 10 21070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154927 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154928 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154929 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154930 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154931 -               2200... 1000 2308000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154932 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154933 -               2330... 80 428260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154934 -               2340... 40 91900 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154937 -  ..
154938 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154939 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154941 -  ..
154942 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154943 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154945 -  ..
154946 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154951 -  ..
154952 - Kardia recorded HR 053 at 0726 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154953 - heart beat lengths with p-waves and no artifact; likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154954 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154955 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154956 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154957 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154960 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154961 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241201-ecg-072646_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154966 -  ..
154967 - Post hike HR profile beginning 1850, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154968 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154969 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154970 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154971 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154974 -        ..
154975 -       Date      241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922  240921    
154976 -       Time       1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023      no     
154977 -       Hours         8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11    report   
154978 -       HR AVG       72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65             
154979 -       HR MAX      108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135             
154980 -       HR Min       42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38             
154981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154983 -              https://flow.polar.com/training/analysis/8010371368                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154986 -               ..
154988 -   
154989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154992 -  ..
154993 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154994 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154995 - Dinner - hamburger potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154998 -  ..
154999 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155025 -         ..
155026 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155027 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155028 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155029 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155030 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155031 -  337.  241202 0400............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155032 -               0410....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155033 -               0415....BP HR..................................................... 136  73  64  Kardia ECG reports HR status, see below. ref SDS 0 6RYV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155034 -               0420....BP HR..................................................... 139  72  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155035 -               0425....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155036 -               0425....80 428340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155037 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155038 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155039 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155040 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155041 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155042 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155043 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155044 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155045 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155046 -               1700... 40 117440 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155047 -             1 0000............ 10 20720  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155048 -             1 0000............ 10 21070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155049 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155050 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155051 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155052 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155053 -               2200... 1000 2309000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155054 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155055 -               2330... 80 428420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155056 -               2340... 40 91940 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155059 -  ..
155060 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155061 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155063 -  ..
155064 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155065 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155067 -  ..
155068 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155072 -  ..
155073 - Kardia recorded HR 060 at 0419 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155074 - like uniform heart beat lengths with p-waves and minor artifact;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155075 - likely no AFL after hiking 00 miles temp -- yesterday, and stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155076 - Apixaban on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155077 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155078 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155081 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155082 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241202-ecg-041922_mile_00_060_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155086 -  ..
155087 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155088 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155089 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155090 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155091 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155094 -        ..
155095 -       Date      241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923  240922    
155096 -       Time       2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910    2023     
155097 -       Hours        11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5      11     
155098 -       HR AVG       68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66      65     
155099 -       HR MAX      118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     135     
155100 -       HR Min       47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50      38     
155101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155103 -              https://flow.polar.com/training/analysis/8010825408                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155106 -               ..
155108 -   
155109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155112 -  ..
155113 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155114 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155115 - Dinner - hamburger potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155118 -  ..
155119 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155146 -         ..
155147 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155148 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155149 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155150 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155151 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155152 -  338.  241203 0900............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155153 -               0900....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155154 -               0905....BP HR..................................................... 154  82  55  Kardia ECG reports HR status, see below. ref SDS 0 VQUW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155155 -               0910....BP HR..................................................... 148  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155156 -               0915....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155157 -               0915....80 428500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155158 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155159 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155160 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155161 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155162 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155163 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155164 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155165 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155166 -               1820... Hike ends mile 25... ref SDS 0 SX4Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155167 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155168 -               1700... 40 117480 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155169 -               1830............ 10 20730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155170 -               1830............ 10 21080  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155171 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155172 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155173 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155174 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155175 -               2200... 1000 2310000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155176 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155177 -               2330... 80 428580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155178 -               2340... 40 91980 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155181 -  ..
155182 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155183 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155185 -  ..
155186 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155187 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155189 -  ..
155190 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155194 -  ..
155195 - Kardia recorded HR 060 at 0820 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155196 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155197 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155198 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155199 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155200 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155203 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155204 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241203-ecg-082043_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155207 -  ..
155208 - Post hike HR profile beginning 1933, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155209 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155210 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155211 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155212 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155215 -        ..
155216 -       Date      241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924  240923    
155217 -       Time       1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010    1910     
155218 -       Hours        12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7       5     
155219 -       HR AVG       63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58      66     
155220 -       HR MAX      106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     115     
155221 -       HR Min       42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38      50     
155222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155224 -              https://flow.polar.com/training/analysis/8011335720                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155227 -               ..
155229 -   
155230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155233 -  ..
155234 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155235 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155236 - Dinner - hamburger potato asparagus onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155239 -  ..
155240 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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155248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155265 -         ..
155266 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155267 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155268 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155269 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155270 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155271 -  339.  241204 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155272 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155273 -               0725....BP HR..................................................... 146  86  50  Kardia ECG reports HR status, see below. ref SDS 0 VR3S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155274 -               0730....BP HR..................................................... 146  89  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155275 -               0735....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155276 -               0735....80 428660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155277 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155278 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155279 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155280 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155281 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155282 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155283 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155284 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155285 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155286 -               1700... 40 117520 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155287 -             1 0000............ 10 20730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155288 -             1 0000............ 10 21080  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155289 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155290 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155291 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155292 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155293 -               2200... 1000 2311000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155294 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155295 -               2330... 80 428740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155296 -               2340... 40 92020 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155299 -  ..
155300 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155301 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155303 -  ..
155304 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155305 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155307 -  ..
155308 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155312 -  ..
155313 - Kardia recorded HR 052 at 0742 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155314 - heart beat lengths with p-waves and moderate artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155315 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155316 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155317 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155318 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155322 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241204-ecg-074232_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155326 -  ..
155327 - Post hike HR profile beginning 1931, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155328 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155329 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155330 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155331 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155334 -        ..
155335 -       Date      241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925  240924    
155336 -       Time       1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812    0010     
155337 -       Hours        12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9       7     
155338 -       HR AVG       43      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53      58     
155339 -       HR MAX      124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     128     
155340 -       HR Min       44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36      38     
155341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155343 -              https://flow.polar.com/training/analysis/8011887566                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155346 -               ..
155348 -   
155349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155352 -  ..
155353 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155354 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155355 - Dinner - tuna asparagus onion mushrooms cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155358 -  ..
155359 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155384 -         ..
155385 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155386 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155387 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155388 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155389 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155390 -  340.  241205 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155391 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155392 -               0715....BP HR..................................................... 163  93  52  Kardia ECG reports HR status, see below. ref SDS 0 XJ2Y                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155393 -               0720....BP HR..................................................... 156  88  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155394 -               0725....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155395 -               0725....80 428820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155396 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155397 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155398 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155399 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155400 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155401 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155402 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155403 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155404 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155405 -               1700... 40 117560 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155406 -               1830............ 10 20740  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155407 -               1830............ 10 21090  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155408 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155409 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155410 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155411 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155412 -               2200... 1000 2312000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155413 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155414 -               2330... 80 428900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155415 -               2340... 40 92060 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155418 -  ..
155419 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155420 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155422 -  ..
155423 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155424 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155426 -  ..
155427 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155431 -  ..
155432 - Kardia EKG not recorded....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155435 -  ..
155436 - Post hike HR profile beginning 1934, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155437 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155438 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155439 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155440 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155443 -        ..
155444 -       Date      241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926  240925    
155445 -       Time       1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212    1812     
155446 -       Hours        12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9       9     
155447 -       HR AVG       63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49      53     
155448 -       HR MAX      121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     112     
155449 -       HR Min       40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39      36     
155450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155452 -              https://flow.polar.com/training/analysis/8012489650                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155455 -               ..
155457 -   
155458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155461 -  ..
155462 - Breakfast - eggs steak toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155463 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155464 - Dinner - hamburger asparagus onion mushrooms potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155467 -  ..
155468 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155494 -         ..
155495 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155496 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155497 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155498 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155499 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155500 -  341.  241206 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155501 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155502 -               0725....BP HR..................................................... 151  92  51  Kardia ECG reports HR status, see below. ref SDS 0 V2R8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155503 -               0730....BP HR..................................................... 137  79  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155504 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155505 -               0735....80 428980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155506 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155507 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155508 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155509 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155510 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155511 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155512 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155513 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155514 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155515 -               1700... 40 117600 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155516 -             1 0000............ 10 20740  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155517 -             1 0000............ 10 21090  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155518 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155519 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155520 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155521 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155522 -               2200... 1000 2313000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155523 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155524 -               2330... 80 429060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155525 -               2340... 40 92100 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155528 -  ..
155529 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155530 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155532 -  ..
155533 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155534 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155536 -  ..
155537 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155541 -  ..
155542 - Kardia recorded HR 052 at 0849 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155543 - heart beat lengths with p-waves and moderate artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155544 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155545 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155546 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155547 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155550 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155551 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241206-ecg-084900_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155555 -  ..
155556 - Post hike HR profile beginning 1952, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155557 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155558 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155559 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155560 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155563 -        ..
155564 -       Date      241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927  240926    
155565 -       Time       1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041    2212     
155566 -       Hours        12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11       9     
155567 -       HR AVG       67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66      49     
155568 -       HR MAX      105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111      98     
155569 -       HR Min       42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46      39     
155570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155572 -              https://flow.polar.com/training/analysis/8012968372                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155575 -               ..
155577 -   
155578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155581 -  ..
155582 - Breakfast - eggs steak toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155583 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155584 - Dinner - eggs broccoli cauliflower hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155587 -  ..
155588 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155616 -         ..
155617 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155618 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155619 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155620 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155621 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155622 -  342.  241207 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155623 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155624 -               0725....BP HR..................................................... 168  93  59  Kardia ECG reports HR status, see below. ref SDS 0 H2DQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155625 -               0730....BP HR..................................................... 160  94  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155626 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155627 -               0735....80 429140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155628 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155629 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155630 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155631 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155632 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155633 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155634 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155635 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155636 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155637 -               1700... 40 117640 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155638 -               1830............ 10 20750  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155639 -               1830............ 10 21100  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155640 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155641 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155642 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155643 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155644 -               2200... 1000 2314000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155645 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155646 -               2330... 80 429220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155647 -               2340... 40 92140 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155650 -  ..
155651 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155652 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155654 -  ..
155655 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155656 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155658 -  ..
155659 - Reflux last night slept in recliner after EGD procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155663 -  ..
155664 - Kardia recorded HR 059 at 1403 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155665 - like variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155666 - likely no AFL after hiking 00 miles temp -- yesterday, and stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155667 - Apixaban on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155668 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155669 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155672 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155673 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241207-ecg-140351_mile_00_059_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155676 -  ..
155677 - Post hike HR profile beginning 2007, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155678 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155679 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155680 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155681 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155684 -        ..
155685 -       Date      241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928  240927    
155686 -       Time       2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922    2041     
155687 -       Hours        12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13      11     
155688 -       HR AVG       63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63      66     
155689 -       HR MAX      135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     111     
155690 -       HR Min       44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43      46     
155691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155693 -              https://flow.polar.com/training/analysis/8013626759                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155696 -               ..
155698 -   
155699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155702 -  ..
155703 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155704 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155705 - Dinner - eggs hamburger asparagus potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155708 -  ..
155709 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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155715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155736 -         ..
155737 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155738 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155739 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155740 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155741 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155742 -  343.  241208 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155743 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155744 -               0725....BP HR..................................................... 164  97  59  Kardia ECG reports HR status, see below. ref SDS 0 VWUP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155745 -               0730....BP HR..................................................... 162  93  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155746 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155747 -               0735....80 429300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155748 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155749 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155750 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155751 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155752 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155753 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155754 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155755 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155756 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155757 -               1700... 40 117680 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155758 -             1 0000............ 10 20750  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155759 -             1 0000............ 10 21100  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155760 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155761 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155762 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155763 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155764 -               2200... 1000 2315000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155765 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155766 -               2330... 80 429380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155767 -               2340... 40 92180 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155770 -  ..
155771 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155772 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155774 -  ..
155775 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155776 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155778 -  ..
155779 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155783 -  ..
155784 - Kardia recorded HR 064 at 1116 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155785 - like variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155786 - likely no AFL after hiking 00 miles temp -- yesterday, and stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155787 - Apixaban on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155788 - and diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155789 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155792 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155793 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241208-ecg-111623_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155797 -  ..
155798 - Post hike HR profile beginning 2125, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155799 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155800 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155801 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155802 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155805 -        ..
155806 -       Date      241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929  240928    
155807 -       Time       2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118    1922     
155808 -       Hours         9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6      13     
155809 -       HR AVG       66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55      63     
155810 -       HR MAX      109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     127     
155811 -       HR Min       35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41      43     
155812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155814 -              https://flow.polar.com/training/analysis/8013920930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155817 -               ..
155819 -   
155820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155823 -  ..
155824 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155825 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155826 - Dinner - eggs hamburger asparagus potato onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155829 -  ..
155830 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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155843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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155851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155857 -         ..
155858 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155859 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155860 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155861 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155862 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155863 -  344.  241209 0640............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155864 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155865 -               0645....BP HR..................................................... 161  98  48  Kardia ECG reports HR status, see below. ref SDS 0 EXWP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155866 -               0650....BP HR..................................................... 157  95  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155867 -               0655....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155868 -               0655....80 429460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155869 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155870 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155871 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155872 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155873 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155874 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155875 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155876 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
155877 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155878 -               1700... 40 117720 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
155879 -               1830............ 10 20760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155880 -               1830............ 10 21110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155881 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155882 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155883 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155884 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155885 -               2200... 1000 2316000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155886 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155887 -               2330... 80 429540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155888 -               2340... 40 92220 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155891 -  ..
155892 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155893 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155895 -  ..
155896 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155897 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155899 -  ..
155900 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155905 -  ..
155906 - Kardia recorded HR 052 at 0653 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155907 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155908 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155909 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155910 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155911 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155914 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155915 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241209-ecg-065310_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155920 -  ..
155921 - Post hike HR profile beginning 2355, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155922 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155923 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155924 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155925 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155928 -        ..
155929 -       Date      241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930  240929    
155930 -       Time       2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748    0118     
155931 -       Hours         8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13       6     
155932 -       HR AVG       67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68      55     
155933 -       HR MAX      117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115      93     
155934 -       HR Min       46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41      41     
155935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155937 -              https://flow.polar.com/training/analysis/8014529386                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155940 -               ..
155942 -   
155943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155946 -  ..
155947 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155948 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155949 - Dinner - macaroni & cheese mushroom tuna onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155952 -  ..
155953 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155980 -         ..
155981 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155982 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155983 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155984 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155985 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155986 -  345.  241210 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155987 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155988 -               0725....BP HR..................................................... 164  92  61  Kardia ECG reports HR status, see below. ref SDS 0 Q7B4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155989 -               0720....BP HR..................................................... 164  87  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155990 -               0725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155991 -               0725....80 429620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155992 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155993 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155994 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155995 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155996 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155997 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155998 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155999 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156000 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156001 -               1700... 40 117760 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156002 -             1 0000............ 10 20760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156003 -             1 0000............ 10 21110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156004 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156005 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156006 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156007 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156008 -               2200... 1000 2317000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156009 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156010 -               2330... 80 429700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156011 -               2340... 40 92260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156014 -  ..
156015 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156016 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156018 -  ..
156019 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156020 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156022 -  ..
156023 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156028 -  ..
156029 - Kardia recorded HR 057 at 1052 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156030 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156031 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156032 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156033 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156034 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156037 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156038 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241210-ecg-105200_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156042 -  ..
156043 - Post hike HR profile beginning 1931, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156044 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156045 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156046 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156047 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156050 -        ..
156051 -       Date      241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001  240930    
156052 -       Time       1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304    1748     
156053 -       Hours        13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9      13     
156054 -       HR AVG       61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55      68     
156055 -       HR MAX      137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     115     
156056 -       HR Min       43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41      41     
156057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156059 -              https://flow.polar.com/training/analysis/8015319747                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156062 -               ..
156064 -   
156065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156068 -  ..
156069 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156070 - Lunch - sandwich balogny onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156071 - Dinner - macaroni & cheese mushroom tuna onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156074 -  ..
156075 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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156083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156102 -         ..
156103 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156104 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156105 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156106 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156107 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156108 -  346.  241211 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156109 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156110 -               0715....BP HR..................................................... 167  91  57  Kardia ECG reports HR status, see below. ref SDS 0 WG8D                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156111 -               0720....BP HR..................................................... 162  90  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156112 -               0725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156113 -               0725....80 429620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156114 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156115 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156116 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156117 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156118 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156119 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156120 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156121 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156122 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156123 -               1700... 40 117760 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156124 -               1830............ 10 20760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156125 -               1830............ 10 21110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156126 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156127 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156128 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156129 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156130 -               2200... 1000 2317000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156131 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156132 -               2330... 80 429700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156133 -               2340... 40 92260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156135 -  ..
156136 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156137 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156139 -  ..
156140 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156141 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156143 -  ..
156144 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156147 -  ..
156148 - Kardia recorded HR 085 at 1258 Normal Sinus Rhythm, looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156149 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156150 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156151 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156152 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156153 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156156 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156157 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241211-ecg-125853_mile_00_085_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156160 -  ..
156161 - Post hike HR profile beginning 1931, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156162 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156163 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156164 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156165 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156168 -        ..
156169 -       Date      241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002  241001    
156170 -       Time       1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006    2304     
156171 -       Hours        13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10       9     
156172 -       HR AVG       61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56      55     
156173 -       HR MAX      137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111      85     
156174 -       HR Min       43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40      41     
156175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156177 -              https://flow.polar.com/training/analysis/8016206022                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156180 -               ..
156182 -   
156183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156186 -  ..
156187 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156188 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156189 - Dinner - potato hot dog onion asparagus cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156192 -  ..
156193 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156218 -         ..
156219 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156220 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156221 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156222 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156223 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156224 -  347.  241212 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156225 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156226 -               0715....BP HR..................................................... 160  92  54  Kardia ECG reports HR status, see below. ref SDS 0 WRST                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156227 -               0720....BP HR..................................................... 163  89  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156228 -               0725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156229 -               0725....80 429780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156230 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156231 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156232 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156233 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156234 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156235 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156236 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156237 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156238 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156239 -               1700... 40 117800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156240 -             1 0000............ 10 20760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156241 -             1 0000............ 10 21110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156242 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156243 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156244 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156245 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156246 -               2200... 1000 2318000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156247 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156248 -               2330... 80 429860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156249 -               2340... 40 92260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156252 -  ..
156253 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156254 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156256 -  ..
156257 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156258 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156260 -  ..
156261 - Reflux last night slept in recliner after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156266 -  ..
156267 - Kardia recorded HR 068 at 0853 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156268 - like variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156269 - no AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156270 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156271 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156272 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156275 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156276 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241212-ecg-085330_mile_00_068_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156279 -  ..
156280 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156281 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156282 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156283 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156284 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156287 -        ..
156288 -       Date      241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003  241002    
156289 -       Time       2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921    2006     
156290 -       Hours         9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12      10     
156291 -       HR AVG       68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59      56     
156292 -       HR MAX      115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     111     
156293 -       HR Min       47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39      40     
156294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156296 -              https://flow.polar.com/training/analysis/8016206022                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156299 -               ..
156301 -   
156302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156305 -  ..
156306 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156307 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156308 - Dinner - eggs hamburger potato onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156311 -  ..
156312 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156339 -         ..
156340 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156341 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156342 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156343 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156344 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156345 -  348.  241213 0710............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156346 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156347 -               0715....BP HR..................................................... 168  76  64  Kardia ECG reports HR status, see below. ref SDS 0 WS6R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156348 -               0720....BP HR..................................................... 147  87  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156349 -               0725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156350 -               0725....80 429780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156351 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156352 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156353 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156354 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156355 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156356 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156357 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156358 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156359 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156360 -               1700... 40 117800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156361 -               1830............ 10 20760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156362 -               1830............ 10 21110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156363 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156364 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156365 -               2140... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156366 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156367 -               2200... 1000 2318000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156368 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156369 -               2330... 80 429860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156370 -               2340... 40 92260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156373 -  ..
156374 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156375 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156377 -  ..
156378 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156379 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156381 -  ..
156382 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156387 -  ..
156388 - Kardia recorded HR 051 at 0847 Normal Sinus Rhythm, looks like uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156389 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156390 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156391 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156392 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156393 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156396 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156397 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241213-ecg-084710_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156401 -  ..
156402 - Post hike HR profile beginning 1930, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156403 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156404 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156405 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156406 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156409 -        ..
156410 -       Date      241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004  241003    
156411 -       Time       1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048    1921     
156412 -       Hours        13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11      12     
156413 -       HR AVG       72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59      59     
156414 -       HR MAX      110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113      99     
156415 -       HR Min       45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39      39     
156416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156418 -              https://flow.polar.com/training/analysis/8016729601                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156421 -               ..
156423 -   
156424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156427 -  ..
156428 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156429 - Lunch - sandwich baloney cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156430 - Dinner - eggs hamburger potato onion asparagus cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156433 -  ..
156434 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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156456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156461 -         ..
156462 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156463 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156464 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156465 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156466 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156467 -  349.  241214 0725............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156468 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156469 -               0730....BP HR..................................................... 147  95  67  Kardia ECG reports HR status, see below. ref SDS 0 7TW3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156470 -               0735....BP HR..................................................... 150  86  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156471 -               0740....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156472 -               0745....80 429940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156473 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156474 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156475 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156476 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156477 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156478 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156479 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156480 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156481 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156482 -               1700... 40 117840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156483 -             1 0000............ 10 20760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156484 -             1 0000............ 10 21110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156485 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156486 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156487 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156488 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156489 -               2200... 1000 2319000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156490 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156491 -               2330... 80 430020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156492 -               2340... 40 92260 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156495 -  ..
156496 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156497 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156499 -  ..
156500 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156501 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156503 -  ..
156504 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156508 -  ..
156509 - Kardia recorded HR 071 at 0915 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156510 - beat lengths with only some p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156511 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156512 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156513 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156514 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156517 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156518 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241214-ecg-091528_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156521 -  ..
156522 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156523 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156524 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156525 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156526 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156529 -        ..
156530 -       Date      241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005  241004    
156531 -       Time       1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016    2048     
156532 -       Hours        13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12      11     
156533 -       HR AVG       65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65      59     
156534 -       HR MAX      112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     113     
156535 -       HR Min       44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42      39     
156536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156538 -              https://flow.polar.com/training/analysis/8017190157                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156541 -               ..
156543 -   
156544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156547 -  ..
156548 - Breakfast - Cream of Wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156549 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156550 - Dinner - macaroni & cheese ham onion asparagus cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156553 -  ..
156554 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156580 -         ..
156581 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156582 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156583 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156584 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156585 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156586 -  350.  241215 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156587 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156588 -               0720....BP HR..................................................... 167  94  51  Kardia ECG reports HR status, see below. ref SDS 0 WUYT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156589 -               0725....BP HR..................................................... 158  92  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156590 -               0730....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156591 -               0735....80 430100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156592 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156593 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156594 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156595 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156596 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156597 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156598 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156599 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156600 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156601 -               1700... 40 117800 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156602 -               1830............ 10 20770  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156603 -               1830............ 10 21120  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156604 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156605 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156606 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156607 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156608 -               2200... 1000 2320000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156609 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156610 -               2330... 80 430180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156611 -               2340... 40 92300 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156613 -  ..
156614 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156615 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156617 -  ..
156618 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156619 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156621 -  ..
156622 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156625 -  ..
156626 - Kardia recorded HR 053 at 1059 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156627 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156628 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156629 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156630 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156631 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156634 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156635 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241215-ecg-105921_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156639 -  ..
156640 - Post hike HR profile beginning 0122, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156641 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156642 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156643 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156644 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156647 -        ..
156648 -       Date      241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006  241005    
156649 -       Time       0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216    2016     
156650 -       Hours         6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9      12     
156651 -       HR AVG       59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62      65     
156652 -       HR MAX      107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     126     
156653 -       HR Min       43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40      42     
156654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156656 -              https://flow.polar.com/training/analysis/8017649493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156659 -               ..
156661 -   
156662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156665 -  ..
156666 - Breakfast - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156667 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156668 - Dinner - steak eggs potato onion asparagus cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156671 -  ..
156672 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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156679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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156681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156699 -         ..
156700 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156701 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156702 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156703 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156704 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156705 -  351.  241216 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156706 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156707 -               0710....BP HR..................................................... 154  85  48  Kardia ECG reports HR status, see below. ref SDS 0 FWA8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156708 -               0715....BP HR..................................................... 160  88  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156709 -               0720....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156710 -               0725....80 430260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156711 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156712 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156713 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156714 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156715 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156716 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156717 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156718 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156719 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156720 -               1700... 40 117840 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156721 -             1 0000............ 10 20770  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156722 -             1 0000............ 10 21120  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156723 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156724 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156725 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156726 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156727 -               2200... 1000 2321000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156728 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156729 -               2330... 80 430340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156730 -               2340... 40 92340 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156733 -  ..
156734 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156735 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156737 -  ..
156738 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156739 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156741 -  ..
156742 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156746 -  ..
156747 - Kardia recorded HR 048 at 0731 Bradycardia, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156748 - beat lengths with p-waves and no major artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156749 - hiking 00 miles temp -- yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156750 - after 6th ablation on 240611 0930. ref SDS 47 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156751 - ischemic colitis on 200612 0700, ref SDS 19 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156752 - case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156755 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241216-ecg-073114_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156759 -  ..
156760 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156761 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156762 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156763 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156764 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156767 -        ..
156768 -       Date      241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007  241006    
156769 -       Time       2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937    2216     
156770 -       Hours        10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12       9     
156771 -       HR AVG       70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56      62     
156772 -       HR MAX      115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     104     
156773 -       HR Min       47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40      40     
156774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156776 -              https://flow.polar.com/training/analysis/8018122223                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156779 -               ..
156781 -   
156782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156785 -  ..
156786 - Breakfast - eggs hamburger onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156787 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156788 - Dinner - macaroni & cheese onion asparagus cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156791 -  ..
156792 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156820 -         ..
156821 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156822 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156823 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156824 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156825 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156826 -  352.  241217 0645............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156827 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156828 -               0650....BP HR..................................................... 151  85  51  Kardia ECG reports HR status, see below. ref SDS 0 W3SA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156829 -               0655....BP HR..................................................... 147  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156830 -               0700....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156831 -               0700....80 430440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156832 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156833 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156834 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156835 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156836 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156837 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156838 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156839 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156840 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156841 -               1700... 40 117880 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156842 -               1830............ 10 20780  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156843 -               1830............ 10 21130  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156844 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156845 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156846 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156847 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156848 -               2200... 1000 2322000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156849 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156850 -               2330... 80 430520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156851 -               2340... 40 92380 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156853 -  ..
156854 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156855 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156857 -  ..
156858 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156859 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156861 -  ..
156862 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156866 -  ..
156867 - Kardia recorded HR 048 at 0644 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156868 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156869 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156870 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156871 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156872 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156875 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156876 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241217-ecg-064424_mile_00_048_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156880 -  ..
156881 - Post hike HR profile beginning 2056, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156882 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156883 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156884 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156885 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156888 -        ..
156889 -       Date      241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008  241007    
156890 -       Time       2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907    1937     
156891 -       Hours        12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13      12     
156892 -       HR AVG       63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62      56     
156893 -       HR MAX      115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     107     
156894 -       HR Min       44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42      40     
156895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156897 -              https://flow.polar.com/training/analysis/8018779852                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156900 -               ..
156902 -   
156903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156906 -  ..
156907 - Breakfast - eggs hamburger onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156908 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156909 - Dinner - tuna cottage cheese onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156912 -  ..
156913 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156940 -         ..
156941 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156942 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156943 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156944 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156945 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156946 -  353.  241218 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156947 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156948 -               0735....BP HR..................................................... 154  78  51  Kardia ECG reports HR status, see below. ref SDS 0 WYUT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156949 -               0740....BP HR..................................................... 150  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156950 -               0745....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156951 -               0745....80 430600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156952 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156953 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156954 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156955 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156956 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156957 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156958 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156959 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
156960 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156961 -               1700... 40 117920 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
156962 -             1 0000............ 10 20780  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156963 -             1 0000............ 10 21130  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156964 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156965 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156966 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156967 -               2200... 1000 2323000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156968 -               2240... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156969 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156970 -               2330... 80 430680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156971 -               2340... 40 92420 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156974 -  ..
156975 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156976 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156978 -  ..
156979 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156980 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156982 -  ..
156983 - Reflux last night slept in recliner chair after EGD dilation on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156987 -  ..
156988 - Kardia recorded HR 048 at 0906 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156989 - like variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156990 - no AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156991 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156992 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156993 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156996 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156997 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241218-ecg-090640_mile_00_048_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157000 -  ..
157001 - Post hike HR profile beginning 0227, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157002 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157003 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157004 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157005 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157007 -  ..
157008 - This was started late, because new Polar Vantage V HR monitor failed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157009 - (stopped) after 4.5 hours, so this was recorded on the old device.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157011 -        ..
157012 -       Date      241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009  241008    
157013 -       Time       0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046    1907     
157014 -       Hours         5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10      13     
157015 -       HR AVG       53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57      62     
157016 -       HR MAX      112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     118     
157017 -       HR Min       41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40      42     
157018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157020 -              https://flow.polar.com/training/analysis/8019182298                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157023 -               ..
157025 -   
157026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157030 -  ..
157031 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157032 - Lunch - avocado cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157033 - Dinner - hamburger potato onion asparagus cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157036 -  ..
157037 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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157047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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157049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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157054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157066 -         ..
157067 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157068 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157069 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157070 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157071 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157072 -  354.  241219 0730............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157073 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157074 -               0735....BP HR..................................................... 156  92  46  Kardia ECG reports HR status, see below. ref SDS 0 XP48                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157075 -               0740....BP HR..................................................... 160  88  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157076 -               0745....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157077 -               0745....80 430760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157078 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157079 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157080 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157081 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157082 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157083 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157084 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157085 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157086 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157087 -               1700... 40 117960 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157088 -               1830............ 10 20790  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157089 -               1830............ 10 21140  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157090 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157091 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157092 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157093 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157094 -               2200... 1000 2324000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157095 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157096 -               2330... 80 430840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157097 -               2340... 40 92426 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157099 -  ..
157100 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157101 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157103 -  ..
157104 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157105 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157107 -  ..
157108 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157112 -  ..
157113 - Kardia recorded HR 059 at 0838 Normal Sinus Rhythm, looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157114 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157115 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157116 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157117 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157118 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157121 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157122 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241219-ecg-083953_mile_00_059_nsr_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157125 -  ..
157126 - Post hike HR profile beginning 1914, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157127 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157128 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157129 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157130 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157133 -        ..
157134 -       Date      241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010  241009    
157135 -       Time       1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906    2046     
157136 -       Hours        13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11      10     
157137 -       HR AVG       70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60      57     
157138 -       HR MAX      123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     107     
157139 -       HR Min       44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38      40     
157140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157142 -              https://flow.polar.com/training/analysis/8019665735                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157145 -               ..
157147 -   
157148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157152 -  ..
157153 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157154 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157155 - Dinner - avocado onion asparagus cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157158 -  ..
157159 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157187 -         ..
157188 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157189 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157190 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157191 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157192 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157193 -  355.  241220 0650............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157194 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157195 -               0655....BP HR..................................................... 156  89  53  Kardia ECG reports HR status, see below. ref SDS 0 AV5M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157196 -               0700....BP HR..................................................... 158  90  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157197 -               0705....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157198 -               0705....80 430920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157199 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157200 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157201 -               0705... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157202 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157203 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157204 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157205 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157206 -               0705... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157207 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157208 -               1700... 40 118000 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157209 -             1 0000............ 10 20790  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157210 -             1 0000............ 10 21140  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157211 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157212 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157213 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157214 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157215 -               2200... 1000 2325000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157216 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157217 -               2330... 80 431000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157218 -               2340... 40 92500 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157221 -  ..
157222 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157223 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157225 -  ..
157226 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157227 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157229 -  ..
157230 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157234 -  ..
157235 - Kardia recorded HR 069 at 0922 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157236 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157237 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157238 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157239 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157240 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157243 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157244 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241220-ecg-092222_mile_00_069_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157248 -  ..
157249 - Post hike HR profile beginning 1938, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157250 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157251 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157252 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157253 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157256 -        ..
157257 -       Date      241219  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011  241010    
157258 -       Time       1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927    1906     
157259 -       Hours         5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12      11     
157260 -       HR AVG       74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59      60     
157261 -       HR MAX      124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     106     
157262 -       HR Min       40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40      38     
157263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157265 -              https://flow.polar.com/training/analysis/8020062194                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157268 -               ..
157270 -   
157271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157274 -  ..
157275 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157276 - Lunch - avocado onion asparagus cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157277 - Dinner - rice broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157280 -  ..
157281 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157308 -         ..
157309 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157310 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157311 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157312 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157313 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157314 -  356.  241221 0535............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157315 -               0540....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157316 -               0545....BP HR..................................................... 162  89  53  Kardia ECG reports HR status, see below. ref SDS 0 8SQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157317 -               0550....BP HR..................................................... 158  90  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157318 -               0555....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157319 -               0555....80 431080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157320 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157321 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157322 -               0555... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157323 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157324 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157325 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157326 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157327 -               0555... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157328 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157329 -               1700... 40 118040 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157330 -               1830............ 10 20800  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157331 -               1830............ 10 21150  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157332 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157333 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157334 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157335 -               2110... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - maybe PAD both feet hurting toes blistering balls of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157336 -               2200... 1000 2326000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157337 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157338 -               2330... 80 431160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157339 -               2340... 40 92540 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157341 -  ..
157342 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157343 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157345 -  ..
157346 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157347 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157349 -  ..
157350 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157354 -  ..
157355 - Kardia recorded HR 058 at 0638 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157356 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157357 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157358 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157359 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157360 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157363 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157364 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241221-ecg-062823_mile_00_058_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157367 -  ..
157368 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157371 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157372 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241221-ecg-074205_mile_00_078_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157375 -  ..
157376 - Post hike HR profile beginning 1945, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157377 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157378 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157379 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157380 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157383 -        ..
157384 -       Date      241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012  241011    
157385 -       Time       1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905    1927     
157386 -       Hours        11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13      12     
157387 -       HR AVG       75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66      59     
157388 -       HR MAX      112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     145     
157389 -       HR Min       48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41      40     
157390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157392 -              https://flow.polar.com/training/analysis/8020623759                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157395 -               ..
157397 -   
157398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157401 -  ..
157402 - Breakfast - eggs avocado onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157403 - Lunch - half donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157404 - Dinner - rice ham broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157407 -  ..
157408 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157435 -         ..
157436 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157437 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157438 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157439 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157440 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157441 -  357.  241222 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157442 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157443 -               0715....BP HR..................................................... 157  96  53  Kardia ECG reports HR status, see below. ref SDS 0 8SQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157444 -               0720....BP HR..................................................... 153  98  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157445 -               0725....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157446 -               0725....80 431240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157447 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157448 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157449 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157450 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157451 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157452 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157453 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157454 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157455 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157456 -               1700... 40 118080 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157457 -             1 0000............ 10 20800  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157458 -             1 0000............ 10 21150  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157459 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157460 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157461 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157462 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157463 -               2200... 1000 2327000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157464 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157465 -               2330... 80 431320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157466 -               2340... 40 92580 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157469 -  ..
157470 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157471 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157473 -  ..
157474 - Peripheral Neuropathy and/or PAD has increased the past week, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157475 - pain in toes and balls of feet, particularly in evening, when feet are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157476 - elevated in reclining chair.  Toes feel blistered and itch.  Taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157477 - Gabapentin to relieve symptoms in order to sleep, though did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157478 - last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157480 -  ..
157481 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157482 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157484 -  ..
157485 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157489 -  ..
157490 - Kardia recorded HR 056 at 0740 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157491 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157492 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157493 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157494 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157495 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157498 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157499 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241222-ecg-074018_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157502 -  ..
157503 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157506 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157507 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241222-ecg-081602_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157511 -  ..
157512 - Post hike HR profile beginning 1957, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157513 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157514 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157515 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157516 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157519 -        ..
157520 -       Date      241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013  241012    
157521 -       Time       1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329    1905     
157522 -       Hours        11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8      13     
157523 -       HR AVG       73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58      66     
157524 -       HR MAX      112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     130     
157525 -       HR Min       46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44      41     
157526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157528 -              https://flow.polar.com/training/analysis/8021174559                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157531 -               ..
157533 -   
157534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157537 -  ..
157538 - Breakfast - eggs avocado onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157539 - Lunch - half donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157540 - Dinner - rice ham broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157543 -  ..
157544 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157571 -         ..
157572 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157573 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157574 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157575 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157576 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157577 -  358.  241223 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157578 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157579 -               0725....BP HR..................................................... 157  93  51  Kardia ECG reports HR status, see below. ref SDS 0 6UWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157580 -               0730....BP HR..................................................... 160  95  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157581 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157582 -               0735....80 431400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157583 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157584 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157585 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157586 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157587 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157588 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157589 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157590 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157591 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157592 -               1700... 40 118120 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157593 -               1830............ 10 20810  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157594 -               1830............ 10 21160  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157595 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157596 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157597 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157598 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157599 -               2200... 1000 2328000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157600 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157601 -               2330... 80 431480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157602 -               2340... 40 92320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157605 -  ..
157606 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157607 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157609 -  ..
157610 - Peripheral Neuropathy and/or PAD has increased the past week, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157611 - pain in toes and balls of feet, particularly in evening, when feet are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157612 - elevated in reclining chair.  Toes feel blistered and itch.  Taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157613 - Gabapentin to relieve symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157615 -  ..
157616 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157617 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157619 -  ..
157620 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157624 -  ..
157625 - Kardia recorded HR 061 at 1034 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157626 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157627 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157628 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157629 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157630 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157633 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157634 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241223-ecg-100817_mile_00_058_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157637 -  ..
157638 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157641 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157642 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241223-ecg-103423_mile_00_061_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157645 -  ..
157646 - Post hike HR profile beginning 1924, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157647 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157648 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157649 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157650 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157653 -        ..
157654 -       Date      241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014  241013    
157655 -       Time       1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919    2329     
157656 -       Hours        13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12       8     
157657 -       HR AVG       69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56      58     
157658 -       HR MAX      122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100      90     
157659 -       HR Min       47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39      44     
157660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157662 -              https://flow.polar.com/training/analysis/8021589683                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157665 -               ..
157667 -   
157668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157671 -  ..
157672 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157673 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157674 - Dinner - ham potato broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157677 -  ..
157678 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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157684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157704 -         ..
157705 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157706 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157707 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157708 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157709 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157710 -  359.  241224 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157711 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157712 -               0715....BP HR..................................................... 161  88  54  Kardia ECG reports HR status, see below. ref SDS 0 D3XR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157713 -               0720....BP HR..................................................... 161  91  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157714 -               0725....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157715 -               0725....80 431560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157716 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157717 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157718 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157719 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157720 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157721 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157722 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157723 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157724 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157725 -               1700... 40 118160 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157726 -             1 0000............ 10 20810  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157727 -             1 0000............ 10 21160  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157728 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157729 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157730 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157731 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157732 -               2200... 1000 2329000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157733 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157734 -               2330... 80 431640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157735 -               2340... 40 92360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157738 -  ..
157739 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157740 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157742 -  ..
157743 - Peripheral Neuropathy and/or PAD has increased with pain in toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157744 - balls of feet and heels, particularly in evening, when feet are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157745 - elevated in reclining chair.  Toes feel blistered and itch.  Taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157746 - Gabapentin to relieve symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157748 -  ..
157749 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157750 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157752 -  ..
157753 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157757 -  ..
157758 - Kardia recorded HR 059 at 1049 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157759 - like variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157760 - no AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157761 - on 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157762 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157763 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157766 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157767 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241224-ecg-104949_mile_00_059_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157770 -  ..
157771 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157774 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157775 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241224-ecg-122945_mile_00_081_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157779 -  ..
157780 - Post hike HR profile beginning 1932, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157781 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157782 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157783 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157784 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157787 -        ..
157788 -       Date      241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015  241014    
157789 -       Time       1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920    1919     
157790 -       Hours        12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9      12     
157791 -       HR AVG       65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65      56     
157792 -       HR MAX      115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     100     
157793 -       HR Min       35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42      39     
157794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157796 -              https://flow.polar.com/training/analysis/8021961060                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157799 -               ..
157801 -   
157802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157805 -  ..
157806 - Breakfast - eggs ham onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157807 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157808 - Dinner - hamburger potato broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157811 -  ..
157812 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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157825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157840 -         ..
157841 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157842 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157843 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157844 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157845 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157846 -  360.  241225 0700............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157847 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157848 -               0715....BP HR..................................................... 155  89  60  Kardia ECG reports HR status, see below. ref SDS 0 X4SQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157849 -               0720....BP HR..................................................... 152  86  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157850 -               0725....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157851 -               0725....80 431720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157852 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157853 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157854 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157855 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157856 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157857 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157858 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157859 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157860 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157861 -               1700... 40 118200 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157862 -               1830............ 10 20820  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157863 -               1830............ 10 21170  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157864 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157865 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157866 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157867 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157868 -               2200... 1000 2330000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157869 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157870 -               2330... 80 431800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157871 -               2340... 40 92400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157873 -  ..
157874 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157875 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157877 -  ..
157878 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157879 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157880 - chair.  Toes and heels feel blistered and itch.  Taking Gabapentin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157881 - relieve symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157883 -  ..
157884 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157885 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157887 -  ..
157888 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157891 -  ..
157892 - Kardia recorded HR 080 at 0816 Unclassified, looks like variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157893 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157894 - 00 miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157895 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157896 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157897 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157900 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157901 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241225-ecg-081652_mile_00_080_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157904 -  ..
157905 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157908 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157909 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241225-ecg-105819_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157913 -  ..
157914 - Post hike HR profile beginning 2042, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157915 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157916 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157917 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157918 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157921 -        ..
157922 -       Date      241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016  241015    
157923 -       Time       2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906    1920     
157924 -       Hours        12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12       9     
157925 -       HR AVG       71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64      65     
157926 -       HR MAX      139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     106     
157927 -       HR Min       45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38      42     
157928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157930 -              https://flow.polar.com/training/analysis/8022483370                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157933 -               ..
157935 -   
157936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157939 -  ..
157940 - Breakfast - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157941 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157942 - Dinner - hamburger rice broccoli asparagus onion - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157945 -  ..
157946 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157973 -         ..
157974 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157975 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157976 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157977 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157978 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157979 -  361.  241226 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157980 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157981 -               0725....BP HR..................................................... 161  87  57  Kardia ECG reports HR status, see below. ref SDS 0 TY1V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157982 -               0730....BP HR..................................................... 158  91  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157983 -               0735....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157984 -               0735....80 431880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157985 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157986 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157987 -               0735... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157988 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157989 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157990 -               0735....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157991 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157992 -               0735... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
157993 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157994 -               1700... 40 118240 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
157995 -             1 0000............ 10 20820  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157996 -             1 0000............ 10 21170  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157997 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157998 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157999 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158000 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy in feet - right foot #1 hurting from injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158001 -               2200... 1000 2331000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158002 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158003 -               2330... 80 431960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158004 -               2340... 40 92440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158007 -  ..
158008 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158009 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158011 -  ..
158012 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158013 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158014 - chair.  Toes and heels feel blistered and itch.  Taking Gabapentin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158015 - relieve symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158017 -  ..
158018 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158019 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158021 -  ..
158022 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158027 -  ..
158028 - Kardia recorded HR 074 at 0921 Possible Atrial Fibrillation looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158029 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158030 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158031 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158032 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158033 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158036 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158037 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241226-ecg-092123_mile_00_074_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158040 -  ..
158041 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158044 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158045 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241226-ecg-103125_mile_00_058_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158048 -  ..
158049 - Post hike HR profile beginning 1930, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158050 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158051 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158052 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158053 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158056 -        ..
158057 -       Date      241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017  241016    
158058 -       Time       1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253    1906     
158059 -       Hours        12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9      12     
158060 -       HR AVG       71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64      64     
158061 -       HR MAX      118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     111     
158062 -       HR Min       42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41      38     
158063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158065 -              https://flow.polar.com/training/analysis/8023001239                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158068 -               ..
158070 -   
158071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158074 -  ..
158075 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158076 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158077 - Dinner - hamburger rice cheese broccoli asparagus onion - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158080 -  ..
158081 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158109 -         ..
158110 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158111 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158112 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158113 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158114 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158115 -  362.  241227 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158116 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158117 -               0725....BP HR..................................................... 154  83  58  Kardia ECG reports HR status, see below. ref SDS 0 YPA3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158118 -               0730....BP HR..................................................... 158  87  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158119 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158120 -               0735....80 432040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158121 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158122 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158123 -               0735... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158124 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158125 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158126 -               0735....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158127 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158128 -               0735... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
158129 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158130 -               1700... 40 118280 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
158131 -               1830............ 10 20830  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158132 -               1830............ 10 21180  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158133 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158134 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158135 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158136 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158137 -               2200... 1000 2332000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158138 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158139 -               2330... 80 432120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158140 -               2340... 40 92480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158141 -               2350... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158144 -  ..
158145 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158146 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158148 -  ..
158149 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158150 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158151 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158152 - Taking Gabapentin and later Tramadol to relieve symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158153 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158155 -  ..
158156 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158157 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158159 -  ..
158160 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158164 -  ..
158165 - Kardia recorded HR 054 at 0831 Normal Sinus Rhythm, looks like mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158166 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158167 - after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158168 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158169 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158170 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158173 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158174 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241227-ecg-083111_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158177 -  ..
158178 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158181 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158182 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241227-ecg-101433_mile_00_072_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158186 -  ..
158187 - Post hike HR profile beginning 2028, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158188 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158189 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158190 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158191 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158194 -        ..
158195 -       Date      241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018  241017    
158196 -       Time       2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945    2253     
158197 -       Hours        12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12       9     
158198 -       HR AVG       71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62      64     
158199 -       HR MAX      110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     121     
158200 -       HR Min       46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40      41     
158201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158203 -              https://flow.polar.com/training/analysis/8023518914                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158206 -               ..
158208 -   
158209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158212 -  ..
158213 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158214 - Lunch - chips tuna onion avocado cottage cheese olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158215 - Dinner - rice ham cheese broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158218 -  ..
158219 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158247 -         ..
158248 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158249 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158250 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158251 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158252 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158253 -  363.  241228 0625............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158254 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158255 -               0635....BP HR..................................................... 165  95  52  Kardia ECG reports HR status, see below. ref SDS 0 YRTP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158256 -               0640....BP HR..................................................... 183  97  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158257 -               0645....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158258 -               0645....80 432200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158259 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158260 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158261 -               0645... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158262 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158263 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158264 -               0645....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158265 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158266 -               0645... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
158267 -  ..
158268 -               1112....miles...........  12.0  12.0  204   204 minutes  temp  65 wind 09  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158269 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158270 -               1332....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158271 -               1332....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158272 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158273 -               1332... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
158274 -               1332....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158275 -               1332... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
158276 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158277 -               0000....getting wobbly little loopy, staggering from Tramadol and Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158278 -               1508....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158279 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158280 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158281 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158282 -               1508... Magnesium 2nd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                    
158283 -               1508... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                         
158284 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158285 -               0000....mile 15 stopped EKG and NPO - nothing to eat drink - actually took 2 sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158286 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 18 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
158287 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158288 -               0000....Tramadol 50 mg took 1 pill - feet hurting stopped at College mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158289 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158290 -               0000... Magnesium 3rd dose 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92 - pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                
158291 -               0000... 20   3720 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
158292 -               0000....Naproxen 250 mg 1 pill pain management and reduce inflammation investigation indicates naproxen can be taken with Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158293 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158294 -               1518... Hike ends mile 12... ref SDS 0 SX4Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158295 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158296 -               1830....weight.................................... 183  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158297 -               1835....BP HR..................................................... 113  71 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158298 -               1604....BP HR..................................................... 111  81 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158299 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158300 -               1700... 40 118320 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
158301 -             1 0000............ 10 20830  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158302 -             1 0000............ 10 21180  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158303 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158304 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158305 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158306 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158307 -               2200... 1000 2333000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158308 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158309 -               2330... 80 432280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158310 -               2340... 40 92520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158311 -               2350... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158313 -  ..
158314 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158315 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158317 -  ..
158318 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158319 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158320 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158321 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158322 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158324 -  ..
158325 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158326 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158328 -  ..
158329 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158333 -  ..
158334 - Today, hiked 12 miles - start hiking again after 41 days since last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158335 - hike on 241118, healing toe right foot #1, fractured on 241109, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158336 - intermittant hiking since cardiac ablation on 240611, recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158337 - side effects - bloating, stomach pain, fatigue, fainting. see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158338 - ref SDS 0 V86G  Did not take Tramadol and Gabapentin before starting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158339 - used new Polar GPS/HR monitor, received on 241218 1343. ref SDS 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158340 - 0001 Did 5 mile semi-loop through South Concord streets recently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158341 - re-paved and striping completed 241115 - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158342 - [...  Oddly, entire 25 mile hike Polar HR record shows series of 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158343 - severe HR dips, despite steady pace and mostly flat terraine, similar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158344 - to HR profile last hike on 241019, but today no HR dips occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158345 - entire 12 miles, reported on 241228, below. ref SDS 0 YRXT...].                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158346 - Continued on Ayers to Clayton Road, then South on Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158347 - 1 mile.  Turned East on Pine Hollow .50 mile; turned around hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158348 - and turned left onto Campus Drive heading West 1 mile.  At Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158349 - Valley Road turned around and hiked uphill 4% grade to Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158350 - at the College.  Hiked 2 loops around main buildings Stopped at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158351 - 08 for EKG, hydration, nutrition and CoQ10 for energy and HDL.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158352 - Tramadol and 0 Gabapentin in order to avoid seizure symptoms that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158353 - occurred during hike on 240901, per above, ref SDS 0 RTRX, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158354 - 240924, also per above. ref SDS 0 PYSX - then took magneseum complex,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158355 - with nutrition and hydration.  Left college heading North on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158356 - Drive and turned left to hike uphill 3% grade on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158357 - At summit mile 10, turned around hiked back .5 mile. continued West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158358 - miles.  Took Oak Grove North 1 mile.  Turned right onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158359 - hiked 2 miles East.  At Cuneo then home.  No seizure symptoms, e.g. no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158360 - loss motor control, no hallucinations.  HR elevated today, reflecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158361 - mostly no hiking past 3 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158365 -         ..
158366 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158367 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158368 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication and after cardiac ablations, took Simethicone mile 3                                                                                                                                                                                                                                                                                                                                                                                                     
158369 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158370 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158371 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158372 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158373 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158374 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158375 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158376 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158377 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
158378 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158379 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
158380 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158381 -        Hip left.....................................   2         30  noticed on Ygnacio Valley Road about mile 04 heading for Pine Hollow resolved about Crystal Ranch after taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                      
158382 -        Back.........................................   0        100  mp back spine at hip line stiRging pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                
158383 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158384 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158385 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158386 -        Knee left meniscus...PRP 231121..............   3         20  knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 00  knee PL 0 about mile 10                                                                                                                                                                                                                                                                                                                                                                                                   
158387 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158388 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158389 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158390 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158391 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
158392 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158393 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158394 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158395 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158396 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158397 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158398 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158399 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Tramadol and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
158400 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158401 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158402 -        Metatarsalgia left foot...PRP 210705.........   3         25  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
158403 -        Metatarsalgia right foot..PRP 210705.........   3         25  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
158404 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   1         50  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
158405 -  new   Right foot #1 jammed fell coming downstairs..   1        100  On 241108 fell hiking 5 Lakes trail in mountains - may need xray - was able to continue hiking with PL 2 due to adrenalin and endorphins  had taken 2 Tramadol and 1 Gabapentin 90 minutes before injury - today on 241109 in evening fell coming downstairs misjudged last step lost balance jammed same right foot #1 vertically on tiled floor compounding injury day before                                                                                                                                                              
158406 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158407 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158408 -        Ankle left twisted in fall on 200319.........   2         50  making left U turns hiking college parking lot - did not make U turns, because parking lot mostly full                                                                                                                                                                                                                                                                                                                                                                                                                                       
158409 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
158410 -        Ankle right pain on 200407 and 231203........   2         25  xray after hike 240118 found needle left in ankle past 15 years since CABGx4 vein harvested from leg for bypass arteries, Doctor Tang on 240118 taped right ankle to enable strained ligaments and tendons to heal                                                                                                                                                                                                                                                                                                                           
158411 -        Foot right possible fracture 200917.........    0        100  CT for abdomen ordered by Vascular Surgery to evaulate diverticulitis extended to feet, so Doctor Tang examined the radiology scans of the feet on 230831                                                                                                                                                                                                                                                                                                                                                                                    
158412 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158413 -        Cut big right foot...........................   0        100  Doctor Tang and assisant Lynn over cut callus treated and bandaged hiking today did not feel pain - seems healed on 240316                                                                                                                                                                                                                                                                                                                                                                                                                   
158414 -        Callus big toe left foot...PRP 210705........   1         15  Doctor Tang shaved calluses 240926 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 06 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                               
158415 -        Callus big toe right foot...PRP 210705.......   1         15  Doctor Tang shaved calluses 240926 - less blistering today, took 1 Tramadol and 1 Gabapentin mile 08 and again at mile 00 wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                
158416 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158417 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
158418 -        Blister bottom #5 left foot..................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
158419 -        Blister bottom #4 right foot.................   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725 - began feeling this about mile 8 - reduced to PL 1 after taking 1 Tramadol and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
158420 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158421 -        Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
158422 -        Callus ring toe #4 right foot in web.........   0        100  recurrance on #4 in web next to #5 has improved, after scraping last night on 240625, applied Doctor Tang's pediplasti spacer worked well entire hike                                                                                                                                                                                                                                                                                                                                                                                        
158423 -        Callus ring toe #4 top right foot............   0        100  did not use neoprene protective sleeve took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                         
158424 -        Callus ring toe #4 left foot in web..........   0        100  Doctor Tang cut out core of callus 240613 using new pediplast interdigital spacer Doctor Tang created on 230420,                                                                                                                                                                                                                                                                                                                                                                                                                             
158425 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158426 -        Blister ring toe right foot.new 240713.......   0        100  on bottom near top of toe next to #3 - think this may be caused by orthotic insert causing tight fit??? and switching orthotic inserts to Stable Elite that has less cushioning                                                                                                                                                                                                                                                                                                                                                              
158427 -  new   Callus little toe #5 left foot...PRP 210705..   1         15  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 08 and 0 Tramadol and 0 Gabapentin mile 06 - no bandaging today wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                               
158428 -  new   Callus ring tip of #4 toe left foot..........   0        100  blister - Wrightsocks should protect against blisters very odd on 240913 - wore neoprene toe sleeve with tape to secure position                                                                                                                                                                                                                                                                                                                                                                                                             
158429 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158430 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158431 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 10 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
158432 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158433 -        Burning sensation both feet..................   0        100  subsided some after taking 1 Tramadol and 1 Gababenin mile 08 and again at mile 00 - wore new Hoka Bondi 8 x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                                                                     
158434 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Tramadol and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
158435 -        Peripheral neruopathy both feet..............   2         30  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
158436 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158437 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158438 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158439 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158440 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158441 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158442 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158443 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol and 0 Gabapentin mile 00 and only 1 Tramadol mile 08 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
158444 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158448 -  ..
158449 - Shoes see case study on 200101 0701. ref SDS 16 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158450 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158451 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158452 - both feet.  Shoes worked very well - great rebound energy.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158453 - lateral pressure both feet but mostly left foot #1 and #5, compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158454 - with wearing new Bondi 8s extra wide shoes, reported on 241118.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158455 - ref SDS 0 SVXV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158457 -  ..
158458 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158459 - inserts, explained in case study record on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158460 - PR6F and pending Doctor Tang replacing customized Powerestep Protech                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158461 - Classic Plus to use original padding, because newest padding caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158462 - blisters on long hikes, reported in meeting with Doctor Tang on 240829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158463 - 0930. ref SDS 51 SY79  This morning on 240903, switched to new set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158464 - same model orthotic inserts, because feet suffering pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158465 - 240902, per above. ref SDS 0 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158467 -  ..
158468 - Socks see case study on 200101 0701. ref SDS 16 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158469 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158471 -  ..
158472 - Pediplast interdigital spacer to protect toes from injury, see, 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158473 - 0701, ref SDS 16 NS7J  Today, did not use spacer for left foot between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158474 - #4 and #5, created by Doctor Tank at VAMCSF on 240517 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158475 - ref SDS 41 TJ6G  Also, did not use new spacer created by the doctor on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158476 - 240517 0900, ref SDS 41 BL6N, to protect callus on #4 in web between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158477 - #4 and #5 right foot.  Today, did not use Pediplast spacers, and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158478 - not use neoprene sleeve to protect top of #4 on right foot.  The left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158479 - foot had PL 0 entire hike.  Right foot #4 bottom PL 0.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158480 - today - did not feel top of right foot #4; carried neoprene sleeve for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158481 - #4 if needed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158483 -  ..
158484 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158485 - reduce pressure, shown on 200101, ref SDS 16 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158486 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158487 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158488 - ref SDS 0 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158491 -  ..
158492 - Concord 12 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158493 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158494 - injection on 231121 0700. ref SDS 27 I48N  Did not take Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158495 - pain and inflammation management to start hike, because it can cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158496 - colitis.  Take 0 Tramadol and took 0 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158497 - because there is no metatarsalgia pain in feet starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158498 - right foot #1 PL 0, after falling on 241109 and next day on 241110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158499 - shown in case study on 200101 0701. ref SDS 16 I37L  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158500 - Complex that increases energy and reduces inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158501 - increase - 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158502 - Citrate (...see research on 240519 1653. ref SDS 42 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158503 - designed to swallow whole for gradual release as plastic capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158504 - breakdown and release magnesium complex over time.  These capsules are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158505 - much larger than most medication pills.  They become gradually more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158506 - difficult to swallow as achalasia closes LESV over weeks and months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158507 - In August had to open the pills and empty the magnesium powder onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158508 - food to swallow all at once, rather than dispense the magnesium over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158509 - hours while hiking.  This reduced the prolonged effect of increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158510 - energy, see an example on 240827, above. ref SDS 0 PXRP  After EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158511 - Dilation on 241126 0830, ref SDS 58 1X6F, have been able to swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158512 - the pills whole.  Research with Microsoft AI indicates magnesium can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158513 - be effective combined with avocado, peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158514 - reported on 240519 1653. ref SDS 42 JH8L  Magnesium increases energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158515 - endurance by disssipating lactic acid that causes muscle fatigue, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158516 - magnesium reduces inflammation from repetitive stress injuries, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158517 - knees and feet, that lowers production of HDL in the liver. which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158518 - enables HDL to rise with hiking.  Magnesium further improves general                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158519 - health in major organs.  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158520 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158521 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158522 - ref SDS 0 HE5J  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158523 - an electron transport chain (ETC) giving human cells energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158524 - ref SDS 3 5N7X  Taking statins lowers CoQ10, reported by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158525 - Stewart on 150526 1300. ref SDS 3 8M58  Physical activity hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158526 - consumes CoQ10.  Adding CoQ10 maintains heart function for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158527 - hiking at therapeutic levels, cited by Doctor Stewart in a letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158528 - received on 151124 1357. ref SDS 5 4X5I  CoQ10 also improves liver                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158529 - production of HDL, reported on 150526 1300. ref SDS 3 5N8M  Increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158530 - HDL, together with higher EPCs produced in bone marrow, both from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158531 - hiking, regresses plaque in blood vessels, see 131125 0005,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158532 - ref SDS 2 RA7K  CoQ10 further reduces shoulder myopathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158533 - statins (see research on 131125 0005, ref SDS 2 AT3J).  Soaking Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158534 - seeds in water, Coca Cola, orange juice, etc., increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158535 - aids hydration, shown in research on 240305 1256. ref SDS 32 IZ4K  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158536 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158537 - caused by taking statins and overuse of Naproxen, reported on 220503                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158538 - 0900, ref SDS 22 TL6I, and reviewing biopsy results on 200716 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158539 - ref SDS 20 N88N  Bloating and stomach pain can also result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158540 - ablation procedures cited in letter to Doctor Pellegrini on 200508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158541 - 0916, ref SDS 18 OS49, diagnosed on 200612 0700, ref SDS 19 2U4O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158542 - reviewed in meeting with VA medical team on 220503 0900. ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158543 - TL6I  Bloating can also result from Pantoprazole and Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158544 - reported on 240910 1300. ref SDS 53 ZC5F  Magnesium can also cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158545 - bloating, if too much is taken; can relieve bloating in some cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158546 - Similar for Famitodine and PantopraZOL reported in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158547 - 240507 0930. ref SDS 38 ZC5F  Did not feel bloated starting hike this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158548 - morning.  Took backpack to carry stuff - good to build conditioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158549 - for Half Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158550 - After about 1 mile feet feeling swelled and like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158551 - calming down - peripheral neuropathy caused by taking statins.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158552 - of both feet not hurting yet, including left foot #5, which flared up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158553 - on 240919, per above. ref SDS 0 XVTR  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158554 - hike with no dyspnea, indicating good condition despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158555 - last few months.  Temperature started at 61, and reached 65.  West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158556 - wind 09 mph and mostly 03 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158557 - Scarrified asphalt pavement on Treat has been fully resurfaced with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158558 - new asphalt.  Much easier to hike today, and feet PL 1 due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158559 - metatqrsalgia and calluses.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158560 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158561 - places 2% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158562 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158563 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158564 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158565 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158566 - of shopping complex.  Feeling bloated - took Simethicone.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158567 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158568 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158569 - using concrete sidewalk .5 miles.  Feeling metatarsaltia PL 2 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158570 - feet, and left foot #5 PL 2.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158571 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158572 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158573 - Continued West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158574 - Union 76 Texaco Gas Station store mile 5, time ____.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158575 - Ygnacio Valley Road; turned left onto Pine Hollow and hiked 0.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158576 - East.  Turned around and hiked back.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158577 - heading West uphill 3% grade.  The road bends North.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158578 - Ygnacio Valley Road turned around and hiked uphill .25 mile 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158579 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158580 - Concord Campus.  Hiked 2 loops around main buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158581 - Administration Building mile 08 time 1332 temp 65 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158582 - looks variable with some artifact.  Kardia reported HR 127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158583 - Unclassified - see below. ref SDS 0 YRXY  Both feet PL 2 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158584 - right foot 1" below metatarsal #4 PL 0, peripheral neuropathy both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158585 - feet and wrapping up heels - possibly PAD -, burning sensation PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158586 - shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158587 - blister/callus PL 3 and #1 PL 3, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158588 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158589 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158590 - 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158591 - avoid seizure taking normal 2nd dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158592 - (2nd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158593 - Dilation on 241126 1300, ref SDS 58 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158594 - LESV, as occurred on 240824, above. ref SDS 0 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158595 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158596 - might be "secret" source that stimulates liver to increase HDL 64 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158597 - 240806 1104. ref SDS 52 XK7M, from HDL 61 on 240611 0700. ref SDS 46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158598 - XK7M  Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158599 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158600 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158601 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158602 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158603 - ejects electrolytes, then despite extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158604 - Valley Road, to save money did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158605 - above. ref SDS 0 XXPT  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158606 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158607 - grade .5 miles.  At mile 09, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158608 - 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158609 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158610 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158611 - end of concrete barriar mile 10, turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158612 - Cowell.  Hiked South 1 mile downhill 5% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158613 - Treat, then onto Cunoe and home.  Ended hike mile 12 time 1518 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158614 - 65, wind 05, feet PL 4, left foot #1 edge PL 3, #5 edge PL 4, #4 tip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158615 - new blister PL 2, right foot blister #4 bottom PL 0, #5 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158616 - sensation PL 2, shin splints PL 0, left knee PL 3 (swollen slightly),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158617 - right knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158618 - intermittantly, lower back left side PL 0, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158619 - lifting.  EKG uniform with no artifact, Kardia reported HR 131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158620 - Tachycardia - see below. ref SDS 0 YSQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158628 -  ..
158629 - Kardia recorded HR 067 at 0644 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158630 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158631 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158632 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158633 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158634 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158637 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158638 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241228-ecg-064410_mile_00_067_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158641 -  ..
158642 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158645 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158646 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241228-ecg-073522_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158651 -  ..
158652 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158653 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158654 - 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158655 - ..
158656 -                                                                                                                                                                                                                                                                                                              x
158657 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158658 -                                          x                    x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158659 -       Date          241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 241213 241212 241211 241210 241209 241208 241207 241206 241205 241204 241203 241202 241201 241120 241129 241128 241127 241126 241125 241124 241123 241122 241121 241120 241119 241118 241117 241116 241115 241114 241113 241112 241111 241110 241109 241108 241107 241106 241105 241104 241103 241102 241101 241031 241030 241029 241028 241027 241026 241025 241024 241023 241022 241021 241020 241019 241018 241017 241016 241015 241014 241013 241012 241011 241010 241009 24100  
158660 -       Miles            12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0       0     0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0     25      0      0      0      0      0      0      0      0      0      8      0     20      0      0     31      0      0     14      0      0      0       0     0     13     25     24      0       0     0     25      0     22      0      0      0      0     13     21      0      0      0  
158661 -       HR AVG          131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no      no    no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no    122     no     no     no     no     no     no     no     no     no    131     no    126     no     no    127     no     no    117     no     no     no      no    no    115    123    135     no      no    no    129     no    132     no     no     no     no    121    129     no     no     no  
158662 -         MAX           151   report report report report report report report report report report report report report report report report report report report  eport  report eport report report report report report report report report report report report report report report report report report  172   report report report report report report report report report  157   report  149   report report  152   report report  141   report report  eport  report eport  137    144    159   report  report eport  151   report  156   report report report report  140    169   report report repo  
158663 -         Min            71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75                          82            76                                 70     76                       
158664 -       El Climb Ft     454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450                         450           450                                450    450                       
158665 -       Temp Max         65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83                          79            76                                 78     78                       
158666 -       Wind Max          9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12                          12            12                                 12     10                       
158667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158669 -              https://flow.polar.com/training/analysis/8023762897                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158672 -               ..
158674 -   
158675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158677 -  ..
158678 - EKG at mile 08 time 1332 HR 133 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158679 - Unclassified... heart rate shows mostly uniform HR with minor artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158680 - - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158683 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158684 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241228-ecg-133237_mile_08_133_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158687 -  ..
158688 - End hike EKG at mile 12, time 1518 HR 131 temp 65 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158689 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158690 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158693 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158694 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241228-ecg-151837_mile_12_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158698 -  ..
158699 - Post hike HR profile beginning 1935, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158700 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158701 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158702 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158703 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158706 -        ..
158707 -       Date      241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019  241018    
158708 -       Time       1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009    1945     
158709 -       Hours        14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13      12     
158710 -       HR AVG       69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63      62     
158711 -       HR MAX      114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     114     
158712 -       HR Min       46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42      40     
158713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158715 -              https://flow.polar.com/training/analysis/8024264683                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158718 -               ..
158720 -   
158721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158725 -  ..
158726 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158727 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158728 - Dinner - rice ham cheese broccoli asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158731 -  ..
158732 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158758 -         ..
158759 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158760 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158761 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158762 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158763 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158764 -  364.  241229 0715............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158765 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158766 -               0725....BP HR..................................................... 151  77  52  Kardia ECG reports HR status, see below. ref SDS 0 RUG2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158767 -               0730....BP HR..................................................... 143  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158768 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158769 -               0735....80 432440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158770 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158771 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158772 -               0735... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158773 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158774 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158775 -               0735....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158776 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158777 -               0735... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
158778 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158779 -               1700... 40 118400 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
158780 -               1830............ 10 20850  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158781 -               1830............ 10 21200  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158782 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158783 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158784 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158785 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158786 -               2200... 1000 2335000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158787 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158788 -               2330... 80 432520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158789 -               2340... 40 92600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158790 -               2350... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158793 -  ..
158794 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158795 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158797 -  ..
158798 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158799 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158800 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158801 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158802 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158804 -  ..
158805 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158806 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158808 -  ..
158809 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158813 -  ..
158814 - Kardia recorded HR 061 at 1110 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158815 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158816 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158817 - 240710 after 6th ablation on 240611 0930. ref SDS 47 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158818 - diagnosed ischemic colitis on 200612 0700, ref SDS 19 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158819 - medical history case study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158822 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241229-ecg-111058_mile_00_061_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158826 -  ..
158827 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158830 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158831 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241229-ecg-122015_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158834 -  ..
158835 - Post hike HR profile beginning 2057, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158836 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158837 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158838 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158839 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158842 -        ..
158843 -       Date      241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020  241019    
158844 -       Time       2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942    2009     
158845 -       Hours        11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13      13     
158846 -       HR AVG       65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61      63     
158847 -       HR MAX      108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     123     
158848 -       HR Min       42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42      42     
158849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158851 -              https://flow.polar.com/training/analysis/8024732830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158854 -               ..
158856 -   
158857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158860 -  ..
158861 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158862 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158863 - Dinner - tuna broccoli asparagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158866 -  ..
158867 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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158879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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158883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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158887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158892 -         ..
158893 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158894 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158895 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158896 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158897 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158898 -  365.  241230 0705............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158899 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158900 -               0715....BP HR..................................................... 169  92  68  Kardia ECG reports HR status, see below. ref SDS 0 ZP2M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158901 -               0720....BP HR..................................................... 167  93  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158902 -               0725....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158903 -               0725....80 432600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158904 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158905 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158906 -               0725... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158907 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158908 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158909 -               0725....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158910 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158911 -               0725... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
158912 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158913 -               1700... 40 118440 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
158914 -             1 0000............ 10 20850  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158915 -             1 0000............ 10 21200  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158916 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158917 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158918 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158919 -               2150... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158920 -               2200... 1000 2336000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158921 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158922 -               2330... 80 432680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158923 -               2340... 40 92640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158924 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158927 -  ..
158928 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158929 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158931 -  ..
158932 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158933 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158934 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158935 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158936 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158938 -  ..
158939 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158940 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158942 -  ..
158943 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158947 -  ..
158948 - Kardia recorded HR 051 at 0812 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158949 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158950 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158951 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158952 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158953 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158956 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158957 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241230-ecg-081213_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158960 -  ..
158961 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158964 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158965 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241230-ecg-140954_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158968 -  ..
158969 - Post hike HR profile beginning 2030, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158970 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158971 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158972 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158973 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158976 -        ..
158977 -       Date      241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021  241020    
158978 -       Time       2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911    1942     
158979 -       Hours        11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12      13     
158980 -       HR AVG       70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60      61     
158981 -       HR MAX      119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     113     
158982 -       HR Min       45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39      42     
158983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158985 -              https://flow.polar.com/training/analysis/8025336402                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158988 -               ..
158990 -   
158991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158994 -  ..
158995 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158996 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158997 - Dinner - tuna broccoli asparagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159000 -  ..
159001 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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159015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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159017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159030 -         ..
159031 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159032 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159033 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159034 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159035 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159036 -  366.  241231 0720............................................. summary vitals, ref SDS 16 MB4M                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159037 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159038 -               0730....BP HR..................................................... 169  92  68  Kardia ECG reports HR status, see below. ref SDS 0 7YPQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159039 -               0735....BP HR..................................................... 162  94  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159040 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159041 -               0745....80 432760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159042 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159043 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159044 -               0745... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 42 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159045 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159046 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159047 -               0745....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159048 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 27 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159049 -               0745... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 17 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
159050 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159051 -               1700... 40 118480 Pantoprazole Rx 25009443 resumed 240610 paused on 240603 due to high BP; replaced Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV - on 230922 past few weeks blood pressure trending up due to Pantoprazole                                                                                                                                                                                                                                                                                  
159052 -               1830............ 10 20860  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
159053 -               1830............ 10 21210  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
159054 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 50 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159055 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 23 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159056 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 18 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159057 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159058 -               2200... 1000 2337000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159059 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159060 -               2330... 80 432840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159061 -               2340... 40 92680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 38 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159062 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159065 -  ..
159066 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159067 - Pantoprazole, see case study on 200101. ref SDS 16 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159069 -  ..
159070 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159071 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159072 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159073 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159074 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159076 -  ..
159077 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159078 - ref SDS 16 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159080 -  ..
159081 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159084 -  ..
159085 - Kardia recorded HR 062 at 0823 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159086 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159087 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159088 - ablation on 240611 0930. ref SDS 47 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159089 - colitis on 200612 0700, ref SDS 19 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159090 - study on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159093 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159094 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241231-ecg-082322_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159097 -  ..
159098 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159101 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159102 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_241231-ecg-091513_mile_00_075_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159106 -  ..
159107 - Post hike HR profile beginning 2058, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159108 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159109 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159110 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159111 - ref SDS 47 MC6F, See patient history on 200101 0701. ref SDS 16 118K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159114 -        ..
159115 -       Date      241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208  241207  241206  241205  241204  241203  241202  241201  241130  241129  241128  241127  241126  241125  241124  241123  241122  241121  241120  241119  241118  241117  241116  241115  241114  241113  241112  241111  241110  241109  241108  241107  241106  241105  241104  241103  241102  241101  241031  241030  241029  241028  241027  241026  241025  241024  241023  241022  241021    
159116 -       Time       2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125    2007    1952    1934    1931    1933    2000    1850    2048    1925    1921    1924      No    2012    2046    2008    1935    1937    2000    1853    0025    1923    2033    1918    1957    1918    2019    1839    2057    2049    2134    2344    2344    1940    1929    2029    1934    2054    2021    1839    1957    1942      No    2021    1919    2200    0045    1919    1911     
159117 -       Hours        10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9      12      12      12      12      12      11       8      12      12      12      12   Report      9      11      12      12      13      11      12       8      11      10      12      11      11      10      12       9      10      10       9       9      13      12      11      12      12      12       7      10       7   Report     12      14      10       9      12      12     
159118 -       HR AVG       62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66      63      67      63      64      63      68      72      71      65      61      67              66      63      65      69      69      68      65      52      71      68      73      71      68      69      58      62      79      82      66      66      63      63      66      67      62      60      66      61      69              62      61      62      61      60      60     
159119 -       HR MAX      111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     135     105     121     124     106     118     108     146     129     114     116             157     119     130     120     115     109     112     126     112      97     113     154     120     118     121     111     113     136     153     153     111     141     133     119     118     142     120     126     103             115     136     159     137     123     103     
159120 -       HR Min       43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35      44      42      40      44      42      47      42      46      40      33      43              44      45      44      47      46      47      43      42      49      49      52      43      44      45      40      42      58      53      46      46      43      39      43      43      43      42      44      49      49              42      41      43      42      40      39     
159121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159123 -              https://flow.polar.com/training/analysis/8025818970                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159126 -               ..
159128 -   
159129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159131 -  ..
159132 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159133 - Lunch - tuna cottage cheese avocado asparagus onion fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159134 - Dinner - macaroni cheese hot dog broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159137 -  ..
159138 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159156 -  ..
159157 - Mileage spreadsheet correlating HDL cholesterol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159159 -              F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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159168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1592 -